N322 Pharm Exam 4 Questions With Complete Solutions
A client is planning to travel to an area of the world where
malaria is endemic. The health care provider has given the client
a prescription of chloroquine for malaria prophylaxis. The nurse
should advise the client of what in regards to beginning and
ending therapy? Select all that apply.
-Begin therapy one month before exposure.
-Begin therapy two weeks before exposure.
-Continue therapy six to eight weeks after leaving endemic area.
-Continue therapy one to two weeks after leaving endemic area.
-Stop therapy two days prior to leaving endemic area.
-Begin therapy two weeks before exposure.
-Continue therapy six to eight weeks after leaving endemic area.
A nurse is caring for an adult female client who has been
prescribed metronidazole. Which statement should the nurse
include in the medication teaching? Select all that apply.
-"The medication may cause your urine to be dark in color."
-"Metronidazole is safe when pregnant."
-"Avoid alcoholic beverages while taking the medication."
-"Food increases the absorption of the medication."
-"You may experience a metallic taste with this medication."
-"The medication may cause your urine to be dark in color."
-"Avoid alcoholic beverages while taking the medication."
-"You may experience a metallic taste with this medication."
,While administering vancomycin IV to a client, the nurse
suspects that the client is developing red-man syndrome based
on what assessment findings?
-THROBBING NECK PAIN
-CHILLS
-ERYTHEMA OF THE OF THE NECK AND BACK
Penicillins may trigger an anaphylactic reaction in some clients.
Within what period following injection of a penicillin is
anaphylaxis most likely to occur?
30 MINUTES
A nurse is conducting an in-service about antibacterial drugs
such as penicillins and cephalosporins. During the question-and-
answer period, the audience asks for examples of conditions that
can be treated by cephalosporins. Which examples would the
nurse include in the response?
urinary tract infections.
What event triggers the development of a superinfection?
proliferation of antibiotic-resistant microorganisms
The nurse is providing education to a client who has been
prescribed oral amoxicillin. The nurse will repeat teaching
related to fluid intake if the client indicates that the drug can be
taken with what beverage?
,orange juice
As a class, penicillins usually are more effective in infections
caused by which type of bacteria?
gram-positive
A 7-year-old child has tonsillitis and is prescribed penicillin V,
which is to be administered at home. The nurse will instruct the
parents to administer the drug
with a glass of water 1 hour before or 2 hours after a meal.
A nurse suspects that a client receiving oral penicillin therapy is
developing pseudomembranous colitis based on which
assessment finding?
bloody diarrhea.
A male client who has undergone surgery of the urinary tract is
administered cephalosporins to prevent infections. When
assessing the client on the day after the surgery, the nurse
notices that he has an elevated temperature. Which nursing
intervention would be most appropriate in this case?
inform the primary healthcare provider
, The nurse is examining the assessment and prepares to
determine the most appropriate nursing diagnosis for a client
receiving fluoroquinolone. Which diagnosis would potentially
be most appropriate for this client?
-acute pain
-diarrhea
-anxiety
-risk for altered skin integrity
The nurse is evaluating the medical records of several clients
and note some are receiving both fluoroquinolone and
corticosteroid therapy. The nurse concludes which client is at the
greatest risk for tendonitis?
72 yr. old male
The nurse is providing client teaching before discharging a
client home. The client is taking ciprofloxacin. What action
should the nurse encourage the client to prioritize?
Drink at least 2 L of fluid per day.
Which of the following are examples of fluoroquinolones?
-Levofloxacin (Levaquin)
-Ciprofloxacin (Cipro)
Which statement by a client taking a sulfonamide requires
further instruction?
"I will make sure to use extra sunscreen when I go to the tanning
booth."
A client is planning to travel to an area of the world where
malaria is endemic. The health care provider has given the client
a prescription of chloroquine for malaria prophylaxis. The nurse
should advise the client of what in regards to beginning and
ending therapy? Select all that apply.
-Begin therapy one month before exposure.
-Begin therapy two weeks before exposure.
-Continue therapy six to eight weeks after leaving endemic area.
-Continue therapy one to two weeks after leaving endemic area.
-Stop therapy two days prior to leaving endemic area.
-Begin therapy two weeks before exposure.
-Continue therapy six to eight weeks after leaving endemic area.
A nurse is caring for an adult female client who has been
prescribed metronidazole. Which statement should the nurse
include in the medication teaching? Select all that apply.
-"The medication may cause your urine to be dark in color."
-"Metronidazole is safe when pregnant."
-"Avoid alcoholic beverages while taking the medication."
-"Food increases the absorption of the medication."
-"You may experience a metallic taste with this medication."
-"The medication may cause your urine to be dark in color."
-"Avoid alcoholic beverages while taking the medication."
-"You may experience a metallic taste with this medication."
,While administering vancomycin IV to a client, the nurse
suspects that the client is developing red-man syndrome based
on what assessment findings?
-THROBBING NECK PAIN
-CHILLS
-ERYTHEMA OF THE OF THE NECK AND BACK
Penicillins may trigger an anaphylactic reaction in some clients.
Within what period following injection of a penicillin is
anaphylaxis most likely to occur?
30 MINUTES
A nurse is conducting an in-service about antibacterial drugs
such as penicillins and cephalosporins. During the question-and-
answer period, the audience asks for examples of conditions that
can be treated by cephalosporins. Which examples would the
nurse include in the response?
urinary tract infections.
What event triggers the development of a superinfection?
proliferation of antibiotic-resistant microorganisms
The nurse is providing education to a client who has been
prescribed oral amoxicillin. The nurse will repeat teaching
related to fluid intake if the client indicates that the drug can be
taken with what beverage?
,orange juice
As a class, penicillins usually are more effective in infections
caused by which type of bacteria?
gram-positive
A 7-year-old child has tonsillitis and is prescribed penicillin V,
which is to be administered at home. The nurse will instruct the
parents to administer the drug
with a glass of water 1 hour before or 2 hours after a meal.
A nurse suspects that a client receiving oral penicillin therapy is
developing pseudomembranous colitis based on which
assessment finding?
bloody diarrhea.
A male client who has undergone surgery of the urinary tract is
administered cephalosporins to prevent infections. When
assessing the client on the day after the surgery, the nurse
notices that he has an elevated temperature. Which nursing
intervention would be most appropriate in this case?
inform the primary healthcare provider
, The nurse is examining the assessment and prepares to
determine the most appropriate nursing diagnosis for a client
receiving fluoroquinolone. Which diagnosis would potentially
be most appropriate for this client?
-acute pain
-diarrhea
-anxiety
-risk for altered skin integrity
The nurse is evaluating the medical records of several clients
and note some are receiving both fluoroquinolone and
corticosteroid therapy. The nurse concludes which client is at the
greatest risk for tendonitis?
72 yr. old male
The nurse is providing client teaching before discharging a
client home. The client is taking ciprofloxacin. What action
should the nurse encourage the client to prioritize?
Drink at least 2 L of fluid per day.
Which of the following are examples of fluoroquinolones?
-Levofloxacin (Levaquin)
-Ciprofloxacin (Cipro)
Which statement by a client taking a sulfonamide requires
further instruction?
"I will make sure to use extra sunscreen when I go to the tanning
booth."
