Test Bank For Pharmacotherapeutics forAdvanced Practice Nurse Prescribers, 5thedition By Woo Robinson 2022/2023

Test Bank For Pharmacotherapeutics forAdvanced Practice Nurse Prescribers, 5thedition By Woo Robinson 2022/2023. Chapter 1. Drugs Used in Treating Bacterial Diseases Multiple Choice Identify the choice that best completes the statement or answers the question Test Bank For Pharmacotherapeutics forAdvanced Practice Nurse Prescribers, 5thedition By Woo Robinson 2022/2023 1. Factors that place a patient at risk of developing an antimicrobial-resistant organism include: 1. Age over 50 years 2. School attendance 3. Travel within the U.S. 4. Inappropriate use of antimicrobials 2. Providers should use an antibiogram when prescribing. An antibiogram is: 1. The other name for the Centers for Disease Control guidelines for prescribing antibiotics 2. An algorithm used for prescribing antibiotics for certain infections 3. The reference also known as the Pink Book, published by the Centers for Disease Control 4. A chart of the local resistance patterns to antibiotics developed by laboratories 3.Infants and young children are at higher risk of developing antibiotic-resistant infections due to: 1. Developmental differences in pharmacokinetics of the antibiotics in children 2. The fact that children this age are more likely to be in daycare and exposed topathogens from other children 3. Parents of young children insisting on preventive antibiotics so they don’t miss workwhen their child is sick 4. Immunosuppression from the multiple vaccines they receive in the first 2 years of life 4. There is often cross-sensitivity and cross-resistance between penicillins and cephalosporins because: 1. Renal excretion is similar in both classes of drugs. 2. When these drug classes are metabolized in the liver they both produce resistantenzymes. 3. Both drug classes contain a beta-lactam ring that is vulnerable to Test Bank For Pharmacotherapeutics forAdvanced Practice Nurse Prescribers, 5thedition By Woo Robinson 2022/2023 beta-lactamase-producing organisms. 4. There is not an issue with cross-resistance between the penicillins and cephalosporins. 5. Jonathan has been diagnosed with strep throat and needs a prescription for an antibiotic. He saysthe last time he had penicillin he developed a red, blotchy rash. An appropriate antibiotic to prescribe would be: 1. Penicillin VK, because his rash does not sound like a serious rash 2. Amoxicillin 3. Cefadroxil (Duricef) 4. Azithromycin 6. Sarah is a 25-year-old female who is 8 weeks pregnant and has a urinary tract infection. Whatwould be the appropriate antibiotic to prescribe for her? 1. Ciprofloxacin (Cipro) 2. Amoxicillin (Trimox) 3. Doxycycline 4. Trimethoprim-sulfamethoxazole (Septra) Test Bank For Pharmacotherapeutics forAdvanced Practice Nurse Prescribers, 5thedition By Woo Robinson 2022/2023 7. Pong-tai is a 12-month-old child who is being treated with amoxicillin for acute otitis media. His parentscall the clinic and say he has developed diarrhea. The appropriate action would be to: 1. Advise the parents that some diarrhea is normal with amoxicillin and recommend probioticsdaily. 2. Change the antibiotic to one that is less of a gastrointestinal irritant. 3. Order stool cultures for suspected viral pathogens not treated by the amoxicillin. 4. Recommend increased fluids and fiber in his diet. 8. Lauren is a 13-year-old child who comes to clinic with a 4-day history of cough, low-grade fever, andrhinorrhea. When she blows her nose or coughs the mucous is greenish-yellow. The appropriate antibiotic to prescribe would be: 1. Amoxicillin 2. Amoxicillin/clavulanate 3. TMP/SMZ (Septra) 4. None 9. Joanna had a small ventricle septal defect (VSD) repaired when she was 3 years old and has no residualcardiac problems. She is now 28 and is requesting prophylactic antibiotics for an upcoming dental visit.The appropriate antibiotic to prescribe according to current American College of Cardiology and American Heart Association guidelines is: 1. None, no antibiotic is required for dental procedures 2. Amoxicillin 2 grams 1 hour before the procedure 3. Ampicillin 2 grams IM or IV 30 minutes before the procedure 4. Azithromycin 1 gram 1 hour before the procedure 10. To prevent further development of antibacterial resistance it is recommended that fluoroquinolones bereserved for treatment of: 1. Urinary tract infections in young women 2. Upper respiratory infections in adults 3. Skin and soft tissue infections in adults 4. Community-acquired pneumonia in patients with comorbidities 11. Fluoroquinolones have a Black Box Warning regarding even months after treatment. 1. Renal dysfunction 2. Hepatic toxicity 3. Tendon rupture 4. Development of glaucoma 12. Janet was recently treated with clindamycin for an infection. She calls the advice nurse because she ishaving frequent diarrhea that she thinks may have blood in it. What would be the appropriate care forher? 1. Encourage increased fluids and fiber. 2. Assess her for pseudomembranous colitis. 3. Advise her to eat yogurt daily to help restore her gut bacteria. 4. Start her on an antidiarrhealmedication. 13. Keng has chronic hepatitis that has led to mildly impaired liver function. He has an infection that wouldbe best treated by a macrolide. Which would be the best choice for a patient with liver dysfunction? 1. Azithromycin (Zithromax) 2. Clarithromycin (Biaxin) 3. Erythromycin (E-mycin) 4. None of the above 14. Jamie has glucose-6-phosphate dehydrogenase deficiency (G6PD) and requires an antibiotic. Which classof antibiotics should be avoided in this patient? 1. Penicillins 2. Macrolides 3. Cephalosporins 4. Sulfonamides 15. If a patient is allergic to sulfonamide antibiotics, he or she will most likely have crosssensitivity to: 1. Loop diuretics 2. Sulfonylureas 3. Thiazide diuretics 4. All of the above 16. Tetracyclines such as minocycline are safe to use in: 1. Pregnant women 2. Adolescents 3. Patients with renal dysfunction 4. Patients with hepatic dysfunction 17. Tetracyclines should not be prescribed to children younger than 8 years due to: 1. Risk of developing cartilage problems 2. Development of significant diarrhea 3. Risk of kernicterus 4. Adverse effects on bone growth 18. Nicole is a 16-year-old female who is taking minocycline for acne. She comes to the clinic complaining ofa headache. What would be the plan of care? 1. Advise acetaminophen or ibuprofen as needed for headaches. 2. Prescribe sumatriptan (Imitrex) to be taken at the onset of the headache. 3. Evaluate her for pseudotremor cerebri. 4. Assess her caffeine intake and sleep patterns. 19. Patricia has been prescribed doxycycline for a chlamydia infection. She is healthy and her only medicationis an oral combined contraceptive. Patricia’s education would include: 1. Use a back-up method of birth control (condom) until her next menses. 2. Doxycycline may cause tendonitis and she should report any joint pain. 3. Her partner will need treatment if her infection doesn’t clear with the doxycycline. 4. Doxycycline is used for one-dose treatment of STIs; take the whole prescription at once. 20. To prevent the development of peripheral neuropathy in patients taking isoniazid for tuberculosis thepatient is also prescribed: 1. Niacin (vitamin B3) 2. Pyridoxine (vitamin B6) 3. Riboflavin (vitamin B2) 4. Thiamine (vitamin B1) 21. Sadie is an 82-year-old patient who has herpes zoster (shingles) and would benefit from an antiviral suchas valacyclovir. Prior to prescribing valacyclovir she will need an assessment of: 1. Complete blood count to rule out anemia 2. Liver function 3. Renal function 4. Immunocompetence 22. When prescribing acyclovir, patients should be educated regarding the: 1. High risk of developing diarrhea 2. Need to drink lots of fluids during treatment 3. Risk for life-threatening rash such as Stevens-Johnson 4. Eccentric dosing schedule 23. Nicholas has been diagnosed with type A influenza. Appropriate prescribing of oseltamivir (Tamiflu)would include: 1. Starting oseltamivir within the first 48 hours of influenza symptoms 2. Advising the patient he can stop the oseltamivir when his symptoms resolve 3. Educating the patient that oseltamivir will cure influenza 4. Prophylactic treatment of all family members 24. Monitoring for patients who are on long-term antifungal therapy with ketoconazole includes: 1. Platelet count 2. BUN and creatinine 3. White blood cell count 4. AST, ALT, alkaline phosphatase, and bilirubin 25. When prescribing metronidazole (Flagyl) to treat bacterial vaginosis, patient education would include: 1. Metronidazole is safe in the first trimester of pregnancy. 2. Consuming alcohol in any form may cause a severe reaction. 3. Sexual partners need concurrent therapy. 4. Headaches are a sign of a serious adverse reaction and need immediate evaluation. 26. Every antibiotic drug class has resistant organisms that influence prescribing decisions. 1. True 2. False Chapter 1. Drugs Used in Treating Bacterial DiseasesAnswer Section MULTIPLE CHOICE 1. ANS: 4 PTS: 1 2. ANS: 2 PTS: 1 3. ANS: 4 PTS: 1 4. ANS: 3 PTS: 1 5. ANS: 4 PTS: 1 6. ANS: 2 PTS: 1 7. ANS: 1 PTS: 1 8. ANS: 4 PTS: 1 9. ANS: 1 PTS: 1 10. ANS: 4 PTS: 1 11. ANS: 3 PTS: 1 12. ANS: 2 PTS: 1 13. ANS: 3 PTS: 1 14. ANS: 4 PTS: 1 15. ANS: 4 PTS: 1 16. ANS: 2 PTS: 1 17. ANS: 4 PTS: 1 18. ANS: 3 PTS: 1 19. ANS: 1 PTS: 1