Rasmussen NUR2407 Module 5 Quiz Latest 2021 August

NURS2407/NURS-2407/NURS 2407

NUR2407 Pharmacology

Module 5 Quiz 

Assignment Content

Question 1A nurse is caring for a client with an infection that is being treated with tobramycin. Which of the following findings would most concern the nurse?

 Proteinuria

 Concentrated urine

 Decreased blood urea nitrogen (BUN)

 Decreased white blood cell count

Question 2Which of these clients would be most at risk for an allergic reaction to a penicillin injection?

 A client who reports a history of a mild rash from penicillin taken 7 years ago.

 A client who has a history of asthma triggered by food allergies

 A client who had a hypotensive episode following a stress treadmill study with contrast

 A client who reports an episode of hives after taking grape flavored acetaminophen

Question 3The nurse is caring for a client receiving gentamicin intravenously. What condition would most concern the nurse?

 Frequent voiding

 Ringing in the ears

 Ear pain

 Loss of appetite

Question 4A client, who is taking rifampin, telephones the nurse to say, “My urine and saliva have looked orange-red for the past 2 days.” Select the nurse’s best response.

 “This is a typical, temporary effect of the drug. Do you want to have your labs checked anyway?”

 “Continue the drug for another week to see if the color worsens.”

 “This is consistent with an allergic response, and the drug should be stopped.”

 “Stop the drug immediately to protect against hepatic harm.”

Question 5A client has just received a prescription for a 10-day course of penicillin for the treatment of strep throat. What client education is essential for the nurse to provide?

 The entire course of the drug should be taken to prevent the re-emergence of a resistant strain.

 The medication should be discontinued if diarrhea occurs.

 The medication should be discontinued when symptoms resolve to prevent emerging allergies.

 Family members and close contacts should also receive treatment.

Question 6A client states “I’m allergic to amoxicillin. It gives me diarrhea.” How should the nurse respond?

 "Could you have eaten some type of food that caused the diarrhea?"

 “Did anyone tell you that if you take it with yogurt you can avoid that problem?”

 “Are there other reactions or changes you have when you take this medication?”

 “Refusal is your right. I will make a note in your chart that you don’t ever want to take it.”

Question 7A client who has been receiving clindamycin for 10 days develops profuse diarrhea and abdominal pain. The nurse suspects that the client has an infection caused by C. difficile and knows to consult the prescriber about the possibility of prescribing which of these antibiotics?

 tetracycline and erythromycin

 vancomycin and metronidazole

 azithromycin and nystatin

 penicillin G and trimethoprim

Question 8A client is taking trimethoprim/sulfamethoxazole (TMP-SMZ). To help the client avoid the side effects associated with this drug, the nurse should encourage the client to do what?

 Limit citrus

 Avoid the use of acetaminophen

 Drink plenty of water

 Shower twice a day

Question 9Shortly after taking penicillin, a client arrives in urgent care with difficulty breathing. His vital signs are: respirations 34 breaths/ minute, blood pressure 94/42 mm Hg, pulse 126 beats/minute, temp 97.4 F. His nurse observes hives, scratch marks, and wheezes. What are the implications of these findings?

 This is a stress reaction but it will improve if the nurse applies oxygen for a placebo effect.

 True allergic reactions are rare, so more testing needs to be done before intervening.

 A mild allergic reaction is occurring but it will resolve if an antihistamine is given.

 An anaphylactic reaction is occurring and emergency interventions should be initiated

Question 10A client being followed for latent tuberculosis has been on isoniazid therapy for 2 months. The nurse notes that the liver function test results have become grossly abnormal during that interval. What should the nurse do?

 Continue the drug unless jaundice, nausea, or itching develops.

 Continue the drug and have liver function tests repeated weekly.

 Hold all medications for 3 days and then restart them.

 Hold the medication, and seek an alternative antimicrobial from the prescriber.

Question 11The nurse is providing education about doxycycline. Which statement by the client best demonstrates understanding of the administration of this medication?

 “I should take my antibiotic with a calcium-based antacid to minimize gastrointestinal distress.”

 “I will need to take my antibiotic with my calcium supplements.”

 “I should expect a slight, acne-like rash with this medication.”

 “I will avoid taking my medication with dairy products.”

Question 12The nurse is caring for a client who has been experiencing fever of unknown origin. The prescriber has ordered a broad-spectrum antibiotic. Which intervention is the priority?

 Administer antipyretics as soon as possible.

 Delay administration of the antibiotic until the culture results are available.

 Administer the antibiotic immediately.

 Obtain all cultures before the antibiotic is administered.

Question 13A client is receiving their first intravenous infusion of vancomycin. The nurse knows to watch for what unique complication of vancomycin if it infuses too rapidly?

 Pleural effusion

 Deep vein thrombosis

 Hypotension with flushing

 Constipation

Question 14A pregnant adolescent asks the nurse whether it would be all right to continue to take her prescription for tetracycline to clear up her acne. What response by the nurse provides the best information?

 “Tetracycline is effective in clearing up acne, but you should also use topical agents too.”

 “Tetracycline may cause Chrohn’s disease in pregnant women."

 “Tetracyclines help the baby develop immunity to Lyme disease.”

 “Tetracyclines could be harmful to the unborn baby’s teeth. You shouldn’t take them.”

Question 15The nurse assesses a PPD skin test on the forearm of a client being screened for employment in an outpatient clinic. The induration is 4 mm. How should this finding be interpreted?

 Negative, insignificant

 Moderately significant, requiring sputum culture

 Moderately significant, requiring chest radiograph

 Significant, requiring treatment

Question 16The nurse is caring for a client who received an order for PO levofloxacin. The client is anxious to get out of the hospital, because he is a runner and wants to compete in an upcoming marathon. Which client education would be essential for this client?

 Report nausea.

 Report hair loss.

 Report tendon pain.

 Report low grade fever.

Question 17A client with renal impairment who has been taking nitrofurantoin for a urinary tract infection telephones a nurse and describes the recent onset of “numbness and tingling” in the fingers and toes. What should the nurse instruct the client to do?

 Check the color of the extremities every 4 hours.

 Collect a urine sample and bring it to the clinic.

 Discontinue the drug and come in for further evaluation.

 Continue the drug and keep the hands and feet elevated when possible.

Question 18If a client is receiving tobramycin at 10:00 AM what time should a blood sample be obtained for determination of a trough level of the drug?

 12:00 PM

 09:30 AM

 08:00 AM

 10:30 AM

Question 19The nurse administers cefotetan to a client who also is taking warfarin. The nurse should monitor the carefully for what potential consequence?

 Elevated cefotetan levels.

 Hyperkalemia.

 Increased white blood cell count.

 Bruising or bleeding gums.

Question 20An outbreak of the flu has occurred in a long term care facility, so oseltamivir is being given to the residents on a dementia care wing? What side effect should be anticipated?

 Excessive blinking

 Orange secretions

 Excessive thirst

 Escalation of behaviors