pharmacy 6-12
1. After teaching a group of nursing students about sulfonamides, the
instructor determines that the teaching was successful when the
students identify which of the following as an example of a sulfonamide
antibiotic? Select all that apply.
A) Amoxicillin (Amoxil)
B) Ciprofloxacin (Cipro)
C) Sulfamethoxazole/trimethoprim (Bactrim)
D) Clarithromycin (Biaxin)
E) Silver sulfadiazine (Silvadene)
2. A group of nursing students are reviewing information about
sulfonamides. Which of the following if stated by the students indicate
understanding of this drug class? Select all that apply.
A) Sulfonamides are well absorbed when given orally.
B) Sulfonamides are poorly absorbed when given orally.
C) Sulfonamides treat only gram-positive infections.
D) Sulfonamides treat only gram-negative infections.
E) Sulfonamides are excreted by the kidneys.
3. When reviewing the medical records of several clients who are
prescribed sulfonamide therapy, the nurse would expect laboratory
findings related to which bacteria? Select all that apply.
A) Pseudomonas aeruginosa
B) Escherichia coli
C) Klebsiella pneumoniae
D) Streptococcus pyogenes
E) Staphylococcus aureus
4. ** Sulfonamides are commonly used to treat which of the
following types of infections?
Select all that apply.
A) Ulcerative colitis
B) Urinary tract
infection C) Acute otitis
media
D) Upper respiratory tract
infection E) Osteomyelitis
5. A client is taking trimethoprim and sulfamethoxazole (Bactrim DS) one
tablet twice daily for 14 days. Which of the following would the nurse
include when teaching the client about possible adverse reactions?
Select all that apply.
A) Muscle pain
B) Blurred vision
C) Anorexia
D) Crystalluria
E) Photosensitivity
6. ** The nurse suspects that a client who is taking a sulfonamide has
leukopenia. Which assessment findings would support this suspicion?
Select all that apply. A) Sore throat
B) Cough
C) Nausea
, pharmacy 6-12
D)Photosensitivi
ty E) Bruising
7. **A nurse is reviewing the laboratory test results of a client receiving
sulfasalazine therapy for ulcerative colitis. Which of the following would
the nurse anticipate finding? Select all that apply.
A) Pancytopenia
B) Leukopenia
C) Thrombocytopenia
D) Aplastic anemia
E) Iron deficiency anemia
8. Which of the following represent contraindications to treatment with a
sulfonamide? Select all that apply.
A) Children younger than 6 years of age
B) Adults older than 65 years of age
C) Lactating females
D) Clients with group A beta-hemolytic streptococci infections
E) Women in the second trimester of pregnancy
9. The nurse is providing care to a client with diabetes who is receiving
sulfonamides. The nurse counsels the client about the increased risk of
hypoglycemia, especially if the client is taking which of the following
medications? Select all that apply.
A) Tolbutamide (Orinase)
B) Lisinopril (Prinivil)
C) Simvastatin (Zocor)
D) Losartan (Cozaar)
E) Chlorpropamide (Diabinese)
10. ** A client is diagnosed with a urinary tract infection. When obtaining the
client's drug history, the client reports using an herbal product in the past
to prevent and relieve the symptoms. Which of the following would the
client most likely identify?
A) Ginger
B)
Feverfew
C) Saw palmetto
D) Cranberry
11.A A nurse is working in an ambulatory care setting that involves seeing
clients with infections that require treatment. Which of the following
would be important for the nurse to assess in these clients? Select all
that apply.
A) Client's use of self-remedies
B) Review of lab results
C) Vital signs
D) Client's symptoms
E) Client's general appearance
12.A A client with a fever is ordered to receive sulfonamide therapy for an
infection. The nurse needs to evaluate the client for which of the
following during the course of therapy? Select all that apply.
A) Response to drug therapy
B)Elevated blood glucose levels
,pharmacy 6-12
C) Mental status changes
, pharmacy 6-12
D) Occurrence of adverse reactions
E) Decrease in temperature
13. The nurse is preparing to administer a prescribed sulfonamide.
Which of the following would the nurse do? Select all that apply.
A) Have the client sit up to take the drug
B) Give the prescribed drug on an empty stomach
C) Be sure to administer the drug immediately after a meal
D)Have the client decrease his fluid intake
E) Encourage the client to drink additional fluids
14.A A nurse is preparing a plan of care for an older adult client who is
receiving sulfonamide therapy. Which of the following would the nurse
include in the plan of care to reduce the likelihood of causing renal
damage? Select all that apply.
A) Administer sulfonamides once daily.
B) Increase fluid intake up to 2000 mL if tolerated.
C) Use sulfonamides cautiously in clients with renal impairment.
D) Administer the dose intravenously instead of orally.
E) Ask the prescriber to change the medication ordered.
15.A A nurse is applying silver sulfadiazine to a client's burn. Which of the
following would be important for the nurse to do? Select all that apply.
A) Clean and remove debris from the burned area before application
B)Allow air drafts over the burn area to speed the healing process
C) Apply a 1/2-inch-thick layer of cream to the burn
D) Wear sterile gloves when applying the cream to the burn
E) Warn client of burning sensation during and shortly following application
16. ** A client is being discharged with a prescription for sulfasalazine.
Which of the following would the nurse include in the discharge
teaching plan? Select all that apply.
A) Take the drug 1 hour before or 2 hours after meals.
B) Use protective sunscreen or cover exposed areas when going outside.
C) Finish the entire course of sulfonamide even if you begin feeling
better. D) Decrease fluid intake to prevent increased excretion of the
drug.
E) Keep all follow-up appointments.
17.A A female client receiving methotrexate for the treatment of rheumatoid
arthritis is given a prescription for trimethoprim and sulfamethoxazole
(Bactrim DS). The client returns to the physician's office feeling worse
than before. She now has a cough and unusual bruising on the
extremities. The physician orders a complete blood count and a complete
metabolic profile. Which test results would the nurse expect to find?
Select all that apply.
A) Increased hemoglobin
B) Decreased number of white blood cells
C) Increased number of red blood cells
D) Decreased number of platelets
E) All values should be within normal limits
18. ** A client is prescribed sulfadiazine one tablet twice daily for 10
days. When reviewing the client's history, the nurse notes that the
client is also taking warfarin. The nurse would be alert for which of the
1. After teaching a group of nursing students about sulfonamides, the
instructor determines that the teaching was successful when the
students identify which of the following as an example of a sulfonamide
antibiotic? Select all that apply.
A) Amoxicillin (Amoxil)
B) Ciprofloxacin (Cipro)
C) Sulfamethoxazole/trimethoprim (Bactrim)
D) Clarithromycin (Biaxin)
E) Silver sulfadiazine (Silvadene)
2. A group of nursing students are reviewing information about
sulfonamides. Which of the following if stated by the students indicate
understanding of this drug class? Select all that apply.
A) Sulfonamides are well absorbed when given orally.
B) Sulfonamides are poorly absorbed when given orally.
C) Sulfonamides treat only gram-positive infections.
D) Sulfonamides treat only gram-negative infections.
E) Sulfonamides are excreted by the kidneys.
3. When reviewing the medical records of several clients who are
prescribed sulfonamide therapy, the nurse would expect laboratory
findings related to which bacteria? Select all that apply.
A) Pseudomonas aeruginosa
B) Escherichia coli
C) Klebsiella pneumoniae
D) Streptococcus pyogenes
E) Staphylococcus aureus
4. ** Sulfonamides are commonly used to treat which of the
following types of infections?
Select all that apply.
A) Ulcerative colitis
B) Urinary tract
infection C) Acute otitis
media
D) Upper respiratory tract
infection E) Osteomyelitis
5. A client is taking trimethoprim and sulfamethoxazole (Bactrim DS) one
tablet twice daily for 14 days. Which of the following would the nurse
include when teaching the client about possible adverse reactions?
Select all that apply.
A) Muscle pain
B) Blurred vision
C) Anorexia
D) Crystalluria
E) Photosensitivity
6. ** The nurse suspects that a client who is taking a sulfonamide has
leukopenia. Which assessment findings would support this suspicion?
Select all that apply. A) Sore throat
B) Cough
C) Nausea
, pharmacy 6-12
D)Photosensitivi
ty E) Bruising
7. **A nurse is reviewing the laboratory test results of a client receiving
sulfasalazine therapy for ulcerative colitis. Which of the following would
the nurse anticipate finding? Select all that apply.
A) Pancytopenia
B) Leukopenia
C) Thrombocytopenia
D) Aplastic anemia
E) Iron deficiency anemia
8. Which of the following represent contraindications to treatment with a
sulfonamide? Select all that apply.
A) Children younger than 6 years of age
B) Adults older than 65 years of age
C) Lactating females
D) Clients with group A beta-hemolytic streptococci infections
E) Women in the second trimester of pregnancy
9. The nurse is providing care to a client with diabetes who is receiving
sulfonamides. The nurse counsels the client about the increased risk of
hypoglycemia, especially if the client is taking which of the following
medications? Select all that apply.
A) Tolbutamide (Orinase)
B) Lisinopril (Prinivil)
C) Simvastatin (Zocor)
D) Losartan (Cozaar)
E) Chlorpropamide (Diabinese)
10. ** A client is diagnosed with a urinary tract infection. When obtaining the
client's drug history, the client reports using an herbal product in the past
to prevent and relieve the symptoms. Which of the following would the
client most likely identify?
A) Ginger
B)
Feverfew
C) Saw palmetto
D) Cranberry
11.A A nurse is working in an ambulatory care setting that involves seeing
clients with infections that require treatment. Which of the following
would be important for the nurse to assess in these clients? Select all
that apply.
A) Client's use of self-remedies
B) Review of lab results
C) Vital signs
D) Client's symptoms
E) Client's general appearance
12.A A client with a fever is ordered to receive sulfonamide therapy for an
infection. The nurse needs to evaluate the client for which of the
following during the course of therapy? Select all that apply.
A) Response to drug therapy
B)Elevated blood glucose levels
,pharmacy 6-12
C) Mental status changes
, pharmacy 6-12
D) Occurrence of adverse reactions
E) Decrease in temperature
13. The nurse is preparing to administer a prescribed sulfonamide.
Which of the following would the nurse do? Select all that apply.
A) Have the client sit up to take the drug
B) Give the prescribed drug on an empty stomach
C) Be sure to administer the drug immediately after a meal
D)Have the client decrease his fluid intake
E) Encourage the client to drink additional fluids
14.A A nurse is preparing a plan of care for an older adult client who is
receiving sulfonamide therapy. Which of the following would the nurse
include in the plan of care to reduce the likelihood of causing renal
damage? Select all that apply.
A) Administer sulfonamides once daily.
B) Increase fluid intake up to 2000 mL if tolerated.
C) Use sulfonamides cautiously in clients with renal impairment.
D) Administer the dose intravenously instead of orally.
E) Ask the prescriber to change the medication ordered.
15.A A nurse is applying silver sulfadiazine to a client's burn. Which of the
following would be important for the nurse to do? Select all that apply.
A) Clean and remove debris from the burned area before application
B)Allow air drafts over the burn area to speed the healing process
C) Apply a 1/2-inch-thick layer of cream to the burn
D) Wear sterile gloves when applying the cream to the burn
E) Warn client of burning sensation during and shortly following application
16. ** A client is being discharged with a prescription for sulfasalazine.
Which of the following would the nurse include in the discharge
teaching plan? Select all that apply.
A) Take the drug 1 hour before or 2 hours after meals.
B) Use protective sunscreen or cover exposed areas when going outside.
C) Finish the entire course of sulfonamide even if you begin feeling
better. D) Decrease fluid intake to prevent increased excretion of the
drug.
E) Keep all follow-up appointments.
17.A A female client receiving methotrexate for the treatment of rheumatoid
arthritis is given a prescription for trimethoprim and sulfamethoxazole
(Bactrim DS). The client returns to the physician's office feeling worse
than before. She now has a cough and unusual bruising on the
extremities. The physician orders a complete blood count and a complete
metabolic profile. Which test results would the nurse expect to find?
Select all that apply.
A) Increased hemoglobin
B) Decreased number of white blood cells
C) Increased number of red blood cells
D) Decreased number of platelets
E) All values should be within normal limits
18. ** A client is prescribed sulfadiazine one tablet twice daily for 10
days. When reviewing the client's history, the nurse notes that the
client is also taking warfarin. The nurse would be alert for which of the
