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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?
A) Discontinue the drug and come in for further
evaluation.
B) Continue the drug and keep the hands and feet
elevated when possible.
C) Check the color of the extremities every 4 hours.
D) Collect a urine sample and bring it to the clinic.
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
Rasmussen College: PHARMACOLOGY 2407 Exam Prep
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, Rasmussen College: PHARMACOLOGY 2407 Exam Prep
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A) Shower twice a day
B) Drink ample amounts of water
C) Avoid the use of Tylenol.
D) Limit citrus.
B) Drink ample amounts of water
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?
A) Continue the drug unless jaundice, nausea, or itching
develops.
B) Continue the drug and have liver function tests
repeated weekly.
C) Hold the medication, and seek an alternative
medication from the prescriber.
D) Stop the drug and restart it when liver function returns
Rasmussen College: PHARMACOLOGY 2407 Exam Prep
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, Rasmussen College: PHARMACOLOGY 2407 Exam Prep
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to normal.
C) Hold the medication, and seek an alternative
medication from the prescriber.
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?
A) Negative, insignificant
B) Moderately significant, requiring chest radiograph
C) Moderately significant, requiring sputum culture
D) Significant, requiring treatment
Rasmussen College: PHARMACOLOGY 2407 Exam Prep
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, Rasmussen College: PHARMACOLOGY 2407 Exam Prep
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A) Negative, insignificant
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?
A) Report ringing in the ears.
B) Report nausea.
C) Report tendon pain.
D) Report visual disturbances.
C) Report tendon pain.
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?
A) Administer the antibiotic immediately.
Rasmussen College: PHARMACOLOGY 2407 Exam Prep
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