NUR 2407: Pharmacology Exam 2
1.A patient is scheduled for colorectal surgery tomorrow. He does not have sepsis; his WBC count is normal, he has no fever, and he is otherwise in good health. However, there is an order to administer an antibiotic on call before he goes to surgery. The nurse knows that the rationale for this antibiotic order is to A. Provide empiric therapy
B. Provide prophylactic therapy
C. Treat for a superinfection
D. Reduce the number of resistant organisms - B. Provide prophylactic therapy
2.A teenaged patient is taking a tetracycline drug as part of treatment for severe acne. When the nurse teaches this patient about drug related precautions, which is the most important information to convey?
A. When the acne clears up, the medication may be discontinued
B. This medication should be taken with antacids to reduce GI upset
C. The patient should use sunscreen or avoid exposure to sunlight, because this drug may cause photosensitivity
D. The thee should be observed closely for signs of mottling or other color changes - C. The patient should use sunscreen or avoid exposure to sunlight, because this drug may cause photosensitivity
3.A newly admitted patient reports a penicillin allergy. The prescriber has ordered a second-generation cephalosporin as part of the therapy. Which of the nursing actions below is appropriate?
A. Call the prescriber to clarify the order because of the patient's allergy.
B. Give the medication and monitor for adverse effects
C. Ask the pharmacy to change the order to a first-generation cephalosporin.
D. Administer the drug with a nonsteroidal antiinflammatory to reduce adverse effects - A. Call the prescriber to clarify the order because of the patient's allergy. 4.During patient education regarding an oral macrolide such as erythromycin, the nurse should include which information?
A. If GI upsets occurs, the drug will have to be stopped
B. The drug should be taken with an antacid to avoid GI problems.
C. The patient should take each dose with a sip of water.
D. The patient may take the drug with a small snack to reduce GI irritation. - D. The patient may take the drug with a small snack to reduce GI irritation.
5.A woman who has been taking an antibiotic for a UTI calls the nurse practitioner to complain of severe vaginal itching. She has also noticed a thick, whitish vaginal discharge. The nurse practitioner suspects that
A. This is an expected response to antibiotic therapy
B. The UTI has become worse instead of better
C. A superinfection has developed
D. The UTI is resistant to the antibiotic - C. A superinfection has developed
6.The nurse is reviewing the orders for wound care, which include use of an antiseptic. Which statements best describe the use of antiseptics? (Select all that apply)
A. Antiseptics are appropriate for use on living tissue.
B. Antiseptics work by sterilizing the surface of the wound. C. Antiseptics are applied to nonliving objects to kill microorganisms.
D. The patients allergies should be assessed before using the antiseptic.
E. Antiseptics are used to inhibit the growth of microorganisms on the wound surface. - A. Antiseptics are appropriate for use on living tissue.
D. The patients allergies should be assessed before using the antiseptic.
E. Antiseptics are used to inhibit the growth of microorganisms on the wound surface. 7.The nurse is reviewing the drugs ordered for a patient. A drug interaction occurs between penicillins and which drugs. (select all that apply)
A. Alcohol
B. Oral Contraceptives
C. Digoxin
D. Nonsteroidal antiinflammatory drugs
E. Warfarin
F. Anticonvulsants - B. Oral Contraceptives
D. Nonsteroidal antiinflammatory drugs
E. Warfarin
8.Which intervention is important for the nurse to perform before beginning antibiotic therapy?
A. Obtain a specimen for culture and sensitivity.
B. Give with an antacid to reduce gastrointestinal upset.
C. Monitor adverse effects
D. Restrict oral fluids - A. Obtain a specimen for culture and sensitivity.
9.The nurse will instruct a patient who is receiving a tetracycline antibiotic to take it using which guideline?
A. It should be taken with milk.
B. It should be taken with 8 oz of water.
C. It should be taken 30 minutes before iron preparations are taken. D. An antacid should also be taken to decrease GI discomfort. - B. It should be taken with 8 oz of water. 10.A patient is to receive antibiotic therapy with a cepholasporin. When assessing the patient's drug history, the nurse recognizes that an allergy to which drug class may be a possible contraindication to cephalosporin therapy?
A. Cardiac glycosides
B. Thiazide diuretics
C. Penicillins
D. Macrolides - C. Penicillins
11.When asked about drug allergies, a patients says, "I can’t take sulfa drugs because I'm allergic to them." Which question should the nurse ask next?
A. "Do you have any other drug allergies?"
B. "Who prescribed that drug for you?"
C. "How long ago did this happen?"
D. "What happened when you took the sulfa drug?" - D. "What happened when you took the sulfa drug?"
12.Which statement accurately describes the action of antiseptics?
A. They are used to kill organisms on nonliving objects.
B. They are used to kill organisms on living tissue.
C. They are used to sterilize equipment.
D. They are used to inhibit the growth of organisms on living tissue. - D. They are used to inhibit the growth of organisms on living tissue.
13.During a class on health care-associated infections, the nurse shares several facts about these infections. Which statements about health care-associated infections are true? (select all that apply)
A. They are contracted in the home or community.
B. They are contracted in a hospital or institution.
1.A patient is scheduled for colorectal surgery tomorrow. He does not have sepsis; his WBC count is normal, he has no fever, and he is otherwise in good health. However, there is an order to administer an antibiotic on call before he goes to surgery. The nurse knows that the rationale for this antibiotic order is to A. Provide empiric therapy
B. Provide prophylactic therapy
C. Treat for a superinfection
D. Reduce the number of resistant organisms - B. Provide prophylactic therapy
2.A teenaged patient is taking a tetracycline drug as part of treatment for severe acne. When the nurse teaches this patient about drug related precautions, which is the most important information to convey?
A. When the acne clears up, the medication may be discontinued
B. This medication should be taken with antacids to reduce GI upset
C. The patient should use sunscreen or avoid exposure to sunlight, because this drug may cause photosensitivity
D. The thee should be observed closely for signs of mottling or other color changes - C. The patient should use sunscreen or avoid exposure to sunlight, because this drug may cause photosensitivity
3.A newly admitted patient reports a penicillin allergy. The prescriber has ordered a second-generation cephalosporin as part of the therapy. Which of the nursing actions below is appropriate?
A. Call the prescriber to clarify the order because of the patient's allergy.
B. Give the medication and monitor for adverse effects
C. Ask the pharmacy to change the order to a first-generation cephalosporin.
D. Administer the drug with a nonsteroidal antiinflammatory to reduce adverse effects - A. Call the prescriber to clarify the order because of the patient's allergy. 4.During patient education regarding an oral macrolide such as erythromycin, the nurse should include which information?
A. If GI upsets occurs, the drug will have to be stopped
B. The drug should be taken with an antacid to avoid GI problems.
C. The patient should take each dose with a sip of water.
D. The patient may take the drug with a small snack to reduce GI irritation. - D. The patient may take the drug with a small snack to reduce GI irritation.
5.A woman who has been taking an antibiotic for a UTI calls the nurse practitioner to complain of severe vaginal itching. She has also noticed a thick, whitish vaginal discharge. The nurse practitioner suspects that
A. This is an expected response to antibiotic therapy
B. The UTI has become worse instead of better
C. A superinfection has developed
D. The UTI is resistant to the antibiotic - C. A superinfection has developed
6.The nurse is reviewing the orders for wound care, which include use of an antiseptic. Which statements best describe the use of antiseptics? (Select all that apply)
A. Antiseptics are appropriate for use on living tissue.
B. Antiseptics work by sterilizing the surface of the wound. C. Antiseptics are applied to nonliving objects to kill microorganisms.
D. The patients allergies should be assessed before using the antiseptic.
E. Antiseptics are used to inhibit the growth of microorganisms on the wound surface. - A. Antiseptics are appropriate for use on living tissue.
D. The patients allergies should be assessed before using the antiseptic.
E. Antiseptics are used to inhibit the growth of microorganisms on the wound surface. 7.The nurse is reviewing the drugs ordered for a patient. A drug interaction occurs between penicillins and which drugs. (select all that apply)
A. Alcohol
B. Oral Contraceptives
C. Digoxin
D. Nonsteroidal antiinflammatory drugs
E. Warfarin
F. Anticonvulsants - B. Oral Contraceptives
D. Nonsteroidal antiinflammatory drugs
E. Warfarin
8.Which intervention is important for the nurse to perform before beginning antibiotic therapy?
A. Obtain a specimen for culture and sensitivity.
B. Give with an antacid to reduce gastrointestinal upset.
C. Monitor adverse effects
D. Restrict oral fluids - A. Obtain a specimen for culture and sensitivity.
9.The nurse will instruct a patient who is receiving a tetracycline antibiotic to take it using which guideline?
A. It should be taken with milk.
B. It should be taken with 8 oz of water.
C. It should be taken 30 minutes before iron preparations are taken. D. An antacid should also be taken to decrease GI discomfort. - B. It should be taken with 8 oz of water. 10.A patient is to receive antibiotic therapy with a cepholasporin. When assessing the patient's drug history, the nurse recognizes that an allergy to which drug class may be a possible contraindication to cephalosporin therapy?
A. Cardiac glycosides
B. Thiazide diuretics
C. Penicillins
D. Macrolides - C. Penicillins
11.When asked about drug allergies, a patients says, "I can’t take sulfa drugs because I'm allergic to them." Which question should the nurse ask next?
A. "Do you have any other drug allergies?"
B. "Who prescribed that drug for you?"
C. "How long ago did this happen?"
D. "What happened when you took the sulfa drug?" - D. "What happened when you took the sulfa drug?"
12.Which statement accurately describes the action of antiseptics?
A. They are used to kill organisms on nonliving objects.
B. They are used to kill organisms on living tissue.
C. They are used to sterilize equipment.
D. They are used to inhibit the growth of organisms on living tissue. - D. They are used to inhibit the growth of organisms on living tissue.
13.During a class on health care-associated infections, the nurse shares several facts about these infections. Which statements about health care-associated infections are true? (select all that apply)
A. They are contracted in the home or community.
B. They are contracted in a hospital or institution.
