Nurs 219 Exam 2 Latest 2023 with complete solution
During the assessment of a pregnant patient in labor, the nurse finds that the
patient has active genital herpes lesions. What is the best strategy to prevent the
spread of infection to the newborn?
Performing a cesarean section
Which condition is referred to as pyelonephritis?
Inflammation of the kidney(s)
With the exception of pyelonephritis, the nurse should be aware that most urinary
tract infections (UTIs) are treated by which method?
Oral antibiotics in the home setting
Sulfonamides are often preferred drugs for acute urinary tract infections (UTIs).
About 90% of UTIs are due to which bacteria?
E. Coli causes 90% of UTIs
The primary health care provider has prescribed trimethoprim/sulfamethoxazole
(TMP/SMZ) for a patient. The nurse recognizes that this may be prescribed to treat
which condition?
UTI
The nurse teaches the patient taking sulfamethoxazole the importance of which
action to reduce crystalluria?
Increase fluid intake
Which sulfonamide has bactericidal activity?
TMP/SMZ
A patient who has syphilis is to start treatment. It is most important for the nurse
to ask the patient about allergies to which antibiotic?
Penicillin G
Which organism most commonly causes cystitis?
E. Coli causes cystitis
An 18-year-old female patient presents to the clinic to obtain an oral
contraceptive. The nurse knows she should also be screened for which bacterial
sexually transmitted disease (STD)?
Chlamydia trachomatis infection
After assessing a patient, the nurse anticipates that the primary health care
provider will prescribe silver sulfadiazine to the patient for effective treatment.
Which findings would enable the nurse to make such an assumption?
The patient has burns
A patient is diagnosed with syphilis. What is the treatment of choice for this
condition?
Penicillin G
The nurse is assessing a patient with acute cystitis. Which symptom would the
nurse expect to find in the patient?
Painful urination
Which medication is combined with sulfamethoxazole as a powerful antimicrobial
preparation whose components act in concert to inhibit sequential steps in
tetrahydrofolic acid synthesis?
Trimethoprim
, A patient presents to the clinic with a urinary tract infection (UTI). The nurse
anticipates an antibacterial medication that is effective against which organism to
be prescribed?
E. Coli is the organism
Which medication would be most beneficial for a patient with acute
pyelonephritis?
Trimethoprim/sulfamethoxazole
A patient reports flank pain and painful urination. On assessment, the nurse finds
that the patient has a high fever. The nurse should notify the provider because
the patient has symptoms of which condition?
Pyelonephritis
A patient has been taking sulfonamides long term. The nurse assesses the
patient and finds bruises on the legs and arms. What is the nurse's best action?
Assess the patient's platelet counts
A patient has been prescribed trimethoprim/sulfamethoxazole (TMP/SMZ). Which
intervention is appropriate?
Instruct the patient to increase fluids in the diet
A patient is being treated for syphilis. Which drug would the nurse anticipate to
be prescribed?
Benzathine penicillin G
When teaching a patient with genital herpes about treatment with valacyclovir,
the nurse should include which statement?
Although it is costly, continuous daily medication administration will eliminate the virus
When planning care for a patient receiving a sulfonamide antibiotic, which is the
appropriate intervention?
Force fluids to at least 2000 mL/day
A patient has started a medication regimen that includes
trimethoprim/sulfamethoxazole (TMP/SMZ). The nurse notes that the source of
the patient's infection has been determined to be viral in origin. What is the
nurse's priority action?
Contact the health care provider to discuss the medication
patient who has acute cystitis is receiving treatment with
trimethoprim/sulfamethoxazole. Which manifestation should indicate to a nurse
that the patient's condition is worsening?
Flank pain
Which finding should the nurse expect when assessing a male patient with
secondary syphilis?
Skin lesions and flu-like symptoms
The nurse is assessing a patient who is receiving a sulfonamide for treatment of a
urinary tract infection. To monitor the patient for the most severe response to
sulfonamide therapy, the nurse should assess for which condition?
skin rash and lesions
Which of the following sulfonamides, applied topically, has the greatest
therapeutic benefit for burns?
Silver sulfadiazine
During the assessment of a pregnant patient in labor, the nurse finds that the
patient has active genital herpes lesions. What is the best strategy to prevent the
spread of infection to the newborn?
Performing a cesarean section
Which condition is referred to as pyelonephritis?
Inflammation of the kidney(s)
With the exception of pyelonephritis, the nurse should be aware that most urinary
tract infections (UTIs) are treated by which method?
Oral antibiotics in the home setting
Sulfonamides are often preferred drugs for acute urinary tract infections (UTIs).
About 90% of UTIs are due to which bacteria?
E. Coli causes 90% of UTIs
The primary health care provider has prescribed trimethoprim/sulfamethoxazole
(TMP/SMZ) for a patient. The nurse recognizes that this may be prescribed to treat
which condition?
UTI
The nurse teaches the patient taking sulfamethoxazole the importance of which
action to reduce crystalluria?
Increase fluid intake
Which sulfonamide has bactericidal activity?
TMP/SMZ
A patient who has syphilis is to start treatment. It is most important for the nurse
to ask the patient about allergies to which antibiotic?
Penicillin G
Which organism most commonly causes cystitis?
E. Coli causes cystitis
An 18-year-old female patient presents to the clinic to obtain an oral
contraceptive. The nurse knows she should also be screened for which bacterial
sexually transmitted disease (STD)?
Chlamydia trachomatis infection
After assessing a patient, the nurse anticipates that the primary health care
provider will prescribe silver sulfadiazine to the patient for effective treatment.
Which findings would enable the nurse to make such an assumption?
The patient has burns
A patient is diagnosed with syphilis. What is the treatment of choice for this
condition?
Penicillin G
The nurse is assessing a patient with acute cystitis. Which symptom would the
nurse expect to find in the patient?
Painful urination
Which medication is combined with sulfamethoxazole as a powerful antimicrobial
preparation whose components act in concert to inhibit sequential steps in
tetrahydrofolic acid synthesis?
Trimethoprim
, A patient presents to the clinic with a urinary tract infection (UTI). The nurse
anticipates an antibacterial medication that is effective against which organism to
be prescribed?
E. Coli is the organism
Which medication would be most beneficial for a patient with acute
pyelonephritis?
Trimethoprim/sulfamethoxazole
A patient reports flank pain and painful urination. On assessment, the nurse finds
that the patient has a high fever. The nurse should notify the provider because
the patient has symptoms of which condition?
Pyelonephritis
A patient has been taking sulfonamides long term. The nurse assesses the
patient and finds bruises on the legs and arms. What is the nurse's best action?
Assess the patient's platelet counts
A patient has been prescribed trimethoprim/sulfamethoxazole (TMP/SMZ). Which
intervention is appropriate?
Instruct the patient to increase fluids in the diet
A patient is being treated for syphilis. Which drug would the nurse anticipate to
be prescribed?
Benzathine penicillin G
When teaching a patient with genital herpes about treatment with valacyclovir,
the nurse should include which statement?
Although it is costly, continuous daily medication administration will eliminate the virus
When planning care for a patient receiving a sulfonamide antibiotic, which is the
appropriate intervention?
Force fluids to at least 2000 mL/day
A patient has started a medication regimen that includes
trimethoprim/sulfamethoxazole (TMP/SMZ). The nurse notes that the source of
the patient's infection has been determined to be viral in origin. What is the
nurse's priority action?
Contact the health care provider to discuss the medication
patient who has acute cystitis is receiving treatment with
trimethoprim/sulfamethoxazole. Which manifestation should indicate to a nurse
that the patient's condition is worsening?
Flank pain
Which finding should the nurse expect when assessing a male patient with
secondary syphilis?
Skin lesions and flu-like symptoms
The nurse is assessing a patient who is receiving a sulfonamide for treatment of a
urinary tract infection. To monitor the patient for the most severe response to
sulfonamide therapy, the nurse should assess for which condition?
skin rash and lesions
Which of the following sulfonamides, applied topically, has the greatest
therapeutic benefit for burns?
Silver sulfadiazine
