Pharm Exam 3 Test Bank Exam Practice Questions and Answers

EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED FIRST PUBLISH SEPTEMBER 2024 Page 2/6 A patient has prescriptions for two inhalers. One inhaler is a bronchodilator, and the other is a corticosteroid. Which instruction regarding these inhalers will the nurse give to the patient? - Answer-Take the bronchodilator first. When evaluating a patient;s use of a metered-dose inhaler, the nurse notes that the patient is unable to coordinate the activation of the inhaler with her breathing. What intervention is most appropriate at this time? - Answer-Obtain an order for a spacer device. The nurse is reviewing medications for the treatment of asthma. Which drugs are used for acute asthma attacks? - Answer-Albuterol nebulizer solution and Epinephrine The nurse is providing instructions to a patient who has a new prescription for a corticosteroid metered- dose inhaler. Which statement by the patient indicates that teaching was effective? - Answer-a. I will rinse my mouth with water after using the inhaler and then spit out the water. c. I will clean the plastic inhaler casing weekly by removing the canister and then washing the casing in warm, soapy water. I will then let it dry before reassembling. e. I will continue to use the inhaler even if I am feeling better. 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? - Answer- Cephalosporins The nurse is providing teaching to a patient taking an oral tetracycline antibiotic. Which statement by the nurse is correct? - Answer-Avoid direct sunlight and tanning beds while on this medication. EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED FIRST PUBLISH SEPTEMBER 2024 Page 3/6 When reviewing medication orders for a patient who is taking penicillin. the nurse notes he patient is also taking warfarin (coumadin). What possible effect may occur as the result of an interaction between these drugs? - Answer-The penicillin will cause an enhanced anticoagulant effect of the warfarin. A patient is receiving his third intravenous dose of a penicillin drug. He calls the nurse to report that he is feeling "anxious" and is having trouble breathing. What does the nurse do first? - Answer-Stop the antibiotic infusion. A patient is admitted with a fever of 102.8 F, origin unknown. Assessment revels cloudy, foul-smelling urine that is dark amber in color. Orders have just been written to obtain state urine and blood cultures and to administer antibiotic intravenously. The nurse will complete these orders in which sequence? - Answer-Blood and urine cultures, antibiotic dose The nurse is monitoring a patient who has been on antiobiotic therapy for 2 weeks. Today the patient tells the nurse that he has had watery diarrhea since the day before and is having addominal cramps. His oral temperature is 101 F. Based on these findings, which conclusion will the nurse draw? - Answer- The patient needs to be tested for C. Diff infection. The nurse is reviewing the sputum culture results of a patient with pneumonia and notes that the patient has a gram-positive infection. What generation of cephalosporin is most appropriate for this type of infection? - Answer-First generation A patient will be having oral surgery and has received an antibiotic to take for 1 week before the surgery. The nurse that this is an example of which type of therapy? - Answer-Prophylactic A patient has a urinary tract infection. The nurse knows that