NURS 6521Nurs6521 Advance Pharmacology WK8 Quiz
QUESTION 1
1. Which of the following would a nurse assess for in a patient who is taking polymyxin B
... [Show More] systemically?
A Nephrotoxicity and
. hepatotoxicity
B Endocarditis and hypertension
.
C Peripheral neuropathy
.
D Hyperkalemia and hyponatremia
.
1 points
QUESTION 2
1. An immunocompromised cancer patient has developed cryptococcal meningitis and been admitted to the intensive care unit for treatment with amphotericin B. How should the nurse most safely administer this drug?
A Place the patient on a constant infusion of amphotericin B at a rate determined
. by the patient's body weight.
B Infuse the drug over 2 to 4 hours into a central line using an infusion pump
.
C Flush the patient's central line with normal saline and infuse the amphotericin B
. by intravenous push over 5 to 7 minutes.
D Hang the drug by piggyback with lactated Ringer's and infuse over several hours
. to minimize the risk of infusion reaction
1 points
QUESTION 3
1. A 20-year-old female patient is receiving topical clindamycin for acne vulgaris. She develops a rash and urticaria along with severe itching where the medication is applied. The nurse will formulate which of the following nursing diagnoses for the patient?
A Risk of Injury related to blood dyscrasia
.
B Diarrhea
.
C Risk for Injury related to allergic reactions
.
D Imbalanced Nutrition: Less than Body Requirements
.
A plasma concentrations regularly.
.
B urine output daily.
.
C blood sugar levels daily.
.
D liver enzymes monthly.
.
A on an empty stomach 1 hour before or 2 hours after taking any meals or other
. drugs.
B with a meal.
.
C at bedtime only.
.
D with milk or fruit juice.
.
A immediately before or with a meal.
.
B with a glass of water 1 hour before or 2 hours after a meal.
.
C intravenously with the assistance of a home health nurse.
.
D with a sip of water 1 hour before mealtime.
.
A blood glucose levels daily for 1 week.
.
B liver enzymes weekly until the drug therapy is completed.
.
C a baseline complete blood count.
.
D establishing the patient's auditory abilities.
.
A Prothrombin time
.
B Serum albumin level
.
C Creatinine clearance
.
D Potassium level
.
A Colitis
.
B Arthropathy
.
C Hepatitis
.
D Hypotension
.
A increased intracranial pressure or changes in cognition.
.
B neutropenia or autoimmune effects.
.
C ototoxicity or nephrotoxicity.
.
D anemia or impaired erythropoiesis.
.
A Serum alanine transaminase, aspartate transaminase, and
. bilirubin
B Fasting blood sugar and 2-hour postprandial blood sugar
.
C Red blood count, white blood count, and differential
.
D Thyroid-stimulating hormone, thyroxine, and triiodothyronine levels
.
A It is safe for the patient to use topical ciprofloxacin but the oral route is potential
. teratogenic.
B The patient will require a lower dose and longer course of ciprofloxacin than a
. nonpregnant, adult patient.
C The use of ciprofloxacin is contraindicated in pregnancy.
.
D Ciprofloxacin is safe to use in pregnancy and the patient may use to same dose
. and route as a nonpregnant patient.
A twice a day.
.
B as needed.
.
C three times a day.
.
D once a day.
.
A the drug usually causes cardiac arrhythmias.
.
B body fluids such as urine, saliva, tears, and sputum may become discolored.
.
C facial flushing may appear but will go away once therapy is concluded.
.
D the drug frequently causes seizure activity.
.
A inhibiting tumor growth by enhancing inflammation.
.
B causing mutations in the DNA of cancerous cells.
.
C increasing the production of B cells and T cells.
.
D potentiating the effects of phagocytes and macrophages.
.
A immediately after she eats.
.
B on an empty stomach.
.
C with food.
.
D with or without food.
.
A Promote adequate intake of fluids and nutrients
.
B Taper down the drug dosage gradually
.
C Provide maximum physical comfort to the patient
.
D Monitor serum drug level
.
A Palpitations
.
B Abdominal pain
.
C Muscle pain or tingling
.
D Nausea and vomiting
.
A Reduce the drug dosage
.
B Use strict aseptic technique for drug administration.
.
C Keep the bed in a low position and the side rails up at all times.
.
D Encourage the patient to increase fluid intake.
.
A The need to use prescription skin cleansers during treatment and for 6 weeks
. after
B The need to supplement the anthelminthic drug with prophylactic antibiotics
.
C The need for the boy to provide serial stool samples for 6 months following
. treatment
D The importance of vigilant hygiene for the boy and the other members of the
. family
A The use of broad-spectrum antibiotics can create a risk for a superinfection.
.
B Broad-spectrum antibiotics confound the results of subsequent culture and
. sensitivity testing.
C The efficacy of most narrow-spectrum antibiotics has not been proven.
.
D Narrow-spectrum antibiotics normally require a shorter duration of treatment.
.
A diabetes mellitus.
.
B cardiac arrhythmias.
.
C osteoporosis or low bone density.
.
D chronic obstructive pulmonary disease (COPD).
.
A C-reactive protein
.
B Electrolytes, blood urea nitrogen, and creatinine
.
C Hemoglobin, hematocrit, and red blood cells
.
D PT, PTT, and platelets
.
A with high-fat meals.
.
B with high-protein meals.
.
C on an empty stomach.
.
D with orange juice.
.
1 points
QUESTION 25
1. A nurse is explaining the use of acyclovir therapy to a 72-year-old man. Nephrotoxicity is discussed as a major adverse effect in older patients. To minimize the risk of the patient developing this adverse effect, the nurse will advise him to
A decrease the drug dosage if initial symptoms of nephrotoxicity appear.
.
B eat light meals every day.
.
C take the tablets on an empty stomach.
.
D stay well hydrated by drinking at least eight 8-oz glasses of water daily.
.
1 points
QUESTION 26
1. Mr. Laird is a 49-year-old electrician who experienced severe burns on his trunk, arms, and hands in a workplace accident 2 weeks ago. Part of his current wound care regimen involves the daily application of silver sulfadiazine to his wounds. The nurses who are providing care for Mr. Laird in the burns and plastics unit of the hospital should perform what action when administering this medication?
A Cleanse the wound of debris prior to applying the silver sulfadiazine
.
B Perform thorough wound care immediately after the application of silver
. sulfadiazine
C Apply a thin layer of the drug to Mr. Laird's wound beds using clean technique.
.
D Apply a layer of silver sulfadiazine that is sufficiently thick to make the wound
. bed invisible.
A continue therapy until 2 days after symptoms have resolved.
.
B monitor the patient for bleeding gums.
.
C monitor the site of injection.
.
D administer the medication with small amounts of food and fluids.
.
A increase her daily intake of milk.
.
B stop using creams, ointments, and oils on the child's skin and scalp.
.
C wash her hair daily with a good shampoo.
.
D maximize the child's fluid intake.
.
A prepare the applicator for drug administration.
.
B put gloves on to protect herself.
.
C clean the area to be treated and then pat it dry.
.
D assess the area and make sure that there are no open lesions or abrasions.
.
A Cognitive changes
.
B Tendon ruptures
.
C Nephrotoxicity and neurotoxicity
.
D Lid margin crusting and pruritus
.
A Vancomycin
.
B Penicillin G
.
C Doripenem (Doribax)
.
D Cefazolin
.
A the permeability of fungal cell walls.
.
B protein synthesis of fungal cells.
.
C the production and maturation of CD4+ T-cells.
.
D the osmolarity of fungal intracellular fluid.
.
A Penicillin interferes with synthesis of the bacteria cell wall.
.
B Selective toxicity determines the appropriate drug dosage needed.
.
C Fluoroquinolones interfere with the growth and development of the bacteria cell
. wall.
D The first drugs used to treat infections date back to the 17th century.
.
A Cheese, dairy products, and bananas
.
B Chicken and fish
.
C Potatoes and root vegetables
.
D Citrus fruits
.
A INH before meals and antacids 1 or 2 hours after meals.
.
B antacids not less than 1 hour before or 2 hours after taking INH.
.
C antacids before meals and INH 1 or 2 hours after meals.
.
D antacids during the day and INH only at night.
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