ATI PHARMACOLOGY PROCTORED EXAMS SECRETS: A
ROADMAP TO A+
A nurse is teaching a client about taking Tetracycline to treat a GI infection due to
Helicobacter pylori, Which of the following statements should the nurse identify
as an indication that the client understands the instructions?
A. "I will take this medication with 8 ounces of milk."
B. "I will let my doctor know if I start having diarrhea."
C. "I can stop taking this medication when I feel completely well."
D. "I can take this medication just before bedtime.
B (Diarrhea can indicate that the client is developing a suprainfection, which can be very
serious. The client should notify the provider if diarrhea occurs.)
A nurse is administering gentamicin by IV infusion at 0900. The medication will
take 1 hr to infuse. When should the nurse plan to obtain a blood sample for a
peak serum level of gentamicin?
A. 1000
B. 1030
C. 1100
D. 1130
B (The nurse should obtain the blood specimen for the peak serum level at 1030, 30
min after the end of the IV infusion. For the trough level, the nurse should collect the
blood sample just before starting the infusion)
A nurse is caring for a client who is starting a course of gentamicin IV for a
serious respiratory infection. For which of the following manifestations should
the nurse monitor as an adverse effect of this medication? (Select all that apply.)
A.Pruritus
B. Hematuria
C. Muscle weakness
, D. Difficulty swallowing
E. Vertigo
a, b, c, e
(A. Paresthesias of the hands and feet, urticaria,
rash, and pruritus are indications of a hypersensitivity
reaction that can occur in clients taking gentamicin.
B.hematuria is an indication of acute
kidney toxicity due to gentamicin.
C.muscle weakness and respiratory depression can occur in clients taking gentamicin
as a result of neuromuscular blockade
E. Vertigo, ataxia, and hearing loss are indications
of ototoxicity that can occur in clients taking gentamicin)
A nurse is caring for a client who has Subacute Bacterial Endocarditis and is
receiving several antibiotics, including Streptomycin Im. For which of the
following manifestations should the nurse monitor as an adverse effect of this
medication?
A. Extremity paresthesias
B. Urinary retention
C. Severe constipation
D. Complex partial seizures
A (Paresthesias of the hands and feet are a common adverse effect of streptomycin.
This medication treats infections in combination with other antibiotics or to treat severe
infections when other antibiotics failed)
A nurse is caring for a client who is undergoing preparation for extensive
colorectal surgery. Which of the following oral antibiotics should the nurse
expect to administer specifically to suppress normal flora in the GI tract?
ROADMAP TO A+
A nurse is teaching a client about taking Tetracycline to treat a GI infection due to
Helicobacter pylori, Which of the following statements should the nurse identify
as an indication that the client understands the instructions?
A. "I will take this medication with 8 ounces of milk."
B. "I will let my doctor know if I start having diarrhea."
C. "I can stop taking this medication when I feel completely well."
D. "I can take this medication just before bedtime.
B (Diarrhea can indicate that the client is developing a suprainfection, which can be very
serious. The client should notify the provider if diarrhea occurs.)
A nurse is administering gentamicin by IV infusion at 0900. The medication will
take 1 hr to infuse. When should the nurse plan to obtain a blood sample for a
peak serum level of gentamicin?
A. 1000
B. 1030
C. 1100
D. 1130
B (The nurse should obtain the blood specimen for the peak serum level at 1030, 30
min after the end of the IV infusion. For the trough level, the nurse should collect the
blood sample just before starting the infusion)
A nurse is caring for a client who is starting a course of gentamicin IV for a
serious respiratory infection. For which of the following manifestations should
the nurse monitor as an adverse effect of this medication? (Select all that apply.)
A.Pruritus
B. Hematuria
C. Muscle weakness
, D. Difficulty swallowing
E. Vertigo
a, b, c, e
(A. Paresthesias of the hands and feet, urticaria,
rash, and pruritus are indications of a hypersensitivity
reaction that can occur in clients taking gentamicin.
B.hematuria is an indication of acute
kidney toxicity due to gentamicin.
C.muscle weakness and respiratory depression can occur in clients taking gentamicin
as a result of neuromuscular blockade
E. Vertigo, ataxia, and hearing loss are indications
of ototoxicity that can occur in clients taking gentamicin)
A nurse is caring for a client who has Subacute Bacterial Endocarditis and is
receiving several antibiotics, including Streptomycin Im. For which of the
following manifestations should the nurse monitor as an adverse effect of this
medication?
A. Extremity paresthesias
B. Urinary retention
C. Severe constipation
D. Complex partial seizures
A (Paresthesias of the hands and feet are a common adverse effect of streptomycin.
This medication treats infections in combination with other antibiotics or to treat severe
infections when other antibiotics failed)
A nurse is caring for a client who is undergoing preparation for extensive
colorectal surgery. Which of the following oral antibiotics should the nurse
expect to administer specifically to suppress normal flora in the GI tract?
