6521 Advanced Pharmacology Final
Exam Questions with Correct
Solutions||A+ GRADED||100%
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Which patient with a urinary tract infection will require hospitalization and
intravenous antibiotics? - ANSWER ✓ An older adult man with a low-grade fever,
flank pain, and an indwelling catheter
A 20-year-old female patient has suprapubic discomfort, pyuria, dysuria, and
bacteriuria greater than 100,000/mL of urine. Which are the most likely diagnosis
and treatment? - ANSWER ✓ Uncomplicated lower urinary tract infection
treatable with short-course therapy
An older male patient comes to the clinic with complaints of chills, malaise,
myalgia, localized pain, dysuria, nocturia, and urinary retention. The nurse would
most likely suspect that the patient has: - ANSWER ✓ prostatitis.
A patient presents to the emergency department with complaints of chills, severe
flank pain, dysuria, and urinary frequency. The patient has a temperature of 102.9°
F, a pulse of 92 beats/minute, respirations of 24 breaths/minute, and a blood
pressure of 119/58 mm Hg. The nurse would be correct to suspect that the patient
shows signs and symptoms of: - ANSWER ✓ pyelonephritis.
A pregnant patient with fever, flank pain, and chills has a history of two previous
bladder infections before getting pregnant. She is allergic to several antibiotics.
She reports having taken methenamine successfully in the past. What will the nurse
tell her? - ANSWER ✓ "This agent is not effective against infections of the upper
urinary tract."
A nurse is preparing to administer an antibiotic to a patient with methicillin-
resistant Staphylococcus aureus (MRSA). The nurse would expect the health care
provider to order which antibiotic? - ANSWER ✓ Daptomycin [Cubicin]
, A patient who is taking calcium supplements receives a prescription for
ciprofloxacin [Cipro] for a urinary tract infection. The nurse will teach this patient
to: - ANSWER ✓ take the calcium either 6 hours before or 2 hours after taking the
ciprofloxacin
A nurse is preparing to administer oral ofloxacin to a patient. While taking the
patient's medication history, the nurse learns that the patient takes warfarin and
theophylline. The correct action by the nurse is to request an order to: - ANSWER
✓ monitor coagulation levels
A 65-year-old patient who receives glucocorticoids for arthritis is admitted to the
hospital for treatment of a urinary tract infection. The prescriber has ordered
intravenous ciprofloxacin [Cipro]. Before administering the third dose of this drug,
the nurse reviews the bacterial culture report and notes that the causative organism
is Escherichia coli. The bacterial sensitivity report is pending. The patient
complains of right ankle pain. What will the nurse do? - ANSWER ✓ Withhold the
dose of ciprofloxacin and notify the provider of the patient'ssymptoms.
A provider orders intravenous moxifloxacin [Avelox] for a patient who has
sinusitis.
Before administering the drug, the nurse will review this patient's chart for: -
ANSWER ✓ recent serum electrolyte levels.
A patient will receive oral ciprofloxacin [Cipro] to treat a urinary tract infection.
The nurse provides teaching for this patient. Which statement by the patient
indicates a need for further teaching? - ANSWER ✓ "I should take this medication
with food or milk to improve absorption."
A patient who is receiving intravenous ciprofloxacin for pneumonia develops
diarrhea. A stool culture is positive for Clostridium difficile. The nurse will expect
the provider to: - ANSWER ✓ add metronidazole [Flagyl].
The nurse is caring for a patient who will begin receiving intravenous
ciprofloxacin [Cipro] to treat pyelonephritis. The nurse learns that the patient has a
history of myasthenia gravis. Which action by the nurse is correct? - ANSWER ✓
Suggest that the provider order a different antibiotic for this patient.
A patient is being treated for a systemic fungal infection with amphotericin B
[Abelcet] and will be discharged home from the hospital to complete every-other-
,day infusions of the medication for 6 to 8 weeks. The nurse provides discharge
teaching before dismissal. Which statement by the patient indicates a need for
further teaching? - ANSWER ✓ "I may experience headaches and pain in my
lower back, legs, and abdomen."
A child has ringworm of the scalp. A culture of the lesion reveals a dermatophytic
infection. The nurse teaching the child's parents about how to treat this infection
will include which statement? - ANSWER ✓ "Your child will need to take this oral
medication for 6 to 8 weeks."
The nurse is preparing to administer amphotericin B intravenously. The nurse will
expect to pretreat the patient with which medications? - ANSWER ✓
Acetaminophen [Tylenol], diphenhydramine [Benadryl], and meperidine
[Demerol]
A nurse is caring for a patient who has a superficial fungal infection and notes that
the provider has ordered 200 mg of ketoconazole [Nizoral] 200 mg PO once daily.
Which action by the nurse is correct? - ANSWER ✓ Request an order for a
different antifungal medication.
A patient is being treated with amphotericin B [Abelcet] for a systemic fungal
infection. After several weeks of therapy, the provider orders flucytosine
[Ancobon] in addition to the amphotericin. The nurse understands that the rationale
for this combination is that it: - ANSWER ✓ lowers the dose of amphotericin B
and reduces toxicity.
A patient will begin taking an immunosuppressant medication. The nurse learns
that the patient has a history of frequent candidal infections. The nurse will expect
the provider to order which drug as prophylaxis? - ANSWER ✓ Posaconazole
[Noxafil]
A provider has ordered oral voriconazole [Vfend] for a patient who has a systemic
fungal infection. The nurse obtains a medication historyand learns that the patient
takes phenobarbital for seizures. The nurse will contact the provider to discuss
which possibility? - ANSWER ✓ Using a different antifungal agent
A nurse is discussing intravenous amphotericin B treatment with a nursing student
who is about to care for a patient with a systemic fungal infection. Which
, statement by the student indicates a need for further teaching? - ANSWER ✓
"Infusions of amphotericin B should be administered over 1 to 2 hours."
A patient has come to the clinic with tinea corporis, and the prescriber has ordered
clotrimazole. When educating the patient about this medication, the nurse will
include which statement? - ANSWER ✓ "Use the medication for at least 1 week
after the symptoms have cleared"
A patient has an invasive aspergillosis infection. Which antifungal agent is the
drug of choice for this infection? - ANSWER ✓ Voriconazole [Vfend]
A patient who is taking ketoconazole tells the nurse that her periods have become
irregular. What will the nurse tell her? - ANSWER ✓ This is caused by a reversible
effect on estradiol synthesis.
A patient is receiving intravenous voriconazole [Vfend]. Shortly after the infusion
starts, the patient tells the nurse, "Colors look different, and the light hurts my
eyes." What will the nurse do? - ANSWER ✓ Reassure the patient that these
effects will subside in about 30 minutes.
A patient with a history of congestive heart failure and renal impairment
hasesophageal candidiasis. Which antifungal agent would the nurse anticipate
giving to this patient? - ANSWER ✓ Fluconazole [Diflucan]
A patient will begin treatment with posaconazole [Noxafil] to treat oropharyngeal
candidiasis that has not responded to fluconazole. The provider has ordered 200
mg three times daily. Which action by the nurse is correct? - ANSWER ✓ Discuss
a 400-mg twice-daily drug regimen with the provider.
A patient is taking oral ketoconazole [Nizoral] for a systemic fungal infection. The
nurse reviews the medication administration record and notes that the patient is
also taking omeprazole [Prilosec] for reflux disease. What action should the nurse
take? - ANSWER ✓ Administer the omeprazole at least 2 hours after the
ketoconazole.
A nurse is caring for a patient who is receiving amphotericin B [Abelcet] for a
systemic fungal infection. In spite of receiving diphenhydramine and
acetaminophen before initiation of treatment, the patient has fever and chills with
Exam Questions with Correct
Solutions||A+ GRADED||100%
Guaranteed Pass<<Latest Version>>
Which patient with a urinary tract infection will require hospitalization and
intravenous antibiotics? - ANSWER ✓ An older adult man with a low-grade fever,
flank pain, and an indwelling catheter
A 20-year-old female patient has suprapubic discomfort, pyuria, dysuria, and
bacteriuria greater than 100,000/mL of urine. Which are the most likely diagnosis
and treatment? - ANSWER ✓ Uncomplicated lower urinary tract infection
treatable with short-course therapy
An older male patient comes to the clinic with complaints of chills, malaise,
myalgia, localized pain, dysuria, nocturia, and urinary retention. The nurse would
most likely suspect that the patient has: - ANSWER ✓ prostatitis.
A patient presents to the emergency department with complaints of chills, severe
flank pain, dysuria, and urinary frequency. The patient has a temperature of 102.9°
F, a pulse of 92 beats/minute, respirations of 24 breaths/minute, and a blood
pressure of 119/58 mm Hg. The nurse would be correct to suspect that the patient
shows signs and symptoms of: - ANSWER ✓ pyelonephritis.
A pregnant patient with fever, flank pain, and chills has a history of two previous
bladder infections before getting pregnant. She is allergic to several antibiotics.
She reports having taken methenamine successfully in the past. What will the nurse
tell her? - ANSWER ✓ "This agent is not effective against infections of the upper
urinary tract."
A nurse is preparing to administer an antibiotic to a patient with methicillin-
resistant Staphylococcus aureus (MRSA). The nurse would expect the health care
provider to order which antibiotic? - ANSWER ✓ Daptomycin [Cubicin]
, A patient who is taking calcium supplements receives a prescription for
ciprofloxacin [Cipro] for a urinary tract infection. The nurse will teach this patient
to: - ANSWER ✓ take the calcium either 6 hours before or 2 hours after taking the
ciprofloxacin
A nurse is preparing to administer oral ofloxacin to a patient. While taking the
patient's medication history, the nurse learns that the patient takes warfarin and
theophylline. The correct action by the nurse is to request an order to: - ANSWER
✓ monitor coagulation levels
A 65-year-old patient who receives glucocorticoids for arthritis is admitted to the
hospital for treatment of a urinary tract infection. The prescriber has ordered
intravenous ciprofloxacin [Cipro]. Before administering the third dose of this drug,
the nurse reviews the bacterial culture report and notes that the causative organism
is Escherichia coli. The bacterial sensitivity report is pending. The patient
complains of right ankle pain. What will the nurse do? - ANSWER ✓ Withhold the
dose of ciprofloxacin and notify the provider of the patient'ssymptoms.
A provider orders intravenous moxifloxacin [Avelox] for a patient who has
sinusitis.
Before administering the drug, the nurse will review this patient's chart for: -
ANSWER ✓ recent serum electrolyte levels.
A patient will receive oral ciprofloxacin [Cipro] to treat a urinary tract infection.
The nurse provides teaching for this patient. Which statement by the patient
indicates a need for further teaching? - ANSWER ✓ "I should take this medication
with food or milk to improve absorption."
A patient who is receiving intravenous ciprofloxacin for pneumonia develops
diarrhea. A stool culture is positive for Clostridium difficile. The nurse will expect
the provider to: - ANSWER ✓ add metronidazole [Flagyl].
The nurse is caring for a patient who will begin receiving intravenous
ciprofloxacin [Cipro] to treat pyelonephritis. The nurse learns that the patient has a
history of myasthenia gravis. Which action by the nurse is correct? - ANSWER ✓
Suggest that the provider order a different antibiotic for this patient.
A patient is being treated for a systemic fungal infection with amphotericin B
[Abelcet] and will be discharged home from the hospital to complete every-other-
,day infusions of the medication for 6 to 8 weeks. The nurse provides discharge
teaching before dismissal. Which statement by the patient indicates a need for
further teaching? - ANSWER ✓ "I may experience headaches and pain in my
lower back, legs, and abdomen."
A child has ringworm of the scalp. A culture of the lesion reveals a dermatophytic
infection. The nurse teaching the child's parents about how to treat this infection
will include which statement? - ANSWER ✓ "Your child will need to take this oral
medication for 6 to 8 weeks."
The nurse is preparing to administer amphotericin B intravenously. The nurse will
expect to pretreat the patient with which medications? - ANSWER ✓
Acetaminophen [Tylenol], diphenhydramine [Benadryl], and meperidine
[Demerol]
A nurse is caring for a patient who has a superficial fungal infection and notes that
the provider has ordered 200 mg of ketoconazole [Nizoral] 200 mg PO once daily.
Which action by the nurse is correct? - ANSWER ✓ Request an order for a
different antifungal medication.
A patient is being treated with amphotericin B [Abelcet] for a systemic fungal
infection. After several weeks of therapy, the provider orders flucytosine
[Ancobon] in addition to the amphotericin. The nurse understands that the rationale
for this combination is that it: - ANSWER ✓ lowers the dose of amphotericin B
and reduces toxicity.
A patient will begin taking an immunosuppressant medication. The nurse learns
that the patient has a history of frequent candidal infections. The nurse will expect
the provider to order which drug as prophylaxis? - ANSWER ✓ Posaconazole
[Noxafil]
A provider has ordered oral voriconazole [Vfend] for a patient who has a systemic
fungal infection. The nurse obtains a medication historyand learns that the patient
takes phenobarbital for seizures. The nurse will contact the provider to discuss
which possibility? - ANSWER ✓ Using a different antifungal agent
A nurse is discussing intravenous amphotericin B treatment with a nursing student
who is about to care for a patient with a systemic fungal infection. Which
, statement by the student indicates a need for further teaching? - ANSWER ✓
"Infusions of amphotericin B should be administered over 1 to 2 hours."
A patient has come to the clinic with tinea corporis, and the prescriber has ordered
clotrimazole. When educating the patient about this medication, the nurse will
include which statement? - ANSWER ✓ "Use the medication for at least 1 week
after the symptoms have cleared"
A patient has an invasive aspergillosis infection. Which antifungal agent is the
drug of choice for this infection? - ANSWER ✓ Voriconazole [Vfend]
A patient who is taking ketoconazole tells the nurse that her periods have become
irregular. What will the nurse tell her? - ANSWER ✓ This is caused by a reversible
effect on estradiol synthesis.
A patient is receiving intravenous voriconazole [Vfend]. Shortly after the infusion
starts, the patient tells the nurse, "Colors look different, and the light hurts my
eyes." What will the nurse do? - ANSWER ✓ Reassure the patient that these
effects will subside in about 30 minutes.
A patient with a history of congestive heart failure and renal impairment
hasesophageal candidiasis. Which antifungal agent would the nurse anticipate
giving to this patient? - ANSWER ✓ Fluconazole [Diflucan]
A patient will begin treatment with posaconazole [Noxafil] to treat oropharyngeal
candidiasis that has not responded to fluconazole. The provider has ordered 200
mg three times daily. Which action by the nurse is correct? - ANSWER ✓ Discuss
a 400-mg twice-daily drug regimen with the provider.
A patient is taking oral ketoconazole [Nizoral] for a systemic fungal infection. The
nurse reviews the medication administration record and notes that the patient is
also taking omeprazole [Prilosec] for reflux disease. What action should the nurse
take? - ANSWER ✓ Administer the omeprazole at least 2 hours after the
ketoconazole.
A nurse is caring for a patient who is receiving amphotericin B [Abelcet] for a
systemic fungal infection. In spite of receiving diphenhydramine and
acetaminophen before initiation of treatment, the patient has fever and chills with
