NR 293 Pharm Exam 1 Chamberlain
Chp 1,2,4,5,6,7,38,39,40,42,45,46,47,48
(Misc.) Metronidazole (Flagyl) adverse effects - ------------ANS: fatal
hepatotoxicity
(Misc.) Metronidazole (Flagyl) contraindications - ------------ANS: renal
impairment
(Misc.) Metronidazole (Flagyl) indications - ------------ANS: intra-abdominal
and gynecological infections
(Misc.) Metronidazole (Flagyl) MOA - ------------ANS: bactericidal
(Misc.) Metronidazole (Flagyl) nursing implications - ------------ANS: interacts
with several other medications
(Misc.) Vancomycin (Vancocin) adverse effects - ------------ANS: ototoxicity
and nephrotoxicity; red man syndrome
(Misc.) Vancomycin (Vancocin) contraindications - ------------ANS: renal or
hearing impairment
(Misc.) Vancomycin (Vancocin) indications - ------------ANS: meningitis, MRSA
(Misc.) Vancomycin (Vancocin) MOA - ------------ANS: bactericidal
(Misc.) Vancomycin (Vancocin) nursing implications - ------------ANS: MUTS
BE RUN ALONE.
slow the infusion to avoid RMS
monitor IV site and for signs of anaphylaxis
9 rights of medicine administration - ------------ANS: right patient, right dose,
right medication, right time, right documentation, right route, right reason, right
response
A drug is highly protein bound, what does this mean? - ------------ANS: it will
have a longer duration of action
,A male patient who received a kidney transplant 6 months ago is taking
cyclosporine. The patient tells the nurse that he has started to take several
herbal preparations. Which does not pose a possible problem for the patient?
A.St. John's wort
B.Ginkgo
C.Cat's claw
D.Echinacea - ------------ANS: b. ginkgo
a nurse is reviewing the drugs ordered for a patient. A drug interaction occurs
with penicillin and this drug. Which could they be?
a. alcohol
b. oral contraceptives
c. digoxin
d. NSAIDs
e. Warfarin
f. anticonvulsants - ------------ANS: b,d,e
A patient has developed an aspergillosis infection. Which tissue does the
aspergillosis affect?
A.Skin
B.Nails
C.Blood
D. Lungs - ------------ANS: D. lungs
A patient is diagnosed with onychomycosis. The nurse anticipates use of
which medication for the treatment of this condition?
A. terbinafine (Laminal)
B. voriconazole (Vfend)
C.fluconazole (Diflucan)
D.amphotericin B (Amphocin, Fungizone) - ------------ANS: A.
a patient is preparing for colon surgery and will be receiving neomycin tablets
during the day before surgery. he asks the nurse why he needs to take the
medicine before he even has surgery. what is the best response?
a. this medicine helps clear out your bowels before surgery
b. it helps to reduce the number of bacteria in your intestines
, c. it is given to sterilize the bowels
d. it is given to prevent an infection after surgery - ------------ANS: b. Neomycin
can act as an enema for patients receiving colon surgery
A patient is receiving amphotericin B lipid complex. The nurse knows that an
advantage of the lipid formulations of this drug is that they:
A.have a lower cost.
B.can be administered quickly.
C.take longer to be absorbed.
cause fewer adverse effects. - ------------ANS: D.
A patient is taking nystatin (Mycostatin) in an oral troche form for oral
candidiasis. Which instruction is correct?
A.Allow the troche to dissolve slowly in the mouth.
B.Swish the medication in the mouth and then swallow it.
C.Chew the troche thoroughly to activate the medication.
D.Swallow the troche whole without chewing. - ------------ANS: A.
A patient who had a kidney transplant is receiving cyclosporine orally in
maintenance doses. What action would decrease the potency of this drug?
A.Taking it with orange juice
B.Taking it with milk
C.Using a Styrofoam container to administer the drug
D.Mixing it with chocolate milk - ------------ANS: c. styrofoam
A patient with active HIV has been taking zidovudine (Retrovir). Which
potential adverse effect may limit the length of time this medication can be
taken?
A.Lactic acidosis
B.Bone marrow suppression
C.Hepatomegaly
Fatigue - ------------ANS: b. bone marrow suppression
A patient with HIV infection is seen in the clinic. The nurse notes the patient is
experiencing weight loss, chronic diarrhea, fever, and dropping CD4 counts.
The nurse anticipates the patient is in which stage of HIV infection?
a. stage I
Chp 1,2,4,5,6,7,38,39,40,42,45,46,47,48
(Misc.) Metronidazole (Flagyl) adverse effects - ------------ANS: fatal
hepatotoxicity
(Misc.) Metronidazole (Flagyl) contraindications - ------------ANS: renal
impairment
(Misc.) Metronidazole (Flagyl) indications - ------------ANS: intra-abdominal
and gynecological infections
(Misc.) Metronidazole (Flagyl) MOA - ------------ANS: bactericidal
(Misc.) Metronidazole (Flagyl) nursing implications - ------------ANS: interacts
with several other medications
(Misc.) Vancomycin (Vancocin) adverse effects - ------------ANS: ototoxicity
and nephrotoxicity; red man syndrome
(Misc.) Vancomycin (Vancocin) contraindications - ------------ANS: renal or
hearing impairment
(Misc.) Vancomycin (Vancocin) indications - ------------ANS: meningitis, MRSA
(Misc.) Vancomycin (Vancocin) MOA - ------------ANS: bactericidal
(Misc.) Vancomycin (Vancocin) nursing implications - ------------ANS: MUTS
BE RUN ALONE.
slow the infusion to avoid RMS
monitor IV site and for signs of anaphylaxis
9 rights of medicine administration - ------------ANS: right patient, right dose,
right medication, right time, right documentation, right route, right reason, right
response
A drug is highly protein bound, what does this mean? - ------------ANS: it will
have a longer duration of action
,A male patient who received a kidney transplant 6 months ago is taking
cyclosporine. The patient tells the nurse that he has started to take several
herbal preparations. Which does not pose a possible problem for the patient?
A.St. John's wort
B.Ginkgo
C.Cat's claw
D.Echinacea - ------------ANS: b. ginkgo
a nurse is reviewing the drugs ordered for a patient. A drug interaction occurs
with penicillin and this drug. Which could they be?
a. alcohol
b. oral contraceptives
c. digoxin
d. NSAIDs
e. Warfarin
f. anticonvulsants - ------------ANS: b,d,e
A patient has developed an aspergillosis infection. Which tissue does the
aspergillosis affect?
A.Skin
B.Nails
C.Blood
D. Lungs - ------------ANS: D. lungs
A patient is diagnosed with onychomycosis. The nurse anticipates use of
which medication for the treatment of this condition?
A. terbinafine (Laminal)
B. voriconazole (Vfend)
C.fluconazole (Diflucan)
D.amphotericin B (Amphocin, Fungizone) - ------------ANS: A.
a patient is preparing for colon surgery and will be receiving neomycin tablets
during the day before surgery. he asks the nurse why he needs to take the
medicine before he even has surgery. what is the best response?
a. this medicine helps clear out your bowels before surgery
b. it helps to reduce the number of bacteria in your intestines
, c. it is given to sterilize the bowels
d. it is given to prevent an infection after surgery - ------------ANS: b. Neomycin
can act as an enema for patients receiving colon surgery
A patient is receiving amphotericin B lipid complex. The nurse knows that an
advantage of the lipid formulations of this drug is that they:
A.have a lower cost.
B.can be administered quickly.
C.take longer to be absorbed.
cause fewer adverse effects. - ------------ANS: D.
A patient is taking nystatin (Mycostatin) in an oral troche form for oral
candidiasis. Which instruction is correct?
A.Allow the troche to dissolve slowly in the mouth.
B.Swish the medication in the mouth and then swallow it.
C.Chew the troche thoroughly to activate the medication.
D.Swallow the troche whole without chewing. - ------------ANS: A.
A patient who had a kidney transplant is receiving cyclosporine orally in
maintenance doses. What action would decrease the potency of this drug?
A.Taking it with orange juice
B.Taking it with milk
C.Using a Styrofoam container to administer the drug
D.Mixing it with chocolate milk - ------------ANS: c. styrofoam
A patient with active HIV has been taking zidovudine (Retrovir). Which
potential adverse effect may limit the length of time this medication can be
taken?
A.Lactic acidosis
B.Bone marrow suppression
C.Hepatomegaly
Fatigue - ------------ANS: b. bone marrow suppression
A patient with HIV infection is seen in the clinic. The nurse notes the patient is
experiencing weight loss, chronic diarrhea, fever, and dropping CD4 counts.
The nurse anticipates the patient is in which stage of HIV infection?
a. stage I
