Rasmussen NUR2407 Pharmacology Quiz 3 Latest 2019 November

NUR2407 Pharmacology

Pharmacology Quiz 3

•             Question 1          A patient is visited by an ophthalmologist on a medical-surgical unit. The doctor administers a mydriatic during her examination. What assessment finding would the nurse expect to find immediately following the examination?                                   

Answers:              

The patient's pupils are dilated.

                A white, opaque film will form over the cornea.

                The patient's tears will be green.

                The patient's pupils are constricted.                       

•             Question 2          The nurse administers cefotetan, a 2nd generation cephalosporin, to a client who also is taking warfarin, an anticoagulant. The nurse should monitor the carefully for what potential consequence?     

Answers:             Increased WBCs.

                Elevated cefotetan levels.

Bruising or bleeding gums.

                Hyperkalemia   

•             Question 3          The nurse is providing education about doxycycline, a tetracycline. Which statement by the client best demonstrates understanding of the administration of this medication?                                      

Answers:              

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

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

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

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

•             Question 4          Which of these clients would be most at risk for an allergic reaction to a penicillin injection          

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

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

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

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

•             Question 5          The nurse is caring for a client receiving gentamicin, an aminoglycoside, intravenously. What condition would most concern the nurse?                                           

Answers:             Frequent voiding

                Ear pain

                Loss of appetite

Ringing in the ears                          

•             Question 6          In which of these situations would the nurse question the administration of steroid eye drops?                                               

Answers:              

for an eye infection

                after cataract surgery

                after a corneal abrasion

                after a chemical eye splash         

•             Question 7          If a client is receiving tobramycin, an aminoglycoside, at 10:00 what time should a blood sample be obtained for determination of a trough level of the drug?                                           

Answers:             0800        

0930

                1030

                1200      

•             Question 8          A patient is admitted with third-degree burns to the right arm. One percent silver sulfadiazine cream is applied to the damaged tissue twice a day. What is the therapeutic effect of the drug?               

Answers:             New epithelial tissue is generated.

                The necrotic tissue is removed from the wound.

                The patient does not experience pain at the burn site.

The patient does not develop a wound infection.            

•             Question 9          A nurse is caring for a client with an infection that is being treated with tobramycin, an aminoglycoside. Which of the following findings would most concern the nurse?                                             

Answers:             Decreased white blood cell count

Proteinuria

                Decreased BUN

                Concentrated urine       

•             Question 10        A client is receiving their first intravenous infusion of vancomycin, a glycopeptide. The nurse know to watch for what unique complication of vancomycin if it infuses too rapidly?                                   

Answers:             Pleural effusion

                Deep vein thrombosis

Hypotension with flushing

                Constipation     

•             Question 11        A client who has been receiving clindamycin, a lincosamide, 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?                                             

Answers:             penicillin G. and trimethoprim     

vancomycin and metronidazole

                tetracycline and erythromycin

                azithromycin and nystatin

•             Question 12        A client with renal impairment who has been taking nitrofurantoin, non-classified antibiotic, 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?                                   

Answers:              

Discontinue the drug and come in for further evaluation.

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

                Check the color of the extremities every 4 hours.

                Collect a urine sample and bring it to the clinic.                  

•             Question 13        What assessment finding would be a contraindication for the use of ciprofloxacin otic solution?                

Answers:             Drainage from the external auditory canal

                Inflammation of the external auditory canal 

Tympanic membrane perforation

                An oral temperature of 101.4 F 

•             Question 14        The 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?                                      

Answers:             Administer the antibiotic immediately.

                Administer antipyretics as soon as possible.

Obtain all cultures before the antibiotic is administered.

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

•             Question 15        A 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?                                         

Answers:             Family members and close contacts should also receive treatment.

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

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

                The medication should be discontinued if diarrhea occurs

•             Question 16        The nurse is caring for a client who received an order for PO levofloxacin, a fluoroquinolone. 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?                                          

Answers:             Report hair loss.

                Report nausea. 

Report tendon pain

                Report low grade fever.

•             Question 17        Shortly after taking Ampicillin, broad-spectrum penicillin, a client arrives in urgent care with difficulty breathing. His vital signs are: respirations 34, blood pressure 94/42, pulse 26, temp 97.4 . His nurse observes hives, scratch markings and wheezes. What are the implications of these findings?                                      

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

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

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

An anaphylactic reaction is occurring and emergency interventions should be initiated  

•             Question 18        An adolescent is prescribed benzoyl peroxide for mild acne. What is the action of the drug in treating acne vulgaris?                                  

Answers:              

Benzoyl acid removes keratin plugs over pilosebaceous glands that lead to inflammation and acne vulgaris.

                Benzoyl peroxide is a Vitamin A derivative that decreases secretion of sebum around blocked hair follicles that cause acne vulgaris.

                Benzoyl peroxide inhibits the COX-1 enzyme from initiating the inflammation process, that causes acne vulgaris.

                Benzoyl peroxide causes irritation of the epithelial tissue and causes inflammation. The inflammation process causes the body to eliminate the human papillomavirus (HPV), which causes acne vulgaris.

•             Question 19        A client is taking trimethoprim/sulfamethoxazole (TMP-SMZ), a sulfonamide. To help the client avoid the side effects associated with this drug, the nurse should encourage the client to do what?                        

Answers:             Shower twice a day

Drink ample amounts of water

                Avoid the use of Tylenol.

                Limit citrus.

•             Question 20        A 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?  

Answers:             “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.”