EXAM 5 NURS504 FINAL REVIEW
QUESTIONS ALL SOLVED GRADED TO
PASS 2025.
A 30-year-old woman who is in the first trimester of pregnancy has presented to her primary
care provider with a 4-day history of a reddened, itchy left eye that is crusted with purulent
exudate. The clinician suspects a bacterial, rather than viral, etiology. How will the patient's
pregnancy affect the potential use of ciprofloxacin to treat her conjunctivitis?
a) It is safe for the patient to use topical ciprofloxacin but the oral route is potential teratogenic.
b) Ciprofloxacin is safe to use in pregnancy and the patient may use to same dose and route as a
nonpregnant patient.
c) The patient will require a lower dose and longer course of ciprofloxacin than a nonpregnant,
adult patient.
d) The use of ciprofloxacin is contraindicated in pregnancy. - Answer The use of ciprofloxacin is
contraindicated in pregnancy.
An elderly, female patient with a complicated urinary tract infection was prescribed
ciprofloxacin 6 days ago. The patient's nurse should consider which of the following assessment
findings as a potential adverse effect of the patient's antibiotic therapy?
a) The patient's systolic and diastolic blood pressures are 10 to 20 mmHg lower than her normal
baselines.
b) The patient's gums began bleeding when the nurse provided mouth care this morning.
c) The patient has developed a cheese-like vaginal discharge with perineal erythema.
d) The patient has had only one bowel movement since beginning treatment and her bowel
sounds are faint. - Answer The patient has developed a cheese-like vaginal discharge with
perineal erythema.
A 66-year-old woman with a history of recurrent urinary tract infections has been admitted to
the hospital with a diagnosis of pyelonephritis. The patient began treatment 36 hours ago with
intravenous gentamicin and is being monitored closely. The nurse is aware that the therapeutic
effect of the patient's drug regimen is primarily a result of
a) interference with bacterial reproduction.
, A nurse has been performing vigilant assessments of a patient who is receiving doses of
intravenous gentamicin, each over 30 minutes. A blood sample for peak gentamicin levels
should be drawn
a) as soon as possible after the patient awakens in the morning.
b) immediately after the third intravenous dose of the drug.
c) 30 minutes after the drug has finished infusing.
d) at the midpoint between scheduled doses. - Answer 30 minutes after the drug has finished
infusing.
A client is receiving a cephalosporin and an aminoglycoside as combination therapy. What
assessment should the nurse prioritize?
a) Coagulation studies
b) Complete blood count
c) Signs of disulfiram-like reaction
d) Serum BUN and creatinine levels - Answer Serum BUN and creatinine levels
A 75-year-old patient with a history of renal impairment is admitted to the primary health care
center with a UTI and has been prescribed a cephalosporin. Which of the following
interventions is most important for the nurse to perform when caring for this patient?
a) Testing for occult blood.
b) Monitoring blood creatinine levels.
c) Testing for increased glucose levels.
d) Monitoring fluid intake. - Answer Monitoring blood creatinine levels.
Inappropriate use of antibiotics does all of the following except increase:
a) the number of available effective drugs for serious or antibiotic-resistant infections.
b) infections with drug-resistant microorganisms.
c) adverse drug effects.
QUESTIONS ALL SOLVED GRADED TO
PASS 2025.
A 30-year-old woman who is in the first trimester of pregnancy has presented to her primary
care provider with a 4-day history of a reddened, itchy left eye that is crusted with purulent
exudate. The clinician suspects a bacterial, rather than viral, etiology. How will the patient's
pregnancy affect the potential use of ciprofloxacin to treat her conjunctivitis?
a) It is safe for the patient to use topical ciprofloxacin but the oral route is potential teratogenic.
b) Ciprofloxacin is safe to use in pregnancy and the patient may use to same dose and route as a
nonpregnant patient.
c) The patient will require a lower dose and longer course of ciprofloxacin than a nonpregnant,
adult patient.
d) The use of ciprofloxacin is contraindicated in pregnancy. - Answer The use of ciprofloxacin is
contraindicated in pregnancy.
An elderly, female patient with a complicated urinary tract infection was prescribed
ciprofloxacin 6 days ago. The patient's nurse should consider which of the following assessment
findings as a potential adverse effect of the patient's antibiotic therapy?
a) The patient's systolic and diastolic blood pressures are 10 to 20 mmHg lower than her normal
baselines.
b) The patient's gums began bleeding when the nurse provided mouth care this morning.
c) The patient has developed a cheese-like vaginal discharge with perineal erythema.
d) The patient has had only one bowel movement since beginning treatment and her bowel
sounds are faint. - Answer The patient has developed a cheese-like vaginal discharge with
perineal erythema.
A 66-year-old woman with a history of recurrent urinary tract infections has been admitted to
the hospital with a diagnosis of pyelonephritis. The patient began treatment 36 hours ago with
intravenous gentamicin and is being monitored closely. The nurse is aware that the therapeutic
effect of the patient's drug regimen is primarily a result of
a) interference with bacterial reproduction.
, A nurse has been performing vigilant assessments of a patient who is receiving doses of
intravenous gentamicin, each over 30 minutes. A blood sample for peak gentamicin levels
should be drawn
a) as soon as possible after the patient awakens in the morning.
b) immediately after the third intravenous dose of the drug.
c) 30 minutes after the drug has finished infusing.
d) at the midpoint between scheduled doses. - Answer 30 minutes after the drug has finished
infusing.
A client is receiving a cephalosporin and an aminoglycoside as combination therapy. What
assessment should the nurse prioritize?
a) Coagulation studies
b) Complete blood count
c) Signs of disulfiram-like reaction
d) Serum BUN and creatinine levels - Answer Serum BUN and creatinine levels
A 75-year-old patient with a history of renal impairment is admitted to the primary health care
center with a UTI and has been prescribed a cephalosporin. Which of the following
interventions is most important for the nurse to perform when caring for this patient?
a) Testing for occult blood.
b) Monitoring blood creatinine levels.
c) Testing for increased glucose levels.
d) Monitoring fluid intake. - Answer Monitoring blood creatinine levels.
Inappropriate use of antibiotics does all of the following except increase:
a) the number of available effective drugs for serious or antibiotic-resistant infections.
b) infections with drug-resistant microorganisms.
c) adverse drug effects.
