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NURS 170 Pharmacology Test 4 QUESTIONS & ANSWERS Galen College (New 2022/2023) Pharmacology test 4

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Question 1 1 / 1 pts The nurse is caring for a patient who has recurrent wound infections. The patient’s current infection is not responding to an antibiotic that has been used successfully several times in the past. The nurse understands that this is most likely due to: Correct! acquired bacterial resistance. cross-resistance. inherent bacterial resistance. transferred resistance. Question 2 1 / 1 pts The nurse is preparing to administer the first dose of an antibiotic to a patient admitted for a urinary tract infection. Which action is most important prior to administering the antibiotic? Administering a small test dose to determine whether hypersensitivity exists Having epinephrine available in the event of a severe hypersensitivity reaction Monitoring baseline vital signs, including temperature and blood pressure Correct! Obtaining a specimen for culture and sensitivity Question 3 1 / 1 pts The nurse is teaching a patient who will be discharged home from the hospital to take amoxicillin (Amoxil) twice daily for 10 days. Which statement by the nurse is correct?

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Question 1 h


pts
h h h

The hnurse his hcaring hfor ha hpatient hwho hhas hrecurrent hwound hinfections. hThe hpatient’s hcurrent
infection his hnot hresponding hto han hantibiotic hthat hhas hbeen hused hsuccessfully hseveral htimes hin
hthehpast. hThe hnurse hunderstands hthat hthis his hmost hlikely hdue hto:




acquired hbacterial


h resistance.


cross-resistance.
h




inherent hbacterial


h resistance.htransferred


h resistance.


Question 2 h


pts
h h h

The hnurse his hpreparing hto hadminister hthe hfirst hdose hof han hantibiotic hto ha hpatient hadmitted hfor ha
urinary htract hinfection. hWhich haction his hmost himportant hprior hto hadministering hthe

antibiotic?hAdministering ha hsmall htest hdose hto hdetermine hwhether hhypersensitivity hexists
h




Having hepinephrine havailable hin hthe hevent hof ha hsevere hhypersensitivity


h reactionhMonitoring hbaseline hvital hsigns, hincluding htemperature hand hblood


h pressure



Obtaining ha hspecimen hfor hculture hand hsensitivity


Question 3 h


pts
h h h

The hnurse his hteaching ha hpatient hwho hwill hbe hdischarged hhome hfrom hthe hhospital hto htake

,h amoxicillin h(Amoxil) htwice hdaily hfor h10 hdays. hWhich hstatement hby hthe hnurse his hcorrect?

"Discontinue hthe hantibiotic hwhen hyour htemperature hreturns hto hnormal hand hyour hsymptoms
hhavehimproved.”

, “If hdiarrhea hoccurs, hstop htaking hthe hdrug himmediately hand hcontact hyour hprovider.”



"Stop htaking hthe hdrug hand hnotify hyour hprovider hif hyou hdevelop ha hrash hwhile htaking hthis

h drug.”h“You hmay hsave hany hunused hantibiotic hto huse hif hyour hsymptoms hrecur.”


Question 4 h


pts
h h h

The hnurse his hpreparing hto hadminister hthe hfirst hdose hof hintravenous hceftriaxone h(Rocephin)
hto hahpatient. hWhen hreviewing hthe hpatient’s hchart, hthe hnurse hnotes hthat hthe hpatient hpreviously

hexperienced ha hrash hwhen htaking hamoxicillin. hWhat his hthe hnurse’s hnext haction?




Request han horder hfor h(naloxone) hNarcan


Ask hthe hprovider hwhether ha hcephalosporin hfrom ha hdifferent hgeneration hmay hbe hused.



Contact hthe hprovider hto hreport hpotential hdrug


hypersensitivity.hNotify hthe hprovider hand hsuggest han horal
h




h cephalosporin.


Question 5 h


pts
h h h

The hnurse his hpreparing hto hgive ha hdose hof ha hcephalosporin hmedication hto ha hpatient hwho hhas hbeen
receiving hthe hantibiotic hfor h2 hweeks. hThe hnurse hnotes hulcers hon hthe hpatient’s htongue hand
hbuccalhmucosa. hWhich haction hwill hthe hnurse htake?




Hold hthe hdrug hand hnotify hthe hprovider.


h Obtain han horder hto hculture hthe horal


h lesions.


Gather hemergency hequipment hto hprepare hfor hanaphylaxis.

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