Science Medicine
Pharmacology Exam #3
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Immunosuppressants and Steroids: ... PATHOPHYS CV: Atherosclerosis an... FINAL Clinical EXAM Ketami
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A client with COPD is taking a leukotriene antagonist, montelukast (Singulair). The
nurse is aware that this medication is given for which purpose?
a. Maintenance treatment of asthma
Answer: A
b. Treatment of an acute asthma attack
c. Reversing bronchospasm associated with COPD
d. Treatment of inflammation in chronic bronchitis
Answer: 3 A client who has been taking flunisolide (AeroBid), two inhalations a day, for
Rationale: Use of oral inhalant treatment of asthma.has painful, white patches in his mouth. Which response by the
corticosteroids such as flunisolide nurse would be most appropriate?
(AeroBid) can lead to the development of 1. "This is an anticipated adverse effect of your medication. It should go away in a
oral thrush, a fungal infection. Once couple of weeks."
developed, thrush must be treated by 2. "You are using your inhaler too much and it has irritated your mouth."
antifungal therapy; it will not resolve on its 3. "You have developed a fungal infection from your medication. It will need to be
own. Fungal infections can develop even treated with an antifungal agent."
without overuse of the corticosteroid 4. "Be sure to brush your teeth and floss daily. Good oral hygiene will treat this
inhaler. Although good oral hygiene can problem."
help prevent development of a fungal
infection, it cannot be used alone to treat
the problem.
ANS: C After discussing management of upper respiratory infections (URI) with a patient who
The nurse should clarify that nasal has acute viral rhinitis, the nurse determines that additional teaching is needed when
decongestant sprays should be used for no the patient says
more than 3 days to prevent rebound a. "I can take acetaminophen (Tylenol) to treat discomfort."
vasodilation and congestion. The other b. "I will drink lots of juices and other fluids to stay hydrated."
responses indicate that the teaching has c. "I can use my nasal decongestant spray until the congestion is all gone."
been effective. d. "I will watch for changes in nasal secretions or the sputum that I cough up."
Amoxicillin (Amoxil) is prescribed for a client who has a respiratory infection. The
nurse is teaching the client about this medication and realizes that more teaching is
needed when the client makes which statement?
Answer: A a."I should not take my medication with food."
b."I will take my entire prescription of medication."
c."I should report to the physician any genital itching."
d."I should report to the health care provider any excess bleeding."
, A client is receiving amoxicillin (Amoxil). The nurse knows that the action of this drug
is by which process?
a.Inhibition of protein synthesis
Answer: C
b.Alteration of membrane permeability
c.Inhibition of bacterial cell-wall synthesis
d.Alteration of synthesis of bacterial ribonucleic acid
A client is prescribed dicloxacillin (Dynapen). The nurse plans to monitor the client
for which side effect/adverse reaction?
a.Seizures
Answer: D
b.Renal failure
c.Hypertension
d.Hemolytic anemia
Penicillin G (Pentids) has been prescribed for a client. Which nursing intervention(s)
should the nurse include for this client? (Select all that apply.)
a.Collect C & S prior to first dose.
Answer: A,B,D
b.Monitor client for mouth ulcers.
c.Instruct client to limit fluid intake to 1000 mL/day.
d.Have epinephrine on hand for a potential severe allergic reaction.
A client is taking azithromycin (Zithromax). The nurse should apply which
interventions? (Select all that apply.)
a.Monitor periodic liver function tests.
b.Dilute with 50 mL for IV administration.
Answer: A,C,D,E,F
c.Tell the client to report any hearing loss.
d.Instruct the client to report evidence of superinfection.
e.Teach the client to take oral drug 1 hour a.c. or 2 hours p.c.
f.Avoid antacids from 2 hours prior to 2 hours after azithromycin administration.
The nurse is administering tetracycline (Vibramycin) to a client. Which would be
appropriate teaching?
a.Take sunscreen precautions when at the beach.
Answer: A
b.Take an antacid or milk with the drug to prevent severe GI distress.
c.Obtain frequent hearing tests for early detection of hearing loss.
d.Obtain frequent eye checkups for early detection of retinal damage.
A client is taking levofloxacin (Levaquin). The nurse knows that which is true
regarding this drug?
a. Administered IV only
Answer: D
b. May cause hypertension
c. Classified as an aminoglycoside
d. Adverse reaction includes dysrhythmias
What should the nurse include when teaching a client about gentamicin
(Garamycin)? (Select all that apply.)
a.Client should report any hearing loss.
b.Client must use sunscreen.
Answer: A,B,D,F
c.IV gentamicin will be given over 20 minutes.
d.Client will be monitored for mouth ulcers and vaginitis.
e.Peak levels will be drawn 30 minutes prior to IV dose.
f.Client should increase fluid intake.
Pharmacology Exam #3
Save
Students also studied
Immunosuppressants and Steroids: ... PATHOPHYS CV: Atherosclerosis an... FINAL Clinical EXAM Ketami
10 terms 228 terms 134 terms 18 terms
quizlette460245165 Preview madelinemskalski Preview Allyson_Dulude Preview ash
A client with COPD is taking a leukotriene antagonist, montelukast (Singulair). The
nurse is aware that this medication is given for which purpose?
a. Maintenance treatment of asthma
Answer: A
b. Treatment of an acute asthma attack
c. Reversing bronchospasm associated with COPD
d. Treatment of inflammation in chronic bronchitis
Answer: 3 A client who has been taking flunisolide (AeroBid), two inhalations a day, for
Rationale: Use of oral inhalant treatment of asthma.has painful, white patches in his mouth. Which response by the
corticosteroids such as flunisolide nurse would be most appropriate?
(AeroBid) can lead to the development of 1. "This is an anticipated adverse effect of your medication. It should go away in a
oral thrush, a fungal infection. Once couple of weeks."
developed, thrush must be treated by 2. "You are using your inhaler too much and it has irritated your mouth."
antifungal therapy; it will not resolve on its 3. "You have developed a fungal infection from your medication. It will need to be
own. Fungal infections can develop even treated with an antifungal agent."
without overuse of the corticosteroid 4. "Be sure to brush your teeth and floss daily. Good oral hygiene will treat this
inhaler. Although good oral hygiene can problem."
help prevent development of a fungal
infection, it cannot be used alone to treat
the problem.
ANS: C After discussing management of upper respiratory infections (URI) with a patient who
The nurse should clarify that nasal has acute viral rhinitis, the nurse determines that additional teaching is needed when
decongestant sprays should be used for no the patient says
more than 3 days to prevent rebound a. "I can take acetaminophen (Tylenol) to treat discomfort."
vasodilation and congestion. The other b. "I will drink lots of juices and other fluids to stay hydrated."
responses indicate that the teaching has c. "I can use my nasal decongestant spray until the congestion is all gone."
been effective. d. "I will watch for changes in nasal secretions or the sputum that I cough up."
Amoxicillin (Amoxil) is prescribed for a client who has a respiratory infection. The
nurse is teaching the client about this medication and realizes that more teaching is
needed when the client makes which statement?
Answer: A a."I should not take my medication with food."
b."I will take my entire prescription of medication."
c."I should report to the physician any genital itching."
d."I should report to the health care provider any excess bleeding."
, A client is receiving amoxicillin (Amoxil). The nurse knows that the action of this drug
is by which process?
a.Inhibition of protein synthesis
Answer: C
b.Alteration of membrane permeability
c.Inhibition of bacterial cell-wall synthesis
d.Alteration of synthesis of bacterial ribonucleic acid
A client is prescribed dicloxacillin (Dynapen). The nurse plans to monitor the client
for which side effect/adverse reaction?
a.Seizures
Answer: D
b.Renal failure
c.Hypertension
d.Hemolytic anemia
Penicillin G (Pentids) has been prescribed for a client. Which nursing intervention(s)
should the nurse include for this client? (Select all that apply.)
a.Collect C & S prior to first dose.
Answer: A,B,D
b.Monitor client for mouth ulcers.
c.Instruct client to limit fluid intake to 1000 mL/day.
d.Have epinephrine on hand for a potential severe allergic reaction.
A client is taking azithromycin (Zithromax). The nurse should apply which
interventions? (Select all that apply.)
a.Monitor periodic liver function tests.
b.Dilute with 50 mL for IV administration.
Answer: A,C,D,E,F
c.Tell the client to report any hearing loss.
d.Instruct the client to report evidence of superinfection.
e.Teach the client to take oral drug 1 hour a.c. or 2 hours p.c.
f.Avoid antacids from 2 hours prior to 2 hours after azithromycin administration.
The nurse is administering tetracycline (Vibramycin) to a client. Which would be
appropriate teaching?
a.Take sunscreen precautions when at the beach.
Answer: A
b.Take an antacid or milk with the drug to prevent severe GI distress.
c.Obtain frequent hearing tests for early detection of hearing loss.
d.Obtain frequent eye checkups for early detection of retinal damage.
A client is taking levofloxacin (Levaquin). The nurse knows that which is true
regarding this drug?
a. Administered IV only
Answer: D
b. May cause hypertension
c. Classified as an aminoglycoside
d. Adverse reaction includes dysrhythmias
What should the nurse include when teaching a client about gentamicin
(Garamycin)? (Select all that apply.)
a.Client should report any hearing loss.
b.Client must use sunscreen.
Answer: A,B,D,F
c.IV gentamicin will be given over 20 minutes.
d.Client will be monitored for mouth ulcers and vaginitis.
e.Peak levels will be drawn 30 minutes prior to IV dose.
f.Client should increase fluid intake.
