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Exam (elaborations)

NUR 311: Pharmacology Exam 2 Questions With Complete Solutions

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NUR 311: Pharmacology Exam 2 Questions With Complete Solutions

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NUR 311: Pharmacology Exam 2 Questions
With Complete Solutions

A 32-year-old female patient taking NSAIDS for
osteoarthritis asks if she should start misoprostol
(Cytotec) to prevent ulcers. You respond:
1. "Misoprostol is a better choice for preventing
NSAID-caused ulcers than omeprazole (Prilosec)"
2. "Misoprostol may cause abortions in women who
are pregnant" Correct Answers 2. "Misoprostol
may cause abortions in women who are pregnant"

A 47-year-old sheet metal worker had an
anaphylactic reaction to amoxicillin. What other
antibiotics must he avoid?
1. Aminoglycosides
2. Macrolides
3. Cephalosporins
4. Tetracyclins Correct Answers 3. Cephalosporins

A 52-year-old construction worker is hospitalized
for a MRSA infection of the right leg. Vancomycin is
ordered. You suspect the medication will be
administered:
1. Orally
2. Subcutaneously
3. IV push over 30 seconds
4. IV infusion over 60 minutes Correct Answers 4.
IV infusion over 60 minutes

,A 72-year-old female patient with community-
acquired pneumonia is administered Levaquin
(Levofloxacin) and develops watery, malodorous,
greenish diarrhea and abdominal pain. She
probably has developed a suprainfeciton of:
1. C. diff
2. C. albicans
3. S. pneumoniae Correct Answers 1. C. diff

A patient develops a pruritic, maculopapular rash
on his torso 7 days after startin penicillin, ranitidine
(Zantac), pseudoephedrine (Sudafed), and
albuterol (Proventil). You suspect allergy to:
1. Penicillin
2. Zantac
3. Sudafed
4. Proventil Correct Answers 1. Penicillin

A patient has a best PEF of 2000mL and her
current PEF is 1100mL. What PEF zone does she
fall in?
1. Green
2. Yellow
3. Red Correct Answers 2. Yellow

A patient has been on antibiotics for 5 days and
has a sore mouth and white tongue. You suspect:
1. Oral herpes
2. Diphtheria
3. Candidiasis

,4. C. diff infection (CDI) Correct Answers 3.
Candidiasis

A patient has started sucralfate (Carafate). You
advise her:
1. Take meds with meals and antacids
2. Take meds 1 hour before meals and at bedtime
3. Take meds twice daily with antacids Correct
Answers 2. Take meds 1 hour before meals and at
bedtime

A patient has watery, mucoid, foul-smelling
diarrhea and just finished taking antibiotics 4 days
ago. You suspect:
1. C. diff infection
2. Viral gastroenteritis
3. Crohn's
4. Ulcerative colitis Correct Answers 1. C. diff
infection

A patient is diagnosed with gram-negative bacteria
which produce beta-lactamase. Which generation
of cephalosporins would NOT be an effective
treatment?
1. First
2. Second
3. Third
4. Fourth Correct Answers 1. First

, A patient is diagnosed with renal failure. After
reviewing his medication list, you suspect which
drug to have contributed to his renal failure?
1. Garamycin (aminoglycoside)
2. Penicillin
3. Erythromycin
4. Azithromycin (Zithromax) Correct Answers 1.
Garamycin (aminoglycoside)

A patient is scheduled for a CT scan of the chest
with contract dye. Which drug should be held the
day of therapy?
1. Insulin
2. Glyburide (DiaBeta)
3. Metformin (Glucophage)
4. Pioglitazone (Actos) Correct Answers 3.
Metformin (Glucophage)

A patient is undergoing treatment with an
aminoglycoside. Which drug may be co-
administered?
1. Penicillin
2. Skeletal muscle relaxants
3. Ethacrynic acid (Ecedrin)
4. NSAIDS Correct Answers 1. Penicillin

A patient with an H. pylori infection is taking
bismuth (Pepto). You advise her that black stools
indicate:
1. Harmless side-effect of Pepto

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