User tus
Rebecca Lee Ream
Co
urs Completed
e Attempt Score Advanced Pharmacology.2018 Fall Quarter 08/27-11/18-PT27Test Week 8 -Quiz
NURS-6521N-25,
S
t 28 out of 35 points
a Time Elapsed 40 minutes out of 1 hour and 30 minutes
• Question 1
1 out of 1 points
A child is taking permethrin for head lice. The nurse will instruct her mother to
Response Using creams, ointments, or oils may diminish the therapeutic effect of permethrin.
Feedback: Increasing daily milk intake would not enhance the effects of the drug. The patient
does not have to wash her hair every day.
• Question 2
1 out of 1 points
A 15-year-old boy is being carefully monitored for a skin infection and is being given ciprofloxacin.
The nurse will observe for which of the following?
Response A serious adverse reaction of ciprofloxacin is arthropathy, or joint pain, especially in
Feedback: children. This irreversible adverse reaction tends to occur in children under 18 years
of age. Colitis is another adverse reaction of ciprofloxacin that the nurse needs to
monitor for, but it generally does not affect children under 18 years of age. Hepatitis
and hypotension are not identified adverse effects of ciprofloxacin in children or
adults.
• Question 3
, 1 out of 1 points
A patient is to begin taking tobramycin (Nebcin) for a nosocomial infection. Which of the following
assessments should the nurse prioritize?
Response Peak and trough levels should be closely monitored with serious infections being
Feedback: treated with tobramycin. The patient's blood pressure, diet, weight, and other
medications would be important to know and necessary for the plan of care, but are
secondary to serum levels.
• Question 4
1 out of 1 points
An immunocompromised patient in a critical care setting has developed a respiratory infection that
has been attributed to methicillin-resistant Staphylococcus aureus (MRSA). The nurse should
anticipate that the patient will require treatment with
Response Vancomycin is the drug of choice to manage infections caused by MRSA. MRSA is
Feedback: resistant to all of the antistaphylococcic penicillins, as well as to ciprofloxacin and
clindamycin.
• Question 5
1 out of 1 points
A 30-year-old African-American woman tested positive for TB and is prescribed isoniazid. The nurse
will plan the patient's care to include close monitoring of the drug therapy because
Response Isoniazid is metabolized in the body through a process called acetylation, which is
Feedback: faster in Eskimos, Asians, and approximately 50% of African Americans or European
Americans from North America than in Scandinavians and people of Arab or Jewish
heritage. Because the patient is an African American, she may exhibit slow
acetylation for the drug, and as a result she may be at greater risk for serum levels
and adverse effects. For this reason, the nurse would need to closely monitor this
particular patient. Patients of African-American descent do not exhibit slow
therapeutic effects of isoniazid or high rates of drug elimination.
• Question 6
1 out of 1 points
Laboratory testing has confirmed that a patient has chloroquine-resistant malaria and the patient's
physician has prescribed quinine along with an adjunctive drug. The nurse should question the
physician's order if the patient has a history of
Response Patients with cardiac arrhythmias may be at risk for developing quinine-induced
Rebecca Lee Ream
Co
urs Completed
e Attempt Score Advanced Pharmacology.2018 Fall Quarter 08/27-11/18-PT27Test Week 8 -Quiz
NURS-6521N-25,
S
t 28 out of 35 points
a Time Elapsed 40 minutes out of 1 hour and 30 minutes
• Question 1
1 out of 1 points
A child is taking permethrin for head lice. The nurse will instruct her mother to
Response Using creams, ointments, or oils may diminish the therapeutic effect of permethrin.
Feedback: Increasing daily milk intake would not enhance the effects of the drug. The patient
does not have to wash her hair every day.
• Question 2
1 out of 1 points
A 15-year-old boy is being carefully monitored for a skin infection and is being given ciprofloxacin.
The nurse will observe for which of the following?
Response A serious adverse reaction of ciprofloxacin is arthropathy, or joint pain, especially in
Feedback: children. This irreversible adverse reaction tends to occur in children under 18 years
of age. Colitis is another adverse reaction of ciprofloxacin that the nurse needs to
monitor for, but it generally does not affect children under 18 years of age. Hepatitis
and hypotension are not identified adverse effects of ciprofloxacin in children or
adults.
• Question 3
, 1 out of 1 points
A patient is to begin taking tobramycin (Nebcin) for a nosocomial infection. Which of the following
assessments should the nurse prioritize?
Response Peak and trough levels should be closely monitored with serious infections being
Feedback: treated with tobramycin. The patient's blood pressure, diet, weight, and other
medications would be important to know and necessary for the plan of care, but are
secondary to serum levels.
• Question 4
1 out of 1 points
An immunocompromised patient in a critical care setting has developed a respiratory infection that
has been attributed to methicillin-resistant Staphylococcus aureus (MRSA). The nurse should
anticipate that the patient will require treatment with
Response Vancomycin is the drug of choice to manage infections caused by MRSA. MRSA is
Feedback: resistant to all of the antistaphylococcic penicillins, as well as to ciprofloxacin and
clindamycin.
• Question 5
1 out of 1 points
A 30-year-old African-American woman tested positive for TB and is prescribed isoniazid. The nurse
will plan the patient's care to include close monitoring of the drug therapy because
Response Isoniazid is metabolized in the body through a process called acetylation, which is
Feedback: faster in Eskimos, Asians, and approximately 50% of African Americans or European
Americans from North America than in Scandinavians and people of Arab or Jewish
heritage. Because the patient is an African American, she may exhibit slow
acetylation for the drug, and as a result she may be at greater risk for serum levels
and adverse effects. For this reason, the nurse would need to closely monitor this
particular patient. Patients of African-American descent do not exhibit slow
therapeutic effects of isoniazid or high rates of drug elimination.
• Question 6
1 out of 1 points
Laboratory testing has confirmed that a patient has chloroquine-resistant malaria and the patient's
physician has prescribed quinine along with an adjunctive drug. The nurse should question the
physician's order if the patient has a history of
Response Patients with cardiac arrhythmias may be at risk for developing quinine-induced
