Test Bank For Focus on Nursing Pharmacology 7th Edition By
Amy M. Karch 9781496318213 ALL Chapters .
A client is prescribed penicillin V orally for a strep throat. What is the mechanism of action of this
medication? - ANSWER: It inhibits cell wall synthesis.
A patient has been admitted to the intensive care unit with signs and symptoms of sepsis and
preliminary results of the patient's initial blood cultures reveal the presence of methicillin-resistant
Staphylococcus aureus (MRSA). This finding is an indication for treatment with: - ANSWER:
daptomycin.
The nurse understands that tuberculosis (TB) can affect other organs of the body. The term used for
TB outside the lungs called which? - ANSWER: extrapulmonary.
The health care provider suspects a client may be infected with an antibiotic-resistant pathogen. The
nurse caring for this client knows that what course of action is best used to determine whether this
type of pathogen is present? - ANSWER: Perform culture and susceptibility tests.
The nurse has administered a client's first scheduled dose of amoxicillin. What subsequent client
report should prompt the nurse to seek the discontinuation of this drug? - ANSWER: shortness of
breath
A young lifeguard has been prescribed moxifloxacin (Avelox). The nurse understands that the focus on
education would be which adverse reaction? - ANSWER: Photosensitivity
A client who takes zinc daily is diagnosed with a severe infection and is ordered levofloxacin
(Levaquin). The nurse is aware that taking these two drugs may have what affect on the antibiotic? -
ANSWER: Decreased absorption
A pregnant woman calls the clinic and asks if it is suitable to use ofloxacin otic drops that she used
prior to pregnancy for a current ear infection. What would be an appropriate response from the
nurse? - ANSWER: "The effects of ofloxacin in pregnancy are not known, so the drug should not be
used while pregnant."
Tetracycline is often a viable treatment option when a client has an allergy to what antibiotics? -
ANSWER: penicillins
A 67-year-old client with a history of chronic illness is receiving penicillin therapy. The client's age and
health history indicate an increased susceptibility to pseudomembranous colitis. The nurse would be
alert for which finding? Select all that apply. - ANSWER: -bloody diarrhea
-rectal bleeding
The nurse is caring for a 6-year-old child who has pyelonephritis. The use of what group of antibiotics
would be contraindicated due to the client's age? - ANSWER: Tetracyclines
A client is to receive rifampin. Which would be most important for the nurse to include in the teaching
plan for this client? - ANSWER: "Your urine or sweat may become orange in color."
A nurse is caring for a patient undergoing the second phase of standard TB treatment. The nurse
knows that which of the following combinations of drugs need to be administered to the client? -
ANSWER: Rifampin and isoniazid
In general, progression from first-generation cephalosporins to fourth-generations results in which of
the following? Select all that apply. - ANSWER: -An increase in sensitivity of gram-negative
microorganisms.
Amy M. Karch 9781496318213 ALL Chapters .
A client is prescribed penicillin V orally for a strep throat. What is the mechanism of action of this
medication? - ANSWER: It inhibits cell wall synthesis.
A patient has been admitted to the intensive care unit with signs and symptoms of sepsis and
preliminary results of the patient's initial blood cultures reveal the presence of methicillin-resistant
Staphylococcus aureus (MRSA). This finding is an indication for treatment with: - ANSWER:
daptomycin.
The nurse understands that tuberculosis (TB) can affect other organs of the body. The term used for
TB outside the lungs called which? - ANSWER: extrapulmonary.
The health care provider suspects a client may be infected with an antibiotic-resistant pathogen. The
nurse caring for this client knows that what course of action is best used to determine whether this
type of pathogen is present? - ANSWER: Perform culture and susceptibility tests.
The nurse has administered a client's first scheduled dose of amoxicillin. What subsequent client
report should prompt the nurse to seek the discontinuation of this drug? - ANSWER: shortness of
breath
A young lifeguard has been prescribed moxifloxacin (Avelox). The nurse understands that the focus on
education would be which adverse reaction? - ANSWER: Photosensitivity
A client who takes zinc daily is diagnosed with a severe infection and is ordered levofloxacin
(Levaquin). The nurse is aware that taking these two drugs may have what affect on the antibiotic? -
ANSWER: Decreased absorption
A pregnant woman calls the clinic and asks if it is suitable to use ofloxacin otic drops that she used
prior to pregnancy for a current ear infection. What would be an appropriate response from the
nurse? - ANSWER: "The effects of ofloxacin in pregnancy are not known, so the drug should not be
used while pregnant."
Tetracycline is often a viable treatment option when a client has an allergy to what antibiotics? -
ANSWER: penicillins
A 67-year-old client with a history of chronic illness is receiving penicillin therapy. The client's age and
health history indicate an increased susceptibility to pseudomembranous colitis. The nurse would be
alert for which finding? Select all that apply. - ANSWER: -bloody diarrhea
-rectal bleeding
The nurse is caring for a 6-year-old child who has pyelonephritis. The use of what group of antibiotics
would be contraindicated due to the client's age? - ANSWER: Tetracyclines
A client is to receive rifampin. Which would be most important for the nurse to include in the teaching
plan for this client? - ANSWER: "Your urine or sweat may become orange in color."
A nurse is caring for a patient undergoing the second phase of standard TB treatment. The nurse
knows that which of the following combinations of drugs need to be administered to the client? -
ANSWER: Rifampin and isoniazid
In general, progression from first-generation cephalosporins to fourth-generations results in which of
the following? Select all that apply. - ANSWER: -An increase in sensitivity of gram-negative
microorganisms.
