NUR 242 main exam 2 | revision
questions and correct answers
referred accurately
1. A client with type 2 diabetes is admitted to the ambulatory surgery unit for
elective cataract surgery. Before surgery the client asks the nurse, "How will
my diabetes be managed while I am here?" Which is the best response by
the nurse? - Answer I'm not quite certain I understand what you are
asking."
2. Which explanation would the nurse provide a client who asks what a
cataract is? - Answer An opacity of the lens
3. A client reports feeling nauseated immediately after cataract surgery. Which
action would the nurse take? - Answer Administer the prescribed
antiemetic
4. Which information would the nurse include in postoperative teaching for a
client who had cataract surgery? Select all that apply. One, some, or all
responses may be correct. - Answer Don't blow your nose, avoid bending
from the waist
5. Which client statement indicates that the discharge teaching after a cataract
extraction and an intraocular lens implant is effective? - Answer I should
call the clinic if my eye begins to hurt.
,6. Which instruction is important for the nurse to provide to the client after
cataract surgery? - Answer Avoid bending from the waist
7. Before giving someone a medication, what should you do? - Answer Ask
them if they have any allergies
8. How do you find out what kind of pathogen someone is infected with and
what medication to give them? - Answer Culture and sensitivity
9. What is acyclovir used for? - Answer HSV and VZV - it is an antiviral drug
10.With the drug Mebendazole (Enverm), what adverse effects will you watch
for? - Answer Laboratory draw - agranulocytosis, anemia, leukopenia,
neutropenia
11.What is Mebendazole used for? - Answer It is a treatment for helminths,
like pinworms
12.What is a normal lab value for white blood cells - Answer 6-10
13.If you crush Mebendazole and take it with food, what occurs? - Answer It
can increase the level of the drug in the serum—this can lead to problems
metabolizing drug, so you will want to check liver enzyme levels and watch
for blood in the urine
,14.When you are taking a drug like acyclovir, what adverse effects will you
watch for? - Answer Liver and renal system problems — antivirals are hard
on the liver
15.What is the stem for antimalarials - Answer Quine
16.What is chloroquine phosphate used for? - Answer It is an antimalarial drug
17.What do you need to educate your patient for if they are taking chloroquine
phosphate? - Answer You need to use a second contraceptive and let your
doctor know if you plan to become pregnant
18.What adverse effect with chloroquine phosphate would you inform your
doctor about? - Answer If you experience hair loss or hearing loss
19.Should chloroquine phosphate be taken with or without food? - Answer
Empty stomach
20.What is metronidazole (Flagyl) used for? - Answer An antibiotic for
anaerobic bacteria for gram-positive and gram-negative bacilli as well as
some gram-positive cocci
21.Is effective against some protozoans
a. amebiasis, giardiasis, and thrichomoniasis
,22.When your patient is taking metronidazole (Flagyl), what should you
educate about? - Answer you cannot use alcohol with this medication
23.What can occur if we give a person antibiotics for a long duration? - Answer
Puts the patient at risk for tolerance/resistance as well as superinfection
24.What is gentamicin used for? - Answer Septicemia or UTI
25.What is the black box warning for gentamicin? - Answer This drug is
nephrotoxic and ototoxic
26.-need to be cautious to use it with a patient who has renal function
impairment OR if the patient is pregnant (cause the baby to be deaf)
27.How should you monitor your patient who is taking gentamicin? - Answer
Watch for decreased urine output as well as confusion in the elderly
28.What is the functional part of the renal system? - Answer Nephron
29.If the patient is being given Gentamicin through IV, and they begin to have a
reaction, what should you do? - Answer Stop the infusion
30.What is tetracycline used for? - Answer Acne, gonorrhea, chlamydia
31.What patient(s) would you not give tetracycline to? - Answer A pregnant
woman - the baby's teeth may turn gray
32.OR
,33.child under 8
34.What side effects can you see with tetracycline? How would you address
this problem? - Answer Photosensitivity, so use Sunscreen and protective
clothing
35.When you are taking anticoagulants with tetracycline, what is the effect? -
Answer Enhances vitamin K effect
36.What drug should you avoid taking with tetracycline? Why? What would
you do in response? - Answer Digoxin; causes increased absorption of
digoxin which can lead to toxicity
37.You will monitor digoxin in the blood through labs
38.What do you need to know about ciprofloxacin when administering this
drug? (Lots) - Answer 1. Black box warning: increased risk for disabling
tendinitis and tendon rupture (Achilles) and peripheral neuropathy (in long
term diabetics)
39.2. Do not take antacid with this drug - take it 2 hours before or 6 hours after
(also with iron)
40.3. Causes abnormal reading on ECG (anti-dysrhythmic amiodarone) from a
prolonged QT interval - Torsade de pointes (sudden death)
41.4. Allergic reaction - Steven Johnson Syndrome
42.Why do you generally avoid taking antacids with medications? - Answer
Coats the stomach and reduces the body's ability of breaking down the
drug for absorption - decreases the drug's effect on the body
, 43.What is rifampin used for? - Answer TB
44.What should you avoid while using rifampin? - Answer Using alcohol - these
drugs are hard on the liver
45.What patient(s) would you not give rifampin? - Answer Pregnant women or
people with liver disease
46.What should you educate your patient about, and what signs would you be
monitoring for with rifampin? - Answer Take a second contraceptive
47.Orange pee
48.Can cause jaundice if you are having liver problems
49.How should you take rifampin? - Answer Take on an empty stomach
50.What is amphotericin B used for? - Answer It is an antifungal drug
51.What should you be concerned about and monitoring for if your patient is
taking amphotericin B? - Answer This drug is very hard on the renal system
- you should be watching creatinine and BUN as well as urine
output
52.What patients should you avoid giving amphotericin B? How should you
prevent giving this drug to the wrong person? - Answer In general, you
should try to avoid giving this drug to anyone as it is highly toxic!
questions and correct answers
referred accurately
1. A client with type 2 diabetes is admitted to the ambulatory surgery unit for
elective cataract surgery. Before surgery the client asks the nurse, "How will
my diabetes be managed while I am here?" Which is the best response by
the nurse? - Answer I'm not quite certain I understand what you are
asking."
2. Which explanation would the nurse provide a client who asks what a
cataract is? - Answer An opacity of the lens
3. A client reports feeling nauseated immediately after cataract surgery. Which
action would the nurse take? - Answer Administer the prescribed
antiemetic
4. Which information would the nurse include in postoperative teaching for a
client who had cataract surgery? Select all that apply. One, some, or all
responses may be correct. - Answer Don't blow your nose, avoid bending
from the waist
5. Which client statement indicates that the discharge teaching after a cataract
extraction and an intraocular lens implant is effective? - Answer I should
call the clinic if my eye begins to hurt.
,6. Which instruction is important for the nurse to provide to the client after
cataract surgery? - Answer Avoid bending from the waist
7. Before giving someone a medication, what should you do? - Answer Ask
them if they have any allergies
8. How do you find out what kind of pathogen someone is infected with and
what medication to give them? - Answer Culture and sensitivity
9. What is acyclovir used for? - Answer HSV and VZV - it is an antiviral drug
10.With the drug Mebendazole (Enverm), what adverse effects will you watch
for? - Answer Laboratory draw - agranulocytosis, anemia, leukopenia,
neutropenia
11.What is Mebendazole used for? - Answer It is a treatment for helminths,
like pinworms
12.What is a normal lab value for white blood cells - Answer 6-10
13.If you crush Mebendazole and take it with food, what occurs? - Answer It
can increase the level of the drug in the serum—this can lead to problems
metabolizing drug, so you will want to check liver enzyme levels and watch
for blood in the urine
,14.When you are taking a drug like acyclovir, what adverse effects will you
watch for? - Answer Liver and renal system problems — antivirals are hard
on the liver
15.What is the stem for antimalarials - Answer Quine
16.What is chloroquine phosphate used for? - Answer It is an antimalarial drug
17.What do you need to educate your patient for if they are taking chloroquine
phosphate? - Answer You need to use a second contraceptive and let your
doctor know if you plan to become pregnant
18.What adverse effect with chloroquine phosphate would you inform your
doctor about? - Answer If you experience hair loss or hearing loss
19.Should chloroquine phosphate be taken with or without food? - Answer
Empty stomach
20.What is metronidazole (Flagyl) used for? - Answer An antibiotic for
anaerobic bacteria for gram-positive and gram-negative bacilli as well as
some gram-positive cocci
21.Is effective against some protozoans
a. amebiasis, giardiasis, and thrichomoniasis
,22.When your patient is taking metronidazole (Flagyl), what should you
educate about? - Answer you cannot use alcohol with this medication
23.What can occur if we give a person antibiotics for a long duration? - Answer
Puts the patient at risk for tolerance/resistance as well as superinfection
24.What is gentamicin used for? - Answer Septicemia or UTI
25.What is the black box warning for gentamicin? - Answer This drug is
nephrotoxic and ototoxic
26.-need to be cautious to use it with a patient who has renal function
impairment OR if the patient is pregnant (cause the baby to be deaf)
27.How should you monitor your patient who is taking gentamicin? - Answer
Watch for decreased urine output as well as confusion in the elderly
28.What is the functional part of the renal system? - Answer Nephron
29.If the patient is being given Gentamicin through IV, and they begin to have a
reaction, what should you do? - Answer Stop the infusion
30.What is tetracycline used for? - Answer Acne, gonorrhea, chlamydia
31.What patient(s) would you not give tetracycline to? - Answer A pregnant
woman - the baby's teeth may turn gray
32.OR
,33.child under 8
34.What side effects can you see with tetracycline? How would you address
this problem? - Answer Photosensitivity, so use Sunscreen and protective
clothing
35.When you are taking anticoagulants with tetracycline, what is the effect? -
Answer Enhances vitamin K effect
36.What drug should you avoid taking with tetracycline? Why? What would
you do in response? - Answer Digoxin; causes increased absorption of
digoxin which can lead to toxicity
37.You will monitor digoxin in the blood through labs
38.What do you need to know about ciprofloxacin when administering this
drug? (Lots) - Answer 1. Black box warning: increased risk for disabling
tendinitis and tendon rupture (Achilles) and peripheral neuropathy (in long
term diabetics)
39.2. Do not take antacid with this drug - take it 2 hours before or 6 hours after
(also with iron)
40.3. Causes abnormal reading on ECG (anti-dysrhythmic amiodarone) from a
prolonged QT interval - Torsade de pointes (sudden death)
41.4. Allergic reaction - Steven Johnson Syndrome
42.Why do you generally avoid taking antacids with medications? - Answer
Coats the stomach and reduces the body's ability of breaking down the
drug for absorption - decreases the drug's effect on the body
, 43.What is rifampin used for? - Answer TB
44.What should you avoid while using rifampin? - Answer Using alcohol - these
drugs are hard on the liver
45.What patient(s) would you not give rifampin? - Answer Pregnant women or
people with liver disease
46.What should you educate your patient about, and what signs would you be
monitoring for with rifampin? - Answer Take a second contraceptive
47.Orange pee
48.Can cause jaundice if you are having liver problems
49.How should you take rifampin? - Answer Take on an empty stomach
50.What is amphotericin B used for? - Answer It is an antifungal drug
51.What should you be concerned about and monitoring for if your patient is
taking amphotericin B? - Answer This drug is very hard on the renal system
- you should be watching creatinine and BUN as well as urine
output
52.What patients should you avoid giving amphotericin B? How should you
prevent giving this drug to the wrong person? - Answer In general, you
should try to avoid giving this drug to anyone as it is highly toxic!
