lOMoAR cPSD| 47246286
NUR 210 Exam 4
Principles of Pharmacology - Galen
100% Guarantee passing score
1) Which nursing intervention has the highest priority for the patient who is
taking cefepime?
a. Wait until culture results are received before initiating antibiotic
b. Monitor patient for s/s of superinfection
c. Administer IV over 2 hours to prevent phlebitis
d. Instruct the patient to take the drug for 5 days only
Answer: B
Rationale: Superinfection is a common adverse effect of antibiotics. The nurse should
culture the infected area before initiating antibiotics and may begin drug therapy before
culture results are received. IV cephalosporins should be administered over 30 to 45
minutes, not 2 hours.
Cephalosporins are usually given 10 days for a full regimen.
2) A patient enters the emergency department with a draining wound. Once the
patient is admitted and assessed, the priority nursing intervention is to:
a. Administer the ordered antibiotics
b. Teach the patient about the ordered antibiotics
c. Culture the wound
d. Enforce droplet isolation precautions
Answer: C
Rationale: The priority nursing intervention is to obtain a culture and antibiotic sensitivity
testing of infective organism (C&S).
, lOMoAR cPSD| 47246286
3) Which statement will the nurse include when teaching a patient about
cephalosporin therapy?
a. “avoid ingesting buttermilk or yogurt when taking this medication”
b. “stop taking the medication when you feel better”
c. “immediately stop taking the medication if you develop nausea”
d. “inform your MD if you develop mouth ulcers”
Answer: D
Rationale: The patient should be instructed to report signs of superinfection, such as
mouth ulcers or discharge from the anal or genital area. Ingestion of buttermilk or yogurt
may prevent superinfection of the intestinal flora; the entire course of the medication
should be taken; and the medication should be taken with food if nausea develops.
4) A patient asks the nurse why she gets yeast infections after a course of
antibiotics. The nurse explains,
a. “The antibiotics lower your WBC count”
b. “People are poorly nourished and hydrated after an infection”
c. “Yeast infections happen if the antibiotic is not taken for the full course”
d. “Yeast infections are common when the normal body flora are disrupted”
Answer: D
Rationale: The patient should be advised to ingest buttermilk or yogurt to prevent this
superinfection of the body's normal flora.
5) A patient is admitted to the health care facility with methicillin-resistant Staphylococcus
aureus (MRSA). The nurse anticipates administration of which drug?
a. Nafcillin (Nallpen)
b. Vancomycin (Vancocin)
c. Aztreonam (Azactam)
d. Piperacillin-tazobactam (Zosyn)
Answer: B Rationale: The treatment of choice for MRSA is vancomycin
(Vancocin).
, lOMoAR cPSD| 47246286
6) Which teaching by the nurse has the highest priority for the patient taking
azithromycin (Zithromax)?
a. Instruct the patient to use sunblock and protective clothing during sun exposure
b. Instruct the patient to store drug out of light and extreme heat
c. Inform patient that children younger than 8 years should not take the drug, to
avoid tooth discoloration
d. Instruct the patient to report any loose stools or diarrhea
Answer: D
Rationale: The patient should be instructed to report loose stools or diarrhea because of
possible pseudomembranous colitis. Photosensitivity during sun exposure is common with
tetracyclines, which should not be given to children younger than 8 years; the drugs are affected
by light and extreme heat.
7) Which statement by a patient who has received teaching on tetracycline therapy
indicates that more teaching is indicated?
a. “I will store the medication away from light and extreme heat”
b. “I will use an additional contraceptive technique because this drug may cause
the oral contraceptive I take to be less effective”
c. “I will take this medication with an antacid”
d. “If my stomach becomes upset when taking this medication, I will take it with non-
dairy foods”
Answer: C
Rationale: Patients taking tetracycline therapy should avoid milk products, iron, and antacids. The
medication should be stored away from light and extreme heat. Tetracycline can decrease the
effectiveness of oral contraceptives.
8) A patient is ordered to receive vancomycin (Vancocin) for a severe infection. It is most
important for the nurse to assess the patient for the development of:
a. Neurotoxicity
b. Hepatotoxicity
c. Ototoxicity
d. Cardiotoxicity
Answer: C
Rationale: Vancomycin may cause nephrotoxicity and ototoxicity. Ototoxicity results in damage
to the auditory or vestibular branch of cranial nerve VIII. Such damage can result in permanent
hearing loss (auditory branch) or temporary or permanent loss of balance (vestibular branch).
NUR 210 Exam 4
Principles of Pharmacology - Galen
100% Guarantee passing score
1) Which nursing intervention has the highest priority for the patient who is
taking cefepime?
a. Wait until culture results are received before initiating antibiotic
b. Monitor patient for s/s of superinfection
c. Administer IV over 2 hours to prevent phlebitis
d. Instruct the patient to take the drug for 5 days only
Answer: B
Rationale: Superinfection is a common adverse effect of antibiotics. The nurse should
culture the infected area before initiating antibiotics and may begin drug therapy before
culture results are received. IV cephalosporins should be administered over 30 to 45
minutes, not 2 hours.
Cephalosporins are usually given 10 days for a full regimen.
2) A patient enters the emergency department with a draining wound. Once the
patient is admitted and assessed, the priority nursing intervention is to:
a. Administer the ordered antibiotics
b. Teach the patient about the ordered antibiotics
c. Culture the wound
d. Enforce droplet isolation precautions
Answer: C
Rationale: The priority nursing intervention is to obtain a culture and antibiotic sensitivity
testing of infective organism (C&S).
, lOMoAR cPSD| 47246286
3) Which statement will the nurse include when teaching a patient about
cephalosporin therapy?
a. “avoid ingesting buttermilk or yogurt when taking this medication”
b. “stop taking the medication when you feel better”
c. “immediately stop taking the medication if you develop nausea”
d. “inform your MD if you develop mouth ulcers”
Answer: D
Rationale: The patient should be instructed to report signs of superinfection, such as
mouth ulcers or discharge from the anal or genital area. Ingestion of buttermilk or yogurt
may prevent superinfection of the intestinal flora; the entire course of the medication
should be taken; and the medication should be taken with food if nausea develops.
4) A patient asks the nurse why she gets yeast infections after a course of
antibiotics. The nurse explains,
a. “The antibiotics lower your WBC count”
b. “People are poorly nourished and hydrated after an infection”
c. “Yeast infections happen if the antibiotic is not taken for the full course”
d. “Yeast infections are common when the normal body flora are disrupted”
Answer: D
Rationale: The patient should be advised to ingest buttermilk or yogurt to prevent this
superinfection of the body's normal flora.
5) A patient is admitted to the health care facility with methicillin-resistant Staphylococcus
aureus (MRSA). The nurse anticipates administration of which drug?
a. Nafcillin (Nallpen)
b. Vancomycin (Vancocin)
c. Aztreonam (Azactam)
d. Piperacillin-tazobactam (Zosyn)
Answer: B Rationale: The treatment of choice for MRSA is vancomycin
(Vancocin).
, lOMoAR cPSD| 47246286
6) Which teaching by the nurse has the highest priority for the patient taking
azithromycin (Zithromax)?
a. Instruct the patient to use sunblock and protective clothing during sun exposure
b. Instruct the patient to store drug out of light and extreme heat
c. Inform patient that children younger than 8 years should not take the drug, to
avoid tooth discoloration
d. Instruct the patient to report any loose stools or diarrhea
Answer: D
Rationale: The patient should be instructed to report loose stools or diarrhea because of
possible pseudomembranous colitis. Photosensitivity during sun exposure is common with
tetracyclines, which should not be given to children younger than 8 years; the drugs are affected
by light and extreme heat.
7) Which statement by a patient who has received teaching on tetracycline therapy
indicates that more teaching is indicated?
a. “I will store the medication away from light and extreme heat”
b. “I will use an additional contraceptive technique because this drug may cause
the oral contraceptive I take to be less effective”
c. “I will take this medication with an antacid”
d. “If my stomach becomes upset when taking this medication, I will take it with non-
dairy foods”
Answer: C
Rationale: Patients taking tetracycline therapy should avoid milk products, iron, and antacids. The
medication should be stored away from light and extreme heat. Tetracycline can decrease the
effectiveness of oral contraceptives.
8) A patient is ordered to receive vancomycin (Vancocin) for a severe infection. It is most
important for the nurse to assess the patient for the development of:
a. Neurotoxicity
b. Hepatotoxicity
c. Ototoxicity
d. Cardiotoxicity
Answer: C
Rationale: Vancomycin may cause nephrotoxicity and ototoxicity. Ototoxicity results in damage
to the auditory or vestibular branch of cranial nerve VIII. Such damage can result in permanent
hearing loss (auditory branch) or temporary or permanent loss of balance (vestibular branch).
