NUR 600 (Advanced Clinical Pharmacology) Quiz 4 with correct answers

Which of the following conditions would an expectorant drug such as guaifenesin treat effectively? a. Acute bronchitis b. Asthma c. Smoker's cough d. Emphysema - ANS: a. Acute bronchitis A younger patient with cystic fibrosis has a new drug order for dornase alpha (Pulmozyme). The health care provider should choose which route of administration for this medication? a. Oral b. Subcutaneous c. Inhalation via nebulizer d. Rectal - ANS: c. Inhalation via nebulizer A patient who has just received a new prescription for guaifenesin has been taught about adverse drug effects. The patient should identify which adverse effect as commonly associated with this drug? a. Diaphoresis b. Lethargy c. Muscle aches d. Gastrointestinal (GI) distress - ANS: d. Gastrointestinal (GI) distress The patient is scheduled to begin treatment with the alpha1-proteinase inhibitor Prolastin. The health care provider should expect to see what type of changes in the patient's vital signs approximately 12 hours after drug administration? The first-line drug choice for a previously healthy adult patient diagnosed with community acquired pneumonia would be: A. Ciprofloxacin B. Azithromycin C. Amoxicillin D. Doxycycline - ANS: B. Azithromycin The first-line antibiotic choice for a patient with comorbidities or who is immunosuppressed who has pneumonia and can be treated as an outpatient would be: A. Levofloxacin B. Amoxicillin C. Ciprofloxacin D. Cephalexin - ANS: A. Levofloxacin If an adult patient with comorbidities cannot reliably take oral antibiotics to treat pneumonia, an appropriate initial treatment option would be: 'A. IV or IM gentamicin B. IV or IM ceftriaxone C. IV amoxicillin D. IV ciprofloxacin - ANS: B. IV or IM ceftriaxone Samantha is 34 weeks pregnant and has been diagnosed with pneumonia. She is stable enough to be treated as an outpatient. What would be an appropriate antibiotic to prescribe? A. Levofloxacin B. Azithromycin C. Amoxicillin D. Doxycycline - ANS: B. Azithromycin