DEFINED PHARMACOLOGY TEST BANK QUESTIONS AND ANSWERS

DEFINED PHARMACOLOGY TEST BANK QUESTIONS AND ANSWERS A nurse is ordered to draw blood levels for a person receiving an antibiotic. The nurse is aware that peaks and troughs of serum antibiotic levels are monitored for drugs with a: - CORRECT ANSWER narrow therapeutic index. A client's medication warrants peak and trough levels to be drawn. The nurse is aware that if the peak level of the drug is too high, what could occur? - CORRECT ANSWER -Drug toxicity Drug concentration is important for the eradication of bacterial infection. It is desired to keep the drug dose: - CORRECT ANSWER -Above minimum effective concentration With continuous use of antibiotics, antibiotic resistance result because: - CORRECT ANSWER -mutant bacteria are surviving antibiotic use client with otitis media is ordered to receive amoxicillin (Amoxil). The client discloses to the nurse that she is allergic to penicillin. What is the highest priority action on the part of the nurse? - CORRECT ANSWER -Notify healthcare A client has relayed instructions from a physician regarding an allergy to a type of antibiotic therapy. The nurse would question which instruction - CORRECT ANSWER -Restrict fluids when taking the antibiotic When antibacterials are prescribed for the treatment of an infection and a culture is ordered, what should happen next? - CORRECT ANSWER -culture should be taken before the initial dose of the antibiotic A client at an outpatient clinic is ordered to receive ampicillin (Omnipen) for an infection. Which nursing intervention related to penicillins would the nurse question? - CORRECT ANSWER -Instruct client to discontinue penicillin when temperature is normal. Most beta-lactam antibiotics are excreted through the kidneys. The nurse should assess the client's renal function by monitoring which levels? - CORRECT ANSWER -Blood urea nitrogen and serum creatinine A client is ordered to receive a cephalosporin to treat a bacterial infection. Regarding monitoring of the client, the highest priority action on the part of the nurse includes assessing the client for which side effects? - CORRECT ANSWER -Nausea, vomiting and diarrhea A client has been receiving a cephalosporin for 20 days to treat a severe bacterial infection. The client complains of mouth pain, and the nurse assesses white patches in the client's mouth. What is the highest priority action on the part of the nurse? - CORRECT ANSWER -Notify the physician and describe symptoms A client who reports an allergy to penicillin is ordered to receive cephalexin (Keflex). The correct action for the nurse is to: - CORRECT ANSWER -administer the medication and carefully observe for allergic reaction. The client has been ordered treatment with Cefaclor as well as erythromycin. The nurse anticipates what effect from the interaction of the medications? - CORRECT ANSWER -Decreased action of Cefaclor The client has been ordered Cefazolin. The nurse anticipates an increase in the client's _____ from this medication? - CORRECT ANSWER -BUN and serum creatinine The client has been ordered to be treated with amoxicillin. The highest priority instruction that the nurse should give the client related to diet while on the medication is to avoid: - CORRECT ANSWER Acidic fruits and juices