Chapter 07, Antibacterial Drugs That Disrupt the Bacterial Cell Wall TEST BANK INTRODUCTORY CLINICAL PHARMACOLOGY 12TH EDITION By Susan M Ford

TEST BANK INTRODUCTORY CLINICAL PHARMACOLOGY 12TH EDITION By Susan M Ford 1. A nurse suspects that a client receiving oral penicillin therapy is developing pseudomembranous colitis based on which assessment finding? A) Bloody diarrhea B) Pruritus C) Chills D) Hives Answer: A Rationale: Pseudomembranous colitis is a severe, life-threatening form of diarrhea that occurs when normal flora of the bowel is eliminated and replaced with C. difficile (C. diff) bacteria. It is manifested by bloody diarrhea. Pruritus and hives would suggest an allergic reaction. Chills could indicate a wide range of problems. Question Format: Multiple Choice Chapter: 7 Learning Objective: 1 Cognitive Level: Apply Client Needs: Physiological Integrity: Pharmacological Therapies Integrated Process: Clinical Problem-solving Process (Nursing Process) Reference: p. 87, Diarrhea 2. After completing several days of penicillin therapy, a client presents with new reports of inflamed oral mucous membranes and tongue and gum swelling. What is a priority action in regards to this new finding? A) Inspect mouth and gums regularly. B) Instruct client to avoid brushing teeth. C) Offer client a liquid diet. D) Instruct the client to gargle every 2 hours. Answer: A Rationale: The client is presenting with signs of a fungal superinfection. The nurse should regularly inspect the client's mouth and gums to assess the client's progress. The nurse should instruct the client to use a soft-bristled toothbrush. The client does not need to follow a liquid diet; a nonirritating soft diet can be recommended. Gargling every 2 hours may not help relieve the symptoms and may even aggravate the existing condition. Question Format: Multiple Choice Chapter: 7 Learning Objective: 5 Cognitive Level: Apply Client Needs: Physiological Integrity: Pharmacological Therapies