NUR 2407 pharm quiz week 4 Questions and Answers,100% CORRECT

NUR 2407 pharm quiz week 4 Questions and Answers Q U ESTIO N 1 1. Which of these clients would be most at risk for an allergic reaction to a penicillin injection A client who had a hypotensive episode following a stress treadmill study with contrast A client who has a history of asthma triggered by food allergies A client who reports an episode of hives after taking grape flavored acetaminophen A client who reports a history of a mild rash from penicillin taken 7 years ago. Q U ESTIO N 2 1. A client states “I’m allergic to Ampicillin. It gives my diarrhea.” How should the nurse respond? A client who reports an episode of hives after taking grape flavored acetaminophen “Are there other reactions or changes you have when you take this medication?” “Refusal is your right. I will make a note in your chart that you don’t ever want to take it.” “Did anyone tell you that if you take it with Yogurt you can avoid that problem?” Q U ESTIO N 3 1. Shortly after taking Ampicillin, a client arrives in urgent care with difficulty breathing. His vital signs are: respirations 34, blood pressure 94/42, pulse 26, temp 97.4 . His nurse observes hives, scratch markings and wheezes. What are the implications of these findings? This is a stress reaction but it will improve if the nurse applies oxygen for placebo effect. A mild allergic reaction is occurring but it will resolve if an antihistamine is given. True allergic reactions are rare, so more testing needs to be done before intervening. An anaphylactic reaction is occurring and emergency interventions should be initiated Q U ESTIO N 4 1. The nurse is caring for a client who has been experiencing fever of unknown origin. The prescriber has ordered a broad-spectrum antibiotic. Which intervention is the priority? Administer the antibiotic immediately. Administer antipyretics as soon as possible. Obtain all cultures before the antibiotic is administered. Delay administration of the antibiotic until the culture results are available. Q U ESTIO N 5 1. A client has just received a prescription for a 10-day course of penicillin for the treatment of strep throat. What client education is essential for the nurse to provide? Family members and close contacts should also receive treatment. The agent should be discontinued when symptoms resolve to prevent emerging allergies. The entire course of the drug must be taken to prevent the re-emergence of a resistant strain. The medication should be discontinued if diarrhea occurs Q U ESTIO N 6 1. The nurse administers cefotetan (Cefotan) to a client who also is taking warfarin (Coumadin). The nurse should monitor the carefully for what potential consequence? Increased WBCs. Elevated cefotetan levels. Bruising or bleeding gums. Hyperkalemia Q U ESTIO N 7 1. A client is receiving their first intravenous infusion of vancomycin. The nurse know to watch for what unique complication of vancomycin if it infuses too rapidly? Pleural effusion Deep vein thrombosis Hypotension with flushing Constipation Q U ESTIO N 8 1. The nurse is caring for a client receiving gentamicin, an aminoglycoside, intravenously. What condition would most concern the nurse? Frequent voiding Ear pain Loss of appetite Ringing in the ears Q U ESTIO N 9 1. If a client is receiving tobramycin at 10:00 what time should a blood sample be obtained for determination of a trough level of the drug? 0800 0930 1030 1200 Q U ESTIO N 10 1. A nurse is caring for a client with an infection that is being treated with tobramycin, an aminoglycoside. Which of the following findings would most concern the nurse? Decreased white blood cell count Proteinuria Decreased BUN Concentrated urine Q U ESTIO N 11 1. The nurse is providing education about doxycycline, a tetracycline. Which statement by the client best demonstrates understanding of the administration of this medication? “I will avoid taking my medication with dairy products.” “I will need to take my antibiotic with my calcium supplements.” “I should take my antibiotic with a calcium-based antacid to minimize gastrointestinal distress.” “I should expect a slight, acne-like rash with this medication.” Q U ESTIO N 12 1. A pregnant adolescent asks the nurse whether it would be all right to continue to take her prescription for tetracycline to clear up her acne. What response by the nurse provides the best information? “Tetracycline is effective in clearing up acne, but you should also use topical agents too.” “Tetracycline may cause Chrohn’s disease in pregnant women “Tetracyclines help the baby develop immunity to Lyme disease.” “Tetracyclines could be harmful to the unborn baby’s teeth. You shouldn’t take them.” Q U ESTIO N 13 1. A client who has been receiving clindamycin for 10 days develops profuse diarrhea and abdominal pain. The nurse suspects that the client has an infection caused by C. difficile and knows to consult the prescriber about the possibility of prescribing which of these antibiotics? penicillin G. and trimethoprim vancomycin and metronidazole tetracycline and erythromycin azithromycin and nystatin Q U ESTIO N 14 1. A client is taking trimethoprim/sulfamethoxazole (TMP-SMZ). To help the client avoid the side effects associated with this drug, the nurse should encourage the client to do what? Shower twice a day Drink ample amounts of water Avoid the use of Tylenol. Limit citrus. Q U ESTIO N 15 1. A client with renal impairment who has been taking nitrofurantoin (Macrodantin) for a urinary tract infection telephones a nurse and describes the recent onset of “numbness and tingling” in the fingers and toes. What should the nurse instruct the client to do? Discontinue the drug and come in for further evaluation. Continue the drug and keep the hands and feet elevated when possible. Check the color of the extremities every 4 hours. Collect a urine sample and bring it to the clinic. Q U ESTIO N 16 1. The nurse assesses a PPD on the forearm of a client being screened for employment in an outpatient clinic. The induration is 4 mm. How should this finding be interpreted? Negative, insignificant Moderately significant, requiring chest radiograph Moderately significant, requiring sputum culture Significant, requiring treatment Q U ESTIO N 17 1. A client being followed for latent tuberculosis has been on isoniazid therapy for 2 months. The nurse notes that the liver function test results have become grossly abnormal during that interval. What should the nurse do? Continue the drug unless jaundice, nausea, or itching develops. Continue the drug and have liver function tests repeated weekly. Hold the medication, and seek an alternative antimicrobial from the prescriber. Hold all medications for 3 days and then restart them. Q U ESTIO N 18 1. A client, who is taking rifampin, telephones the nurse to say, “My urine and saliva have looked orange-red for the past 2 days.” Select the nurse’s best response. “This is consistent with an allergic response, and the drug should be stopped.” “Continue the drug for another week to see if the color worsens.” “Stop the drug immediately to protect against hepatic harm.” “This is a harmless effect of the drug. Check labs to confirm” Q U ESTIO N 19 1. The nurse is caring for a client who received an order for PO levofloxacin (Levaquin). The client is anxious to get out of the hospital, because he is a runner and wants to compete in an upcoming marathon. Which client education would be essential for this client? Report hair loss. Report nausea. Report tendon pain Report low grade fever. Q U ESTIO N 20 1. An outbreak of the flu has occurred in a long term care facility, so oseltamivir (Tamiflu) is being given to the residents on a dementia care wing? What side effect should be anticipated? Excessive blinking escalation of behaviors orange secretions excessive thirst