WGU D116 Unit 8 Questions And
Answers
A mnursing mstudent masks mfor mclarification mon mthe mdifferences mbetween mthe mmechanisms mof
mspontaneous mmutation mand mconjugation min macquired mresistance mof mmicrobes.
Which mstatement mis mcorrect? m- mAnswer m- mSpontaneous mmutation mleads mto mresistance mto
monly mone mantimicrobial magent
A mpatient mreceiving ma mcephalosporin mdevelops ma msecondary mintestinal minfection mcaused mby
mClostridium mdifficile.
What mis man mappropriate mtreatment mfor mthis mpatient? m- mAnswer m- mDiscontinuing mthe
mcephalosporin mand mbeginning mflagyl
A mpatient mis mdiagnosed mwith ma mlung minfection mcaused mby mPseudomonas maeruginosa. mThe
mculture mand msensitivity mreport mshows msensitivity mto mall maminoglycosides. mThe mprovider
mknows mthat mthe mrate mof mresistance mto mgentamicin mis mcommon min mthis mhospital.
Which mmedication mshould mthe mprovider mbe mexpected mto morder? m- mAnswer m- mAmikacin
When mresistance mto mgentamicin mand mtobramycin mis mcommon, mamikacin mis mthe mdrug mof
mchoice mfor mthe minitial mtreatment mof maminoglycoside-sensitive minfections
A mchild mwith motitis mmedia mhas mhad mthree mear minfections min mthe mpast myear. mThe mchild mhas
mjust mcompleted ma mten-day mcourse mof mamoxicillin mwith mno mimprovement. mThe mparent masks
mthe mprovider mwhy mthis mdrug mis mnot mworking mbecause mit mhas mworked min mthe mpast.
What mshould mthe mprovider mtell mthe mpatient? m- mAnswer m- m"The mbacteria mhave msynthesized
mpenicillinase"
Beta-lactamases mare menzymes mthat mcleave mthe mbeta-lactam mring mand mrender mthe mPCN
minactive m(amoxicillin)
, Pt mwill mneed mto mstart maugmentin
A mpatient mwho mis mtaking macetaminophen mfor mpain mwants mto mknow mwhy mit mdoes mnot mcause
mgastrointestinal mupset mas mother mover-the-counter mpain mmedications mdo.
Which mproperty mof macetaminophen mis mthe mmost mlikely mexplanation mfor mthis? m- mAnswer m- mIt
mhas mminimal meffects mat mperipheral msites m
Tylenol mcentral meffects m
NSAIDs mperipheral meffects
A mpatient mwho mhas marthritis mhas mbeen mtaking mibuprofen mand ma mglucocorticoid mmedication.
mThe mpatient mreports mhaving mtarry mstools mbut mdenies mgastric mpain.
Which maction mby mthe mprovider mis mcorrect? m- mAnswer m- mPrescribing man mantiulcer mmedication
Glucocorticoid mtherapy, mespecially mwhen mcombined mwith mNSAIDs, mcan mincrease mthe mrisk mof
mgastric mulcer mand mpossibly mbleeding
A mpatient mwill mbegin mtaking mhydroxychloroquine mfor mrheumatoid marthritis. mThe mpatient mis
mcurrently mtaking mhigh-dose mNSAIDs mand mmethotrexate.
What mshould mthe mpatient mbe mtaught mabout mhydroxychloroquine? m- mAnswer m- mAn meye mexam
mis mnecessary mat mthe mbeginning mof mtherapy mwith mthis mdrug
Can mcause mretinal mdamage m- meye mexam mat mthe monset mof mtreatment mas mwell mas mevery m6
mmonths mduring mtreatment
A mpatient mwith mgout mwho mhas mincreasingly mfrequent macute mgouty mattacks mwill mbegin
mreceiving mallopurinol mand mcolchicine.
Which mstatement mshould mbe mincluded mwhen mteaching mthe mpatient mabout mthis mdrug
mregimen? m- mAnswer m- m"You mwill mtake mboth mdrugs minitially mand mthen mstop mtaking
mcolchicine"
Answers
A mnursing mstudent masks mfor mclarification mon mthe mdifferences mbetween mthe mmechanisms mof
mspontaneous mmutation mand mconjugation min macquired mresistance mof mmicrobes.
Which mstatement mis mcorrect? m- mAnswer m- mSpontaneous mmutation mleads mto mresistance mto
monly mone mantimicrobial magent
A mpatient mreceiving ma mcephalosporin mdevelops ma msecondary mintestinal minfection mcaused mby
mClostridium mdifficile.
What mis man mappropriate mtreatment mfor mthis mpatient? m- mAnswer m- mDiscontinuing mthe
mcephalosporin mand mbeginning mflagyl
A mpatient mis mdiagnosed mwith ma mlung minfection mcaused mby mPseudomonas maeruginosa. mThe
mculture mand msensitivity mreport mshows msensitivity mto mall maminoglycosides. mThe mprovider
mknows mthat mthe mrate mof mresistance mto mgentamicin mis mcommon min mthis mhospital.
Which mmedication mshould mthe mprovider mbe mexpected mto morder? m- mAnswer m- mAmikacin
When mresistance mto mgentamicin mand mtobramycin mis mcommon, mamikacin mis mthe mdrug mof
mchoice mfor mthe minitial mtreatment mof maminoglycoside-sensitive minfections
A mchild mwith motitis mmedia mhas mhad mthree mear minfections min mthe mpast myear. mThe mchild mhas
mjust mcompleted ma mten-day mcourse mof mamoxicillin mwith mno mimprovement. mThe mparent masks
mthe mprovider mwhy mthis mdrug mis mnot mworking mbecause mit mhas mworked min mthe mpast.
What mshould mthe mprovider mtell mthe mpatient? m- mAnswer m- m"The mbacteria mhave msynthesized
mpenicillinase"
Beta-lactamases mare menzymes mthat mcleave mthe mbeta-lactam mring mand mrender mthe mPCN
minactive m(amoxicillin)
, Pt mwill mneed mto mstart maugmentin
A mpatient mwho mis mtaking macetaminophen mfor mpain mwants mto mknow mwhy mit mdoes mnot mcause
mgastrointestinal mupset mas mother mover-the-counter mpain mmedications mdo.
Which mproperty mof macetaminophen mis mthe mmost mlikely mexplanation mfor mthis? m- mAnswer m- mIt
mhas mminimal meffects mat mperipheral msites m
Tylenol mcentral meffects m
NSAIDs mperipheral meffects
A mpatient mwho mhas marthritis mhas mbeen mtaking mibuprofen mand ma mglucocorticoid mmedication.
mThe mpatient mreports mhaving mtarry mstools mbut mdenies mgastric mpain.
Which maction mby mthe mprovider mis mcorrect? m- mAnswer m- mPrescribing man mantiulcer mmedication
Glucocorticoid mtherapy, mespecially mwhen mcombined mwith mNSAIDs, mcan mincrease mthe mrisk mof
mgastric mulcer mand mpossibly mbleeding
A mpatient mwill mbegin mtaking mhydroxychloroquine mfor mrheumatoid marthritis. mThe mpatient mis
mcurrently mtaking mhigh-dose mNSAIDs mand mmethotrexate.
What mshould mthe mpatient mbe mtaught mabout mhydroxychloroquine? m- mAnswer m- mAn meye mexam
mis mnecessary mat mthe mbeginning mof mtherapy mwith mthis mdrug
Can mcause mretinal mdamage m- meye mexam mat mthe monset mof mtreatment mas mwell mas mevery m6
mmonths mduring mtreatment
A mpatient mwith mgout mwho mhas mincreasingly mfrequent macute mgouty mattacks mwill mbegin
mreceiving mallopurinol mand mcolchicine.
Which mstatement mshould mbe mincluded mwhen mteaching mthe mpatient mabout mthis mdrug
mregimen? m- mAnswer m- m"You mwill mtake mboth mdrugs minitially mand mthen mstop mtaking
mcolchicine"
