pharm exam 2 test bank
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 - ANSc
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." - ANSA
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?
a.
The penicillin will cause an enhanced anticoagulant effect of the warfarin.
b.
The penicillin will cause the anticoagulant effect of the warfarin to decrease.
c.
The warfarin will reduce the anti-infective action of the penicillin.
d.
The warfarin will increase the effectiveness of the penicillin. - ANSA
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?
a.
Notify the prescriber.
b.
,Take the patient's vital signs.
c.
Stop the antibiotic infusion.
d.
Check for allergies. - ANSC
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?
a.
Blood culture, antibiotic dose, urine culture
b.
Urine culture, antibiotic dose, blood culture
c.
Antibiotic dose, blood and urine cultures
d.
Blood and urine cultures, antibiotic dose - ANSD
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 yogurt."
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." - ANSD
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?
a.
The patient's original infection has not responded to the antibiotic therapy.
b.
The patient is showing typical adverse effects of antibiotic therapy.
c.
The patient needs to be tested for Clostridium difficile infection.
d.
The patient will need to take a different antibiotic. - ANSC
,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?
a.
Increased red blood cell count
b.
Increased hemoglobin level
c.
Decreased white blood cell count
d.
Decreased platelet count - ANSC
The nurse is reviewing the sputum culture results of a patient with pneumonia and notes that the
patient has a gram-positive infection. Which generation of cephalosporin is most appropriate for
this type of infection?
a.
First generation
b.
Second generation
c.
Third generation
d.
Fourth generation - ANSA
A patient will be having oral surgery and has received an antibiotic to take for 1 week before the
surgery. The nurse knows that this is an example of which type of therapy?
a.
Empiric
b.
Prophylactic
c.
Definitive
d.
Resistance - ANSB
A patient has a urinary tract infection. The nurse knows that which class of drugs is especially
useful for such infections?
a.
Macrolides
b.
Carbapenems
c.
Sulfonamides
d.
Tetracyclines - ANSC
, During drug therapy for pneumonia, a female patient develops a vaginal superinfection. The
nurse explains that this infection is caused by:
a.
large doses of antibiotics that kill normal flora.
b.
the infection spreading from her lungs to the new site of infection.
c.
resistance of the pneumonia-causing bacteria to the drugs.
d.
an allergic reaction to the antibiotics. - ANSA
The nurse is preparing to use an antiseptic. Which statement is correct regarding how
antiseptics differ from disinfectants?
a.
Antiseptics are used to sterilize surgical equipment.
b.
Disinfectants are used as preoperative skin preparation.
c.
Antiseptics are used only on living tissue to kill microorganisms.
d.
Disinfectants are used only on nonliving objects to destroy organisms. - ANSD
A patient with a long-term intravenous catheter is going home. The nurse knows that if he is
allergic to seafood, which antiseptic agent is contraindicated?
a.
Chlorhexidine gluconate (Hibiclens)
b.
Hydrogen peroxide
c.
Povidone-iodine (Betadine)
d.
Isopropyl alcohol - ANSC
During antibiotic therapy, the nurse will monitor closely for signs and symptoms of a
hypersensitivity reaction. Which of these assessment findings may be an indication of a
hypersensitivity reaction? (Select all that apply.)
a.
Wheezing
b.
Diarrhea
c.
Shortness of breath
d.
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 - ANSc
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." - ANSA
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?
a.
The penicillin will cause an enhanced anticoagulant effect of the warfarin.
b.
The penicillin will cause the anticoagulant effect of the warfarin to decrease.
c.
The warfarin will reduce the anti-infective action of the penicillin.
d.
The warfarin will increase the effectiveness of the penicillin. - ANSA
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?
a.
Notify the prescriber.
b.
,Take the patient's vital signs.
c.
Stop the antibiotic infusion.
d.
Check for allergies. - ANSC
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?
a.
Blood culture, antibiotic dose, urine culture
b.
Urine culture, antibiotic dose, blood culture
c.
Antibiotic dose, blood and urine cultures
d.
Blood and urine cultures, antibiotic dose - ANSD
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 yogurt."
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." - ANSD
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?
a.
The patient's original infection has not responded to the antibiotic therapy.
b.
The patient is showing typical adverse effects of antibiotic therapy.
c.
The patient needs to be tested for Clostridium difficile infection.
d.
The patient will need to take a different antibiotic. - ANSC
,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?
a.
Increased red blood cell count
b.
Increased hemoglobin level
c.
Decreased white blood cell count
d.
Decreased platelet count - ANSC
The nurse is reviewing the sputum culture results of a patient with pneumonia and notes that the
patient has a gram-positive infection. Which generation of cephalosporin is most appropriate for
this type of infection?
a.
First generation
b.
Second generation
c.
Third generation
d.
Fourth generation - ANSA
A patient will be having oral surgery and has received an antibiotic to take for 1 week before the
surgery. The nurse knows that this is an example of which type of therapy?
a.
Empiric
b.
Prophylactic
c.
Definitive
d.
Resistance - ANSB
A patient has a urinary tract infection. The nurse knows that which class of drugs is especially
useful for such infections?
a.
Macrolides
b.
Carbapenems
c.
Sulfonamides
d.
Tetracyclines - ANSC
, During drug therapy for pneumonia, a female patient develops a vaginal superinfection. The
nurse explains that this infection is caused by:
a.
large doses of antibiotics that kill normal flora.
b.
the infection spreading from her lungs to the new site of infection.
c.
resistance of the pneumonia-causing bacteria to the drugs.
d.
an allergic reaction to the antibiotics. - ANSA
The nurse is preparing to use an antiseptic. Which statement is correct regarding how
antiseptics differ from disinfectants?
a.
Antiseptics are used to sterilize surgical equipment.
b.
Disinfectants are used as preoperative skin preparation.
c.
Antiseptics are used only on living tissue to kill microorganisms.
d.
Disinfectants are used only on nonliving objects to destroy organisms. - ANSD
A patient with a long-term intravenous catheter is going home. The nurse knows that if he is
allergic to seafood, which antiseptic agent is contraindicated?
a.
Chlorhexidine gluconate (Hibiclens)
b.
Hydrogen peroxide
c.
Povidone-iodine (Betadine)
d.
Isopropyl alcohol - ANSC
During antibiotic therapy, the nurse will monitor closely for signs and symptoms of a
hypersensitivity reaction. Which of these assessment findings may be an indication of a
hypersensitivity reaction? (Select all that apply.)
a.
Wheezing
b.
Diarrhea
c.
Shortness of breath
d.
