Chapter 06, Antibacterial Drugs: Sulfonamides TEST BANK INTRODUCTORY CLINICAL PHARMACOLOGY 12TH EDITION By Susan M Ford

TEST BANK INTRODUCTORY CLINICAL PHARMACOLOGY 12TH EDITION By Susan M Ford 1. A client, diagnosed with a urinary tract infection, indicates the use of an herbal product to help prevent and relieve the symptoms. Which herb has the client most likely been using? A) Ginger B) Feverfew C) Saw palmetto D) Cranberry Answer: D Rationale: Cranberries and cranberry juice are commonly used remedies for preventing and relieving symptoms of UTIs. However, if an individual suspects a UTI, medical attention is necessary. Question Format: Multiple Choice Chapter: 6 Learning Objective: 2 Cognitive Level: Apply Client Needs: Physiological Integrity: Pharmacological Therapies Integrated Process: Clinical Problem-solving Process (Nursing Process) Reference: p. 72, Herbal Considerations 2. The nurse is preparing to administer sulfadiazine to a client who is also taking warfarin. The nurse would be alert for which potential adverse effect? A) Prolonged clotting times B) Increased risk of infection C) Decreased antibiotic effect D) Decreased white blood cell count Answer: A Rationale: When warfarin and sulfonamides are given concomitantly, an increase in action of the anticoagulant is seen, leading to an increase in clotting time, such as PT/INR, and an increased risk of bleeding. An increased risk of infection and a decrease in the white blood cell count would occur when a sulfonamide is given with methotrexate. The combination of warfarin and sulfonamide does not impact the effect of the antibiotic. Question Format: Multiple Choice Chapter: 6 Learning Objective: 2 Cognitive Level: Apply Client Needs: Physiological Integrity: Pharmacological Therapies Integrated Process: Clinical Problem-solving Process (Nursing Process) Reference: p. 71, Interactions