NR 565 Pharmacology Week 1 Newest Actual Exam Preparation
With Complete Questions And Correct Answers With Rationales
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When reviewing the allergy history of a patient, the nurse notes that
the patient is allergic to penicillin. Based on this finding, the nurse
would question an order for which class of antibiotics?
a.Tetracyclines
b.Sulfonamides
c.Cephalosporins
d.Quinolones - ANSWERS--ANS: Cephalosporins
Allergy to penicillin may also result in hypersensitivity to
cephalosporins. The other options are incorrect
Allergy to penicillin may also result in hypersensitivity to
cephalosporins. The other options are incorrect
The nurse is providing teaching to a patient taking an oral
tetracycline antibiotic. Which statement by the nurse is correct? -
ANSWERS--ANS: "Avoid direct sunlight and tanning beds while on
this medication."
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Drug-related photosensitivity occurs when patients take
tetracyclines, and it may continue for several days after therapy. Milk
and cheese products result in decreased levels of tetracycline when
the two are taken together. Antacids also interfere with absorption
and should not be taken with tetracycline. Counsel patients to take
the entire course of prescribed antibiotic drugs, even if they feel that
they are no longer ill
When reviewing the medication orders for a patient who is taking
penicillin, the nurse notes that the patient is also taking the oral
anticoagulant warfarin (Coumadin). What possible effect may occur
as the result of an interaction between these drugs? - ANSWERS--
ANS: The penicillin will cause an enhanced anticoagulant effect of the
warfarin.
Administering penicillin reduces the vitamin K in the gut (intestines);
therefore, enhanced anticoagulant effects of warfarin may occur.
A patient is receiving his third intravenous dose of a penicillin drug.
He calls the nurse to report that he is feeling "anxious" and is having
trouble breathing. What will the nurse do first? - ANSWERS--ANS:
Stop the antibiotic infusion.
Hypersensitivity reactions are characterized by wheezing; shortness
of breath; swelling of the face, tongue, or hands; itching; or rash. The
nurse should immediately stop the antibiotic infusion, have someone
notify the prescriber, and stay with the patient to monitor the
patient's vital signs and condition. Checking for allergies should have
been done before the infusion
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A patient is admitted with a fever of 102.8° F (39.3° C), origin
unknown. Assessment reveals cloudy, foul-smelling urine that is dark
amber in color. Orders have just been written to obtain stat urine
and blood cultures and to administer an antibiotic intravenously. The
nurse will complete these orders in which sequence? - ANSWERS--
ANS: Blood and urine cultures, antibiotic dose
Culture specimens should be obtained before initiating antibiotic
drug therapy; otherwise, the presence of antibiotics in the tissues
may result in misleading culture and sensitivity results.
The nurse is providing teaching to a patient taking an oral
tetracycline antibiotic. Which statement by the nurse is correct?
a."Avoid direct sunlight and tanning beds while on this medication."
b."Milk and cheese products result in increased levels of
tetracycline."
c."Antacids taken with the medication help to reduce gastrointestinal
distress."
d."Take the medication until you are feeling better. - ANSWERS--
ANS: A: "Avoid direct sunlight and tanning beds while on this
medication."
Drug-related photosensitivity occurs when patients take
tetracyclines, and it may continue for several days after therapy. Milk
and cheese products result in decreased levels of tetracycline when
the two are taken together. Antacids also interfere with absorption
and should not be taken with tetracycline. Counsel patients to take
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the entire course of prescribed antibiotic drugs, even if they feel that
they are no longer ill
During drug therapy with a tetracycline antibiotic, a patient
complains of some nausea and decreased appetite. Which statement
is the nurse's best advice to the patient?
a."Take it with cheese and crackers or yoghurt."
b."Take each dose with a glass of milk."
c."Take an antacid with each dose as needed."
d. "Drink a full glass of water with each dose." - ANSWERS--ANS: D:
"Drink a full glass of water with each dose."
Oral doses should be given with at least 8 ounces of fluids and food
to minimize gastrointestinal upset; however, antacids and dairy
products will bind with the tetracycline and make it inactive
The nurse is monitoring a patient who has been on antibiotic therapy
for 2 weeks. Today the patient tells the nurse that he has had watery
diarrhea since the day before and is having abdominal cramps. His
oral temperature is 101° F (38.3° C). Based on these findings, which
conclusion will the nurse draw? - ANSWERS--ANS: The patient needs
to be tested for Clostridium difficile infection
The nurse is monitoring for therapeutic results of antibiotic therapy
in a patient with an infection. Which laboratory value would indicate
therapeutic effectiveness of this therapy? - ANSWERS--ANS:
Decreased white blood cell count