50 questions 4 dosage calculation
A patient who has started drug therapy for tuberculosis wants to know how long he will be on the
medications. Which response by the nurse is correct?
"You should expect to take these drugs for as long a 24 months."
How long will a patient be on antibiotics treatment for?
6 to 12 months
Patient who is taking Rifampin, teaching
Increase fluid intake to flush out red orange color urine
A patient newly diagnosed with tuberculosis (TB) has been taking antitubercular drugs for 1 week and
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?
"This is an expected side effect of the medicine. Let's review what to expect."
The nurse is counseling a women who will be starting rifampin (Rifadin) as part of anti tubercular
therapy. The patient is currently taking oral contraceptives. Which statement is true regarding rifampin
therapy for this patient?
Oral contraceptives are less effective while the patient is taking rifampin
What is the adverse effects of the isoniazid?
Hepatotoxic, icterus ( yellow sclera)
Taking care of a patient on IV vancomycin, what to report to the doctor right?
Difficulty of breathing, assess for the lung
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?
Cephalosporins
What information or teaching that you would provide to a person with erythromycin?
Part of the adverse effect of this medication is ototoxicity (ringing in the ear)
For a client receiving an intravenous (IV) infusion of gentamicin (Garamycin), the nurse would monitor
which laboratory values?
Blood urea nitrogen (BUN) and creatinine
The nurse should assess a client for nephrotoxicity and ototoxicity when administering which
antimicrobial?
Gentamicin (Garamycin), monitor for serum level = peak and tough
Always monitor the level of the medication
,The nurse is planning care for a client prescribed once-daily IV gentamicin (Garamycin) therapy. When
should the nurse schedule a trough drug level to be drawn?
12 hours after completing the antibiotic infusion
Trough serum drug levels should be drawn at least 8 to 12 hours after the medication is infused.
The primary health care provider instructs a nurse to administer intravenous vancomycin. During
infusion, the patient has excessive sweating, flushes on the neck and head, and reports itching on the head,
face, and upper trunk. What is the best nursing intervention in this situation?
Decrease the rate of infusion of vancomycin.
Which adverse effect can result if tetracycline is administered to children younger than 8 years of age?
Permanent discoloration of the teeth
Teaching for tetracycline
Discoloration of the teeth
Make sure to tell the doctor if pregnant
The nurse is providing teaching to a patient taking an oral tetracycline antibiotic. Which statement by the
nurse is correct?
"Avoid direct sunlight and tanning beds while on this medication."
A patient is taking a combination of antiviral drugs as treatment for early stages of HIV infection. While
discussing the drug therapy, the patient asks the nurse if the drugs will kill the virus. When answering, the
nurse keeps in mind which fact about antiviral drugs?
They may also kill healthy cells while killing viruses
A patient who has been hospitalized for 2 weeks has developed a pressure ulcer that contains
multidrug-resistant Staphylococcus aureus (MRSA). Which drug would the nurse expect to be chosen for
therapy?
vancomycin (Vancocin)
A patient is admitted with a fever of 102.8 F (39.3 C), origin unknown. Assessment reveals cloudy,
foul-smelling urine that is dark amber in color. Orders have just been written to obtain stat urine and
blood cultures and to administer an antibiotic intravenously. The nurse will complete these orders in
which sequence?
Blood and urine cultures, antibiotic dose
Patient with gentamicin toxicity
Dizziness
Ringing in the ear (ototoxicity)
What are the true regarding to Ceftriaxone (rocephin) SATA
It is widely used right now
Must be caution when patient is allergic penicillin
, Effective for broad-spectrum bacteria
Not short acting and not in class of Sulfonamides
What would be the adverse effect of zidovudine (SATA)
Headache
Nausea
Bone marrow suppression
The nurse is monitoring a patient who has been on antibiotic therapy for 2 weeks. Today the patient tells
the nurse that he has had watery diarrhea since the day before and is having abdominal cramps. His oral
temperature is 101 F (38.3 C). Based on these findings, which conclusion will the nurse draw?
The patient needs to be tested for Clostridium difficile infection.
Patient is on antitubercular medication, what lab test is required?
Liver function test
An infant has been hospitalized with a severe lung infection caused by the respiratory syncytial virus
(RSV) and will be receiving medication via the inhalation route. The nurse expects which drug to be
used?
ribavirin (Virazole)
A nurse teaching a client receiving allopurinol (Zyloprim) should include which information?
"Increase your fluid intake to 3 L per day."
What to teach the patient with antacid drugs
Make sure to drink glass of water
Patient was on pain medication and with a new prescription of cholase for constipation, what would the
nurse teach the patient?
“It will take 3 days for this medication to work.”
A patient is taking NSAID, what are the contraindications?
Peptic ulcers
Anticoagulants
Deficient in vitamin k
Patient is giving NSAID and cytotec ( misoprostol). The patient asks: “why am I taking two of these
medications for arthritis instead of one.” What would be the nurse's response?
Because it prevents gastric ulcer that may happen with patient taking NSAID as well.
Patient is having arthritis
Aspirin
, What would be the assessment priority for patient is on bisacodyl?
How long have you been taking this medication
The nurse is counseling a patient about calcium supplements. Which dietary information is appropriate
during this teaching session?
Be sure to eat foods high in calcium, such as dairy products and salmon.
The nurse administers calcium slowly in order to avoid which adverse effect?
Cardiac arrest
When giving antihypertensive drugs, the nurse will consider giving the first dose at bedtime for which
class of drugs?
Alpha blockers such as doxazosin (Cardura)
A patient has a new order for the adrenergic drug doxazosin (Cardura). When providing education about
this drug, the nurse will include which instructions?
"Be sure to lie down after taking the first dose, because first-dose hypotension may make you
dizzy."
While assessing pt who is taking beta blocker for angina, the nurse knows to monitor for which adverse
effect
Bradycardia
The nurse is caring for a patient who is hypertensive and has liver dysfunction. The nurse would
anticipate that the patient will most likely be placed on which antihypertensive drug?
Captopril (not prodrug)
Prodrug are losatan, ramipril, enalapril
Pt with server liver disease is receiving the ACE, captopil, the nurse is aware that adverse of this drug for
this pt is which characteristic?
Captopril is not a prodrug and doesn’t need to be metabolized by the liver before becoming
active.
A patient is to be discharged with a transdermal nitroglycerin patch. Which instruction would the
"Apply the patch to a nonhairy area of the upper torso or arm."
Remove the old ointment before new ointment is applied.
The nurse is teaching a patient about the reason for the administration of calcium channel blockers. Which
statement should be included in the teaching plan?
"This medication will vasodilate your blood vessels to lower your blood pressure."
A patient taking adrenergic drugs for hypertension is being given discharge teaching about the therapy.
Which information should be included in this teaching plan?
A patient who has started drug therapy for tuberculosis wants to know how long he will be on the
medications. Which response by the nurse is correct?
"You should expect to take these drugs for as long a 24 months."
How long will a patient be on antibiotics treatment for?
6 to 12 months
Patient who is taking Rifampin, teaching
Increase fluid intake to flush out red orange color urine
A patient newly diagnosed with tuberculosis (TB) has been taking antitubercular drugs for 1 week and
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?
"This is an expected side effect of the medicine. Let's review what to expect."
The nurse is counseling a women who will be starting rifampin (Rifadin) as part of anti tubercular
therapy. The patient is currently taking oral contraceptives. Which statement is true regarding rifampin
therapy for this patient?
Oral contraceptives are less effective while the patient is taking rifampin
What is the adverse effects of the isoniazid?
Hepatotoxic, icterus ( yellow sclera)
Taking care of a patient on IV vancomycin, what to report to the doctor right?
Difficulty of breathing, assess for the lung
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?
Cephalosporins
What information or teaching that you would provide to a person with erythromycin?
Part of the adverse effect of this medication is ototoxicity (ringing in the ear)
For a client receiving an intravenous (IV) infusion of gentamicin (Garamycin), the nurse would monitor
which laboratory values?
Blood urea nitrogen (BUN) and creatinine
The nurse should assess a client for nephrotoxicity and ototoxicity when administering which
antimicrobial?
Gentamicin (Garamycin), monitor for serum level = peak and tough
Always monitor the level of the medication
,The nurse is planning care for a client prescribed once-daily IV gentamicin (Garamycin) therapy. When
should the nurse schedule a trough drug level to be drawn?
12 hours after completing the antibiotic infusion
Trough serum drug levels should be drawn at least 8 to 12 hours after the medication is infused.
The primary health care provider instructs a nurse to administer intravenous vancomycin. During
infusion, the patient has excessive sweating, flushes on the neck and head, and reports itching on the head,
face, and upper trunk. What is the best nursing intervention in this situation?
Decrease the rate of infusion of vancomycin.
Which adverse effect can result if tetracycline is administered to children younger than 8 years of age?
Permanent discoloration of the teeth
Teaching for tetracycline
Discoloration of the teeth
Make sure to tell the doctor if pregnant
The nurse is providing teaching to a patient taking an oral tetracycline antibiotic. Which statement by the
nurse is correct?
"Avoid direct sunlight and tanning beds while on this medication."
A patient is taking a combination of antiviral drugs as treatment for early stages of HIV infection. While
discussing the drug therapy, the patient asks the nurse if the drugs will kill the virus. When answering, the
nurse keeps in mind which fact about antiviral drugs?
They may also kill healthy cells while killing viruses
A patient who has been hospitalized for 2 weeks has developed a pressure ulcer that contains
multidrug-resistant Staphylococcus aureus (MRSA). Which drug would the nurse expect to be chosen for
therapy?
vancomycin (Vancocin)
A patient is admitted with a fever of 102.8 F (39.3 C), origin unknown. Assessment reveals cloudy,
foul-smelling urine that is dark amber in color. Orders have just been written to obtain stat urine and
blood cultures and to administer an antibiotic intravenously. The nurse will complete these orders in
which sequence?
Blood and urine cultures, antibiotic dose
Patient with gentamicin toxicity
Dizziness
Ringing in the ear (ototoxicity)
What are the true regarding to Ceftriaxone (rocephin) SATA
It is widely used right now
Must be caution when patient is allergic penicillin
, Effective for broad-spectrum bacteria
Not short acting and not in class of Sulfonamides
What would be the adverse effect of zidovudine (SATA)
Headache
Nausea
Bone marrow suppression
The nurse is monitoring a patient who has been on antibiotic therapy for 2 weeks. Today the patient tells
the nurse that he has had watery diarrhea since the day before and is having abdominal cramps. His oral
temperature is 101 F (38.3 C). Based on these findings, which conclusion will the nurse draw?
The patient needs to be tested for Clostridium difficile infection.
Patient is on antitubercular medication, what lab test is required?
Liver function test
An infant has been hospitalized with a severe lung infection caused by the respiratory syncytial virus
(RSV) and will be receiving medication via the inhalation route. The nurse expects which drug to be
used?
ribavirin (Virazole)
A nurse teaching a client receiving allopurinol (Zyloprim) should include which information?
"Increase your fluid intake to 3 L per day."
What to teach the patient with antacid drugs
Make sure to drink glass of water
Patient was on pain medication and with a new prescription of cholase for constipation, what would the
nurse teach the patient?
“It will take 3 days for this medication to work.”
A patient is taking NSAID, what are the contraindications?
Peptic ulcers
Anticoagulants
Deficient in vitamin k
Patient is giving NSAID and cytotec ( misoprostol). The patient asks: “why am I taking two of these
medications for arthritis instead of one.” What would be the nurse's response?
Because it prevents gastric ulcer that may happen with patient taking NSAID as well.
Patient is having arthritis
Aspirin
, What would be the assessment priority for patient is on bisacodyl?
How long have you been taking this medication
The nurse is counseling a patient about calcium supplements. Which dietary information is appropriate
during this teaching session?
Be sure to eat foods high in calcium, such as dairy products and salmon.
The nurse administers calcium slowly in order to avoid which adverse effect?
Cardiac arrest
When giving antihypertensive drugs, the nurse will consider giving the first dose at bedtime for which
class of drugs?
Alpha blockers such as doxazosin (Cardura)
A patient has a new order for the adrenergic drug doxazosin (Cardura). When providing education about
this drug, the nurse will include which instructions?
"Be sure to lie down after taking the first dose, because first-dose hypotension may make you
dizzy."
While assessing pt who is taking beta blocker for angina, the nurse knows to monitor for which adverse
effect
Bradycardia
The nurse is caring for a patient who is hypertensive and has liver dysfunction. The nurse would
anticipate that the patient will most likely be placed on which antihypertensive drug?
Captopril (not prodrug)
Prodrug are losatan, ramipril, enalapril
Pt with server liver disease is receiving the ACE, captopil, the nurse is aware that adverse of this drug for
this pt is which characteristic?
Captopril is not a prodrug and doesn’t need to be metabolized by the liver before becoming
active.
A patient is to be discharged with a transdermal nitroglycerin patch. Which instruction would the
"Apply the patch to a nonhairy area of the upper torso or arm."
Remove the old ointment before new ointment is applied.
The nurse is teaching a patient about the reason for the administration of calcium channel blockers. Which
statement should be included in the teaching plan?
"This medication will vasodilate your blood vessels to lower your blood pressure."
A patient taking adrenergic drugs for hypertension is being given discharge teaching about the therapy.
Which information should be included in this teaching plan?
