NUR2474 / NUR 2474 Pharmacology for Professional Nursing Final Exam Review| Questions and Answers| Latest 2023/2024

NUR2474 / NUR 2474 Pharmacology for Professional Nursing Final Exam Review| Questions and Answers| Latest 2023/2024 1. A patient recently began receiving clindamycin (Cleocin) to treat an infection. After 8 days of treatment, the patient reports having 10 to 15 watery stools per day. What will the nurse tell this patient? ~ Answer: The patient should stop taking the clindamycin now and contact the provider immediately. 2. Which side effect of clindamycin (Cleocin) causes the most concern and may warrant discontinuation of the drug? ~ Answer: Diarrhea 3. A patient develops CDAD. Which antibiotic is recommended for treating this infection? ~ Answer: Vancomycin 4. A pregnant patient is treated with trimethoprim/sulfamethoxazole (TMP/SMZ) (Bactrim) for a urinary tract infection at 34 weeks' gestation. A week later, the woman delivers her infant prematurely. The nurse will expect to monitor the infant for ~ Answer: ~ Answer: scleral jaundice 5. A patient who is taking immunosuppressants develops a urinary tract infection. The causative organism is sensitive to sulfonamides and to an- other, more expensive antibiotic. The prescriber orders the more expensive antibiotic. The nursing student assigned to this patient asks the nurse why the more expensive antibiotic is being used. Which response by the nurse is correct? ~ Answer: "Sulfonamides are bacteriostatic and depend on host immunity to work." 6. "Sulfonamides are bacteriostatic and depend on host immunity to work."- ~ Answer: "I should stop taking this drug when my symptoms are gone." 7. A patient with type 2 diabetes mellitus takes glipizide. The patient devel- ops a urinary tract infection, and the prescriber orders TMP/SMZ. What will the nurse tell the patient? ~ Answer: The patient should check the blood glucose level more often while taking TMP/SMZ 8. A nurse is obtaining a drug history from a patient about to receive sulfadiazine. The nurse learns that the patient takes warfarin, glipizide, and a thiazide diuretic. Based on this assessment, the nurse will expect the provider to ~ Answer: monitor the patient's coagulation levels. 9. A patient will be discharged from the hospital with a prescription for TMP/SMZ (Bactrim). When providing teaching for this patient, the nurse will tell the patient that it will be important to ~ Answer: drink 8 to 10 glasses of water each day. 10. A nurse is discussing microbial resistance among sulfonamides and trimethoprim with a nursing student. Which statement by the student indicates a need for further teaching? ~ Answer: "Resistance to sulfonamides is less than resistance to trimethoprim." 11. A patient with bronchitis is taking TMP/SMZ, 106/80 mg orally, twice daily. Before administering the third dose, the nurse notes that the patient has a widespread rash, a temperature of 103° F, and a heart rate of 100 beats per minute. The patient looks ill and reports not feeling well. What will the nurse do? ~ Answer: Withhold the dose and notify the provider of the symptoms. 12. A patient with histoplasmosis is being treated with itraconazole (Spora- nox). The nurse will teach this patient to report which symptoms? ~ Answer: Nausea, vomiting, and anorexia 13. A patient who is pregnant has a history of recurrent genital herpesvirus (HSV). The patient asks the nurse what will be done to suppress an outbreak when she is near term. The nurse will tell the patient that ~ Answer: oral acyclovir (Zovirax) may be used during pregnancy. 14. The nurse is caring for a patient receiving intravenous acyclovir (Zovirax). To prevent nephrotoxicity associated with intravenous acyclovir, the nurse will ~ Answer: ~ Answer: hydrate the patient during the infusion and for 2 hours after the infusion. 15. A nurse is performing a preoperative drug history on a patient who is admitted to the hospital for surgery. To evaluate the risk of hemorrhage, the nurse will ask the patient about antiplatelet and anticoagulant medications as well as which dietary supplement? ~ Answer: Ginkgo biloba