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1. A nurse is caring for a client who is taking ciprofloxacin Tendon pain
to treat a urinary tract infection. The client also takes
prednisolone to treat rheumatoid arthritis. Recogniz-
ing the adverse effects of ciprofloxacin, the nurse
should instruct the client to report which of the follow-
ing adverse effects?
Tachycardia
hair loss
Insomnia
Tendon pain
2. A nurse is caring for a client who sputum culture re- Vancomycin
sults indicate methicillin-resistant staphylococcus au-
reus (MRSA). The nurse should recognize that which of
the following medications will likely be administered
to this client?
Trimethoprim/sulfamethoxazole
Tetracycline
Cephalexin
Vancomycin
3. A nurse is caring for a client who is about to begin Dehydration
receiving acyclovir IV to treat a viral infection. The
nurse should recognize that cautious use of the drug
is essential if the client also has which of the following
conditions?
Heart failure
Dehydration
Asthma
Tinnitus
4.
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A nurse in a provider's office receives a call from Clostridium difficile-asso-
a client who is taking tetracycline orally to treat a ciated diarrhea
chlamydia infection and reports severe blood-tinged
diarrhea. The nurse should suspect the client is expe-
riencing which of the following?
Hemorrhoids
Clostridium difficile-associated diarrhea
Diverticular disease
Small bowel obstruction
5. A nurse is caring for a client who is about to begin tak- Jaundice
ing isoniazid to treat tuberculosis. The nurse should Numbness of the hands
instruct the client to report which of the following Dizziness
adverse effects of the drug? (3)
Jaundice
Numbness of the hands
Dizziness
Hearing loss
Oral ulcers
6. A nurse in a provider's office receives a call from a Superinfection
client who is taking imipenem to treat a bacterial in-
fection and reports an inability to eat due to mouth
pain. The nurse should identify that the client might
be experiencing which of the following as an adverse
effect
of this drug?
Malabsorption
Superinfection
Anorexia
Dental caries
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7. A nurse is caring for a client who has a new diagnosis Third generation
of bacterial meningitis. The nurse should expect the cephalosporins
provider to prescribe a drug from which of the follow-
ing classifications of antibiotics?
First generation cephalosporins
Third generation cephalosporins
Monobactams
Macrolides
8. A nurse is caring for a client who is about to begin Urine output
gentamicin therapy to treat an infection. The nurse
should monitor the client for an alteration in which of
the following?
Bowel function
Peripheral pulses
Urine output
Level of consciousness
9. A nurse is providing teaching for a client who takes Use a non-hormonal form
an oral contraceptive and is about to begin rifampin of contraception
therapy to treat tuberculosis. Which of the following
instructions should the nurse include?
Increase the rifampin dose
Increase the oral contraceptive dose
Allow 2 hr between taking the two drugs
Use a non-hormonal form of contraception
10. A nurse in a provider's office receives a call from a Call emergency services
client who is taking amoxicillin to treat a respiratory immediately
infection and reports a rash and wheezing. Which of
the following instructions should the nurse give the
client?
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Wait 1 hr and contact the provider if there is no im-
provement
Skip today's dose of amoxicillin and resume taking the
drug tomorrow
Call emergency services immediately
Take an NSAID to reduce skin and airway inflamma-
tion
11. A nurse is caring for a client who is about to begin Cough
taking nitrofurantoin to treat a urinary tract infection.
The nurse should tell the client to report which of the
following adverse effects of the drug?
Constipation
Dark brown urine
Cough
Tremors
12. A nurse is administering cefotetan IV to a client to Stop the cefotetan infu-
treat bacterial meningitis. The nurse notes that the IV sion.
insertion site is warm, edematous, and painful to the
touch. Which of the following actions should the nurse
take?
Decrease the rate of the cefotetan infusion
Administer diphenhydramine to the client
Request a prescription for another antibiotic
Stop the cefotetan infusion
13. A nurse is caring for a client who is about to begin Swelling of hands or feet
taking itraconazole to treat a fungal infection. The
nurse should instruct the client to report which of the
following adverse effects of the drug?
Tingling in the hands and feet