Pharm 4 Unit 9, 10, & 11 – Practice
questions for EXAM #4 FINAL
1) Which .nursing .intervention .has .the .highest .priority .for .the .patient
.who .is .taking
cefepime?
a. Wait .until .culture .results .are .received .before .initiating .antibiotic
b. Monitor . patient . for . s/s . of . superinfection
c. Administer .IV . over . 2 .hours . to . prevent .phlebitis
d. Instruct .the .patient .to .take .the .drug .for .5 .days
.only .Answer: .B
Rationale: .Superinfection .is .a .common .adverse .effect .of .antibiotics. .The
.nurse .should .culture .the .infected .area .before .initiating .antibiotics .and
.may .begin .drug .therapy .before .culture .results .are .received. .IV
.cephalosporins .should .be .administered .over .30 .to .45 .minutes, .not .2
.hours.
Cephalosporins .are .usually .given .10 .days .for .a .full .regimen.
2) A .patient .enters .the .emergency .department .with .a .draining .wound.
.Once .the .patient .is
admitted . and . assessed, .the . priority . nursing . intervention . is . to:
a. Administer .the .ordered .antibiotics
b. Teach .the .patient .about .the .ordered .antibiotics
c. Culture .the .wound
d. Enforce .droplet .isolation
.precautions .Answer: .C
Rationale: .The .priority .nursing .intervention .is .to .obtain .a .culture .and
.antibiotic .sensitivity
testing .of .infective . organism .(C&S).
3) Which .statement .will .the .nurse .include .when .teaching .a .patient
.about .cephalosporin
,therapy?
a. “avoid .ingesting . buttermilk .or .yogurt . when .taking .this .medication”
, b. “stop .taking .the .medication .when .you .feel .better”
c. “immediately .stop .taking .the .medication .if .you .develop .nausea”
d. “inform .your .MD .if .you .develop .mouth
.ulcers” .Answer: .D
Rationale: .The .patient .should .be .instructed .to .report .signs .of
.superinfection, .such .as .mouth .ulcers .or .discharge .from .the .anal .or
.genital .area. .Ingestion .of .buttermilk .or .yogurt .may .prevent .superinfection
.of .the .intestinal .flora; .the .entire .course .of .the .medication .should .be
.taken; .and .the .medication .should .be .taken .with .food .if .nausea .develops.
4) A .patient .asks .the .nurse .why .she .gets .yeast .infections .after .a .course
.of .antibiotics. .The
nurse . explains,
a. “The .antibiotics .lower .your .WBC .count”
b. “People .are .poorly .nourished .and .hydrated .after .an .infection”
c. “Yeast .infections .happen .if .the .antibiotic .is .not .taken .for .the .full .course”
d. “Yeast .infections .are .common .when .the .normal .body .flora .are
.disrupted” .Answer: .D
Rationale: .The .patient .should .be .advised .to .ingest .buttermilk .or .yogurt .to
.prevent .this
superinfection . of . the . body's . normal . flora.
5) A .patient .is .admitted .to .the .health .care .facility .with .methicillin-
resistant .Staphylococcus .aureus .(MRSA). .The .nurse .anticipates
.administration .of .which .drug?
b. Rickettsial . infection
c. Chlamydial . infection
d. Urinary .tract
.infection .Answer: .D
questions for EXAM #4 FINAL
1) Which .nursing .intervention .has .the .highest .priority .for .the .patient
.who .is .taking
cefepime?
a. Wait .until .culture .results .are .received .before .initiating .antibiotic
b. Monitor . patient . for . s/s . of . superinfection
c. Administer .IV . over . 2 .hours . to . prevent .phlebitis
d. Instruct .the .patient .to .take .the .drug .for .5 .days
.only .Answer: .B
Rationale: .Superinfection .is .a .common .adverse .effect .of .antibiotics. .The
.nurse .should .culture .the .infected .area .before .initiating .antibiotics .and
.may .begin .drug .therapy .before .culture .results .are .received. .IV
.cephalosporins .should .be .administered .over .30 .to .45 .minutes, .not .2
.hours.
Cephalosporins .are .usually .given .10 .days .for .a .full .regimen.
2) A .patient .enters .the .emergency .department .with .a .draining .wound.
.Once .the .patient .is
admitted . and . assessed, .the . priority . nursing . intervention . is . to:
a. Administer .the .ordered .antibiotics
b. Teach .the .patient .about .the .ordered .antibiotics
c. Culture .the .wound
d. Enforce .droplet .isolation
.precautions .Answer: .C
Rationale: .The .priority .nursing .intervention .is .to .obtain .a .culture .and
.antibiotic .sensitivity
testing .of .infective . organism .(C&S).
3) Which .statement .will .the .nurse .include .when .teaching .a .patient
.about .cephalosporin
,therapy?
a. “avoid .ingesting . buttermilk .or .yogurt . when .taking .this .medication”
, b. “stop .taking .the .medication .when .you .feel .better”
c. “immediately .stop .taking .the .medication .if .you .develop .nausea”
d. “inform .your .MD .if .you .develop .mouth
.ulcers” .Answer: .D
Rationale: .The .patient .should .be .instructed .to .report .signs .of
.superinfection, .such .as .mouth .ulcers .or .discharge .from .the .anal .or
.genital .area. .Ingestion .of .buttermilk .or .yogurt .may .prevent .superinfection
.of .the .intestinal .flora; .the .entire .course .of .the .medication .should .be
.taken; .and .the .medication .should .be .taken .with .food .if .nausea .develops.
4) A .patient .asks .the .nurse .why .she .gets .yeast .infections .after .a .course
.of .antibiotics. .The
nurse . explains,
a. “The .antibiotics .lower .your .WBC .count”
b. “People .are .poorly .nourished .and .hydrated .after .an .infection”
c. “Yeast .infections .happen .if .the .antibiotic .is .not .taken .for .the .full .course”
d. “Yeast .infections .are .common .when .the .normal .body .flora .are
.disrupted” .Answer: .D
Rationale: .The .patient .should .be .advised .to .ingest .buttermilk .or .yogurt .to
.prevent .this
superinfection . of . the . body's . normal . flora.
5) A .patient .is .admitted .to .the .health .care .facility .with .methicillin-
resistant .Staphylococcus .aureus .(MRSA). .The .nurse .anticipates
.administration .of .which .drug?
b. Rickettsial . infection
c. Chlamydial . infection
d. Urinary .tract
.infection .Answer: .D
