NURSING MSN 571 TEST 2

NURSING MSN 571 TEST 21. Nystatin is used for variety of conditions. Which one is it not used for? Onychomycosis (nail fungus) use oral antifungal drugs Lamisil (Nystatin is used to treat thrush, intestinal candidas, vaginal and oral candidas ) 2. Vulvovaginal candidiasis can be treated with all of the following except? Amoxicillin PO x 7 days. This infection is associated with DM. Use all of these--Fluconazole, miconazole, clontrimazole 3. Which of the following leukocyte types are associated with hypersensitivity reactions? ALL OF THE Above (eosinophils, basophils neutrophils) 4. A patient begins Bactrim DS notify PCP if she notices Steven Johnsons syndrome (Rash, skin disorder, looks like a burn, blisters, fever, flu like symptoms) Can be exacerbated by pneumonia, herpes, HIV 5. Itraconazole is given to a 25 year old male, instruct the patient to… report any signs of liver injury such as jaundice, dark urine, light stool color, loss of appetite, STOP medication. 6. Severe adverse reaction to fluoroquinolones is… tendon rupture. Caution in use with older people, CKD, steroids. Extreme muscle weakness in pt with MG 7. At which of the following ages would it be safe to prescribe a tetracycline? 8 and older 8. Select the term that refers to an antibiotic that inhibit bacterial growth? Bacteriaostatic 9. Metronidazole can have disulfiram like effect if combined with: ALCOHOL. 10. The use of antihistamines should be prescribed with caution with which patient? 75 yo (avoid 3rd trimester pregnancy, elderly) 11. Patient tells you she needs an antihistamine for seasonal allergies that will not make her drowsy. Which one will you avoid? Zyrtec 12. Which answer is true regarding cephalosporins? Beta-lactam antibiotic 13. your pt has Symptoms of serious gram – infection. You want to give a cephalosporin while waiting or lab results- which one do you give? 3rd generation (ancef) or later ( 1st generation is good for orthopedics or skin infections, cephalexin is the oral name) 14. Patient diagnosed with otitis media with a perforated eardrum. You want to prescribe an otic preparation. Which one is NOT appropriate? Acetic Acid Otic (give ofloxacin, ciprofloxacin/hydrocortisone, ciprofloxacin/dexamethasone) 15. A 20-year-old patient presents to the clinic with nodulocystic acne. You prescribe Isotretinoin. What are special considerations? ALL of the above- obtain baseline LFT, pregnancy test, patient should sign papers saying they will not get pregnant. 16. Which is classified as a medium strength glucocorticoid? Mometasone (Elocon) 17. which of the following is known to increase the serum concentration of penicillin? Probenecid (prolongs ½ life)