QUESTION AND ANSWERS 2024/2025
LATEST REVISED GRADED A+.
A nurse is ordered to draw blood levels for a person receiving an antibiotic.
The nurse is aware that peaks and troughs of serum antibiotic levels are
monitored for drugs with a: - Precise answer narrow therapeutic index.
A client's medication warrants peak and trough levels to be drawn. The
nurse is aware that if the peak level of the drug is too high, what could
occur? - Precise answer Drug toxicity
Drug concentration is important for the eradication of bacterial infection. It
is desired to keep the drug dose: - Precise answer Above minimum
effective concentration
With continuous use of antibiotics, antibiotic resistance result because: -
Precise answer mutant bacteria are surviving antibiotic use
client with otitis media is ordered to receive amoxicillin (Amoxil). The client
discloses to the nurse that she is allergic to penicillin. What is the highest
priority action on the part of the nurse? - Precise answer Notify healthcare
A client has relayed instructions from a physician regarding an allergy to a
type of antibiotic therapy. The nurse would question which instruction -
Precise answer Restrict fluids when taking the antibiotic
When antibacterials are prescribed for the treatment of an infection and a
culture is ordered, what should happen next? - Precise answer culture
should be taken before the initial dose of the antibiotic
A client at an outpatient clinic is ordered to receive ampicillin (Omnipen) for
an infection. Which nursing intervention related to penicillins would the
nurse question? - Precise answer Instruct client to discontinue penicillin
when temperature is normal.
,Most beta-lactam antibiotics are excreted through the kidneys. The nurse
should assess the client's renal function by monitoring which levels? -
Precise answer Blood urea nitrogen and serum creatinine
A client is ordered to receive a cephalosporin to treat a bacterial infection.
Regarding monitoring of the client, the highest priority action on the part of
the nurse includes assessing the client for which side effects? - Precise
answer Nausea, vomiting and diarrhea
A client has been receiving a cephalosporin for 20 days to treat a severe
bacterial infection. The client complains of mouth pain, and the nurse
assesses white patches in the client's mouth. What is the highest priority
action on the part of the nurse? - Precise answer Notify the physician and
describe symptoms
A client who reports an allergy to penicillin is ordered to receive cephalexin
(Keflex). The correct action for the nurse is to: - Precise answer administer
the medication and carefully observe for allergic reaction.
The client has been ordered treatment with Cefaclor as well as
erythromycin. The nurse anticipates what effect from the interaction of the
medications? - Precise answer Decreased action of Cefaclor
The client has been ordered Cefazolin. The nurse anticipates an increase
in the client's _____ from this medication? - Precise answer BUN and
serum creatinine
The client has been ordered to be treated with amoxicillin. The highest
priority instruction that the nurse should give the client related to diet while
on the medication is to avoid: - Precise answer Acidic fruits and juices
The client has been ordered treatment with Wycillin. The nurse notes that
the solution is milky in color. What is the highest priority action on the part
of the nurse? - Precise answer Administer the medication as ordered by
the physician
The client has been ordered treatment with Amoxil. The client reports to the
nurse that she has developed symptoms of vaginitis. The highest priority
action on the part of the nurse is to recognize this as: - Precise answer
Evidence of development of a superinfection
, When choosing a topical corticosteroid cream to treat diaper dermatitis, the
ideal medication would be: - Precise answer A low potency corticosteroid
cream applied sparingly (hydrocortisone 1%)
Topical immunomodulators such as pimecrolimus (Elidel) or tacrolimus
(Protopic) are used for: - Precise answer Short term or intermittent
treatment of atopic dermatitis
Long-term treatment of moderate atopic dermatitis includes: - Precise
answer Topical corticosteroids and emollients
Severe contact dermatitis caused by poison ivy or poison oak exposure
often requires treatment with: - Precise answer Oral corticosteroids for 2 -
3 weeks
When a patient has contact dermatitis, wet dressings with Domeboro
solution are used for: - Precise answer Relief inflammation
opical corticosteroids are used to treat several disorders. Topical
corticosteroids are contraindicated for treatment of which of the following
conditions? - Precise answer Rosacea
A topical corticosteroid may be used to treat facial eczema. What
instruction must be given to a patient for whom a topical corticosteroid is
prescribed for treatment of facial eczema? - Precise answer Be careful not
to get any of the medications in your eyes
Group I topical corticosteroids may cause adverse reactions. A patient who
is being treated with a group I topical corticosteroid must be closely
monitored for - Precise answer HPA supression
Treatment with gentamicin (Garamycin) may present disadvantages for the
patient. A renal patient's use of the drug may lead to - Precise answer
ototoxicity
The topical antiviral drug acyclovir (Zovirax) is used to treat several
different conditions. Which of the following conditions is an unlabeled use
for acyclovir (Zovirax)? - Precise answer Herpes labialis