PHARM 101Pharm Final All Chapters 100% Rating

A patient who has started drug therapy for tuberculosis wants to know how long he will be on the medications. Which response by the nurse is correct? "You should expect to take these drugs for as long a 24 months." How long will a patient be on antibiotics treatment for? 6 to 12 months Patient who is taking Rifampin, teaching Increase fluid intake to flush out red orange color urine A patient newly diagnosed with tuberculosis (TB) has been taking antitubercular drugs for 1 week and calls the clinic and is very upset. He says, "My urine is dark orange! What's wrong with me?" Which response by the nurse is correct? "This is an expected side effect of the medicine. Let's review what to expect." The nurse is counseling a women who will be starting rifampin (Rifadin) as part of anti tubercular therapy. The patient is currently taking oral contraceptives. Which statement is true regarding rifampin therapy for this patient? Oral contraceptives are less effective while the patient is taking rifampin What is the adverse effects of the isoniazid? Hepatotoxic, icterus ( yellow sclera) Taking care of a patient on IV vancomycin, what to report to the doctor right? Difficulty of breathing, assess for the lung When reviewing the allergy history of a patient, the nurse notes that the patient is allergic to penicillin. Based on this finding, the nurse would question an order for which class of antibiotics? Cephalosporins What information or teaching that you would provide to a person with erythromycin? Part of the adverse effect of this medication is ototoxicity (ringing in the ear) For a client receiving an intravenous (IV) infusion of gentamicin (Garamycin), the nurse would monitor which laboratory values? Blood urea nitrogen (BUN) and creatinine The nurse should assess a client for nephrotoxicity and ototoxicity when administering which antimicrobial? Gentamicin (Garamycin), monitor for serum level = peak and tough Always monitor the level of the medication The nurse is planning care for a client prescribed once-daily IV gentamicin (Garamycin) therapy. When should the nurse schedule a trough drug level to be drawn? 12 hours after completing the antibiotic infusion Trough serum drug levels should be drawn at least 8 to 12 hours after the medication is infused. The primary health care provider instructs a nurse to administer intravenous vancomycin. During infusion, the patient has excessive sweating, flushes on the neck and head, and reports itching on the head, face, and upper trunk. What is the best nursing intervention in this situation? Decrease the rate of infusion of vancomycin. Which adverse effect can result if tetracycline is administered to children younger than 8 years of age? Permanent discoloration of the teeth Teaching for tetracycline Discoloration of the teeth Make sure to tell the doctor if pregnant The nurse is providing teaching to a patient taking an oral tetracycline antibiotic. Which statement by the nurse is correct? "Avoid direct sunlight and tanning beds while on this medication." A patient is taking a combination of antiviral drugs as treatment for early stages of HIV infection. While discussing the drug therapy, the patient asks the nurse if the drugs will kill the virus. When answering, the nurse keeps in mind which fact about antiviral drugs? They may also kill healthy cells while killing viruses A patient who has been hospitalized for 2 weeks has developed a pressure ulcer that contains multidrug-resistant Staphylococcus aureus (MRSA). Which drug would the nurse expect to be chosen for therapy?vancomycin (Vancocin) A patient is admitted with a fever of 102.8 F (39.3 C), origin unknown. Assessment reveals cloudy, foul-smelling urine that is dark amber in color. Orders have just been written to obtain stat urine and blood cultures and to administer an antibiotic intravenously. The nurse will complete these orders in which sequence? Blood and urine cultures, antibiotic dose Patient with gentamicin toxicity Dizziness Ringing in the ear (ototoxicity) What are the true regarding to Ceftriaxone (rocephin) SATA It is widely used right now Must be caution when patient is allergic penicillin Effective for broad-spectrum bacteria Not short acting and not in class of Sulfonamides What would be the adverse effect of zidovudine (SATA) Headache Nausea Bone marrow suppression The nurse is monitoring a patient who has been on antibiotic therapy for 2 weeks. Today the patient tells the nurse that he has had watery diarrhea since the day before and is having abdominal cramps. His oral temperature is 101 F (38.3 C). Based on these findings, which conclusion will the nurse draw? The patient needs to be tested for Clostridium difficile infection. Patient is on antitubercular medication, what lab test is required? Liver function test An infant has been hospitalized with a severe lung infection caused by the respiratory syncytial virus (RSV) and will be receiving medication via the inhalation route. The nurse expects which drug to be used? ribavirin (Virazole) A nurse teaching a client receiving allopurinol (Zyloprim) should include which information? "Increase your fluid intake to 3 L per day." What to teach the patient with antacid drugs Make sure to drink glass of water Patient was on pain medication and with a new prescription of cholase for constipation, what would the nurse teach the patient? “It will take 3 days for this medication to work.” A patient is taking NSAID, what are the contraindications? Peptic ulcers Anticoagulants Deficient in vitamin k Patient is giving NSAID and cytotec ( misoprostol). The patient asks: “why am I taking two of these medications for arthritis instead of one.” What would be the nurse's response? Because it prevents gastric ulcer that may happen with patient taking NSAID as well. Patient is having arthritis Aspirin What would be the assessment priority for patient is on bisacodyl? How long have you been taking this medication The nurse is counseling a patient about calcium supplements. Which dietary information is appropriate during this teaching session? Be sure to eat foods high in calcium, such as dairy products and salmon. The nurse administers calcium slowly in order to avoid which adverse effect? Cardiac arrest When giving antihypertensive drugs, the nurse will consider giving the first dose at bedtime for which class of drugs? Alpha blockers such as doxazosin (Cardura) A patient has a new order for the adrenergic drug doxazosin (Cardura). When providing education about this drug, the nurse will include which instructions? "Be sure to lie down after taking the first dose, because first-dose hypotension may make you dizzy." While assessing pt who is taking beta blocker for angina, the nurse knows to monitor for which adverse effect Bradycardia The nurse is caring for a patient who is hypertensive and has liver dysfunction. The nurse would anticipate that the patient will most likely be placed on which antihypertensive drug? Captopril (not prodrug) Prodrug are losatan, ramipril, enalapril Pt with server liver disease is receiving the ACE, captopil, the nurse is aware that adverse of this drug for this pt is which characteristic? Captopril is not a prodrug and doesn’t need to be metabolized by the liver before becoming active. A patient is to be discharged with a transdermal nitroglycerin patch. Which instruction would the "Apply the patch to a nonhairy area of the upper torso or arm." Remove the old ointment before new ointment is applied. The nurse is teaching a patient about the reason for the administration of calcium channel blockers. Which statement should be included in the teaching plan? "This medication will vasodilate your blood vessels to lower your blood pressure." A patient taking adrenergic drugs for hypertension is being given discharge teaching about the therapy. Which information should be included in this teaching plan?