PHARMACOLOGY TESTBANK TEST 2 WITH COMPLETE SOLUTIONS A nurse is caring for a patient who is on amphotericin B. On morning rounds the patient reports weakness, numbness, and a tingling sensation in his feet. What would be a priority action by the nurse? Ke

PHARMACOLOGY TESTBANK TEST 2 WITH COMPLETE SOLUTIONS A nurse is caring for a patient who is on amphotericin B. On morning rounds the patient reports weakness, numbness, and a tingling sensation in his feet. What would be a priority action by the nurse? Keep the bed in a low position and the side rails up at all times. A nurse is monitoring the fluid input and output of a 26-year-old woman who is on amphotericin B. Which of the following would the nurse report immediately to the physician? Serum creatinine level of 3.5 mg/dL The nurse is assessing a patient who is about to receive antifungal drug therapy. Which condition, if found in the patient, would be of most concern? Liver diseases The nurse is preparing an infusion of amphotericin B for a patient who has a severe fungal infection. Which intervention is appropriate regarding the potential adverse effects of amphotericin B? Before beginning the infusion, administering an antipyretic and an antiemetic drug The nurse is administering one of the lipid formulations of amphotericin B. When giving this drug, which concept is important to remember? The lipid formulations are associated with fewer adverse effects than the older drugs. A patient is infected by invasive aspergillosis, and the medical history reveals that the patient has not been able to tolerate several antifungal drugs. The nurse anticipates an order for which medication to treat this infection? caspofungin (Cancidas) During therapy with amphotericin B, the nurse will monitor the patient for known adverse effects that would be reflected by which laboratory result? Serum potassium level of 2.7 mEq/L A patient has received a prescription for a 2-week course of antifungal suppositories for a vaginal yeast infection. She asks the nurse if there is an alternative to this medication, saying, "I don't want to do this for 2 weeks!" Which is a possibility in this situation? A single dose of a fluconazole (Diflucan) oral tablet Dwayne has classic tinea capitis. Treatment for tinea on the scalp is: Oral griseofulvin for a 6-8 weeks Nicolas is a football player who presents to clinic with athlete's foot. Patients with tinea pedis may be treated with: OTC miconazole cream for 4 weeks Jim presents with fungal infection of two of his toenails (onychomycosis). Treatment for fungal infections of the nail includes: Oral griseofulvin 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: 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? Drug toxicity Drug concentration is important for the eradication of bacterial infection. It is desired to keep the drug dose: Above minimum effective concentration With continuous use of antibiotics, antibiotic resistance result because: 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? 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 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? 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? 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? 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? 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? 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: administer the medication and carefully observe for allergic reaction.