PHARMACOTHERAPEUTICS EX
AM 2 TEST BANK LATEST
UPDATE QUESTIONS AND
ANSWERS
A patient newly diagnosed with tuberculosis (TB) has been taking
antitubercular drugs for 1 week calls the clinic and is very upset. He says, "My
urine is dark orange! What's wrong with me?" Which response by the nurse is
correct?
a.
"You will need to stop the medication, and it will go away."
b.
"It's possible that the TB is worse. Please come in to the clinic to be checked."
c.
"This is not what we usually see with these drugs. Please come in to the clinic to
be checked."
d.
"This is an expected side effect of the medicine. Let's review what to expect." -
D
,The nurse is providing patient teaching for a patient who is starting
antitubercular drug therapy. Which of these statements should be included?
(Select all that apply.)
a.
"Take the medications until the symptoms disappear."
b.
"Take the medications at the same time every day."
c.
"You will be considered contagious during most of the illness and must take
precautions to avoid spreading the disease."
d.
"Stop taking the medications if you have severe adverse effects."
e.
"Avoid alcoholic beverages while on this therapy."
f.
"If you notice reddish-brown or reddish-orange urine, stop taking the drug and
contact your doctor right away."
g.
"If you experience a burning or tingling in your fingers or toes, report it to your
prescriber immediately."
h.
"Oral contraceptives may not work while you are taking these drugs, so you will
have to use another form of birth control." - B,E,G,H
During an intravenous (IV) infusion of amphotericin B, a patient develops
tingling and numbness in his toes and fingers. What will the nurse do first?
a.
Discontinue the infusion immediately.
b.
,Reduce the infusion rate gradually until the adverse effects subside.
c.
Administer the medication by rapid IV infusion to reduce these effects.
d.
Nothing; these are expected side effects of this medication. - A
When reviewing the allergy history of a patient, the nurse notes that the patient
is allergic to penicillin. Based on this finding, the nurse would question an order
for which class of antibiotics?
a.
Tetracyclines
b.
Sulfonamides
c.
Cephalosporins
d.
Quinolones - c
The nurse is providing teaching to a patient taking an oral tetracycline
antibiotic. Which statement by the nurse is correct?
a.
"Avoid direct sunlight and tanning beds while on this medication."
b.
"Milk and cheese products result in increased levels of tetracycline."
c.
, "Antacids taken with the medication help to reduce gastrointestinal distress."
d.
"Take the medication until you are feeling better." - A
When reviewing the medication orders for a patient who is taking penicillin, the
nurse notes that the patient is also taking the oral anticoagulant warfarin
(Coumadin). What possible effect may occur as the result of an interaction
between these drugs?
a.
The penicillin will cause an enhanced anticoagulant effect of the warfarin.
b.
The penicillin will cause the anticoagulant effect of the warfarin to decrease.
c.
The warfarin will reduce the anti-infective action of the penicillin.
d.
The warfarin will increase the effectiveness of the penicillin. - A
A patient is receiving his third intravenous dose of a penicillin drug. He calls
the nurse to report that he is feeling "anxious" and is having trouble breathing.
What will the nurse do first?
a.
Notify the prescriber.
b.
Take the patient's vital signs.
c.
Stop the antibiotic infusion.
d.
Check for allergies. - C
AM 2 TEST BANK LATEST
UPDATE QUESTIONS AND
ANSWERS
A patient newly diagnosed with tuberculosis (TB) has been taking
antitubercular drugs for 1 week calls the clinic and is very upset. He says, "My
urine is dark orange! What's wrong with me?" Which response by the nurse is
correct?
a.
"You will need to stop the medication, and it will go away."
b.
"It's possible that the TB is worse. Please come in to the clinic to be checked."
c.
"This is not what we usually see with these drugs. Please come in to the clinic to
be checked."
d.
"This is an expected side effect of the medicine. Let's review what to expect." -
D
,The nurse is providing patient teaching for a patient who is starting
antitubercular drug therapy. Which of these statements should be included?
(Select all that apply.)
a.
"Take the medications until the symptoms disappear."
b.
"Take the medications at the same time every day."
c.
"You will be considered contagious during most of the illness and must take
precautions to avoid spreading the disease."
d.
"Stop taking the medications if you have severe adverse effects."
e.
"Avoid alcoholic beverages while on this therapy."
f.
"If you notice reddish-brown or reddish-orange urine, stop taking the drug and
contact your doctor right away."
g.
"If you experience a burning or tingling in your fingers or toes, report it to your
prescriber immediately."
h.
"Oral contraceptives may not work while you are taking these drugs, so you will
have to use another form of birth control." - B,E,G,H
During an intravenous (IV) infusion of amphotericin B, a patient develops
tingling and numbness in his toes and fingers. What will the nurse do first?
a.
Discontinue the infusion immediately.
b.
,Reduce the infusion rate gradually until the adverse effects subside.
c.
Administer the medication by rapid IV infusion to reduce these effects.
d.
Nothing; these are expected side effects of this medication. - A
When reviewing the allergy history of a patient, the nurse notes that the patient
is allergic to penicillin. Based on this finding, the nurse would question an order
for which class of antibiotics?
a.
Tetracyclines
b.
Sulfonamides
c.
Cephalosporins
d.
Quinolones - c
The nurse is providing teaching to a patient taking an oral tetracycline
antibiotic. Which statement by the nurse is correct?
a.
"Avoid direct sunlight and tanning beds while on this medication."
b.
"Milk and cheese products result in increased levels of tetracycline."
c.
, "Antacids taken with the medication help to reduce gastrointestinal distress."
d.
"Take the medication until you are feeling better." - A
When reviewing the medication orders for a patient who is taking penicillin, the
nurse notes that the patient is also taking the oral anticoagulant warfarin
(Coumadin). What possible effect may occur as the result of an interaction
between these drugs?
a.
The penicillin will cause an enhanced anticoagulant effect of the warfarin.
b.
The penicillin will cause the anticoagulant effect of the warfarin to decrease.
c.
The warfarin will reduce the anti-infective action of the penicillin.
d.
The warfarin will increase the effectiveness of the penicillin. - A
A patient is receiving his third intravenous dose of a penicillin drug. He calls
the nurse to report that he is feeling "anxious" and is having trouble breathing.
What will the nurse do first?
a.
Notify the prescriber.
b.
Take the patient's vital signs.
c.
Stop the antibiotic infusion.
d.
Check for allergies. - C
