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1. During patient education regarding an oral macrolide, such as erythromycin,
the nurse will include which information? (Select all that apply.)
a. Use another form of birth control if the patient is taking oral contraceptives.
b. If gastrointestinal upset occurs, the drug will have to be stopped.
c. The drug needs to be taken with an antacid to avoid gastrointestinal problems.
d. The patient needs to take each dose with a sip of water.
e. The patient may take the drug with a small snack to reduce gastrointestinal
irritation. - ANSWER a. Use another form of birth control if the patient is
taking oral contraceptives.
e. The patient may take the drug with a small snack to reduce gastrointestinal
irritation.
2. A woman who has been taking an antibiotic for a urinary tract infection (UTI)
calls the nurse practitioner to complain of severe vaginal itching. She has also
noticed a thick, whitish vaginal discharge. The nurse practitioner suspects which
of these?
a. This is an expected response to antibiotic therapy.
b. The UTI has become worse instead of better.
c. A superinfection has developed.
,d. The UTI is resistant to the antibiotic. - ANSWER c. A superinfection has
developed.
3. The nurse is reviewing the orders for wound care, which include use of an
antiseptic. Which statements best describe the use of antiseptics? (Select all that
apply.)
a. Antiseptics are appropriate for use on living tissue.
b. Antiseptics work by sterilizing the surface of the wound.
c. Antiseptics are applied to nonliving objects to kill microorganisms.
d. The patient's allergies must be assessed before using the antiseptic.
e. Antiseptics are used to inhibit the growth of microorganisms on the wound
surface. - ANSWER a. Antiseptics are appropriate for use on living tissue.
d. The patient's allergies must be assessed before using the antiseptic.
e. Antiseptics are used to inhibit the growth of microorganisms on the wound
surface.
4. The order for a patient reads: "Give ampicillin via PEG tube, 500 mg every 6
hours." The oral suspension has 250 mg/5 mL. How many milliliters will the nurse
give for each dose? - ANSWER 10 mL per dose
5. The nurse is reviewing the orders for a patient who has been admitted for
treatment of pneumonia. The antibiotic orders include an order for doxycycline.
However, when the patient is asked about his allergies, he lists "doxycycline" as
one of his allergies. What is the nurse's first action at this time?
a. Call the prescriber to clarify the order because of the patient's allergy.
b. Ask the patient to explain what happened when he had the allergic reaction.
c. Ask the pharmacy to order a different antibiotic.
,d. Administer the drug with an antihistamine to reduce adverse effects. - ANSWER
b. Ask the patient to explain what happened when he had the allergic
reaction.
6. While assessing a woman who is receiving quinolone therapy for pneumonia,
the nurse notices that the patient has a history of heart problems. The nurse will
monitor for which potential cardiac effect of quinolone therapy?
a. Bradycardia
b. Dysrhythmias
c. Tachycardia
d. Prolonged QT interval - ANSWER d. Prolonged QT interval
7. A patient is receiving intravenous linezolid as part of treatment for an infected
leg ulcer. The nurse will watch for which possible drug interactions with linezolid?
(Select all that apply.)
a. Oral anticoagulant
b. Selective serotonin reuptake inhibitor antidepressant
c. Thyroid replacement hormone
d. Vasopressor
e. Beta blocker - ANSWER b. Selective serotonin reuptake inhibitor
antidepressant
d. Vasopressor
8. When administering vancomycin, the nurse knows that which of these is most
important to assess before giving the medication?
a. Renal function
b. WBC count
, c. Liver function
d. Platelet count - ANSWER a. Renal function
9. During therapy with an intravenous aminoglycoside, the patient calls the nurse
and says, "I'm hearing some odd sounds, like ringing, in my ears." What is the
nurse's priority action at this time?
a. Reassure the patient that these are expected adverse effects.
b. Reduce the rate of the intravenous infusion.
c. Increase the rate of the intravenous infusion.
d. Stop the infusion immediately. - ANSWER d. Stop the infusion immediately.
10. When giving intravenous quinolones, the nurse needs to keep in mind that
these drugs may have serious interactions with which drugs?
a. Selective serotonin reuptake inhibitor antidepressants
b. Nonsteroidal antiinflammatory drugs
c. Oral anticoagulants
d. Antihypertensives - ANSWER c. Oral anticoagulants
11. The nurse is administering an intravenous aminoglycoside to a patient who
has had gastrointestinal surgery. Which nursing measures are appropriate?
(Select all that apply.)
a. Report a trough drug level of 0.8 mcg/mL, and hold the drug.
b. Enforce strict fluid restriction.
c. Monitor serum creatinine levels.
d. Instruct the patient to report dizziness or a feeling of fullness in the ears.