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NURS3550 Final Questions with Detailed Verified
Answers
A patient has been prescribed ciprofloxacin for treatment of a urinary tract infection with
Escherichia coli. Before administering the drug, it is most important for the nurse to assess the
patient for a history of what?
A.Hypertension
B.Diabetes mellitus
C.Myasthenia gravis
D.Seasonal allergies Ans: ✓ ✓ ✓ Answer: C
Rationale: Ciprofloxacin and other fluoroquinolones can exacerbate muscle weakness in patients
with myasthenia gravis. Accordingly, patients with a history of myasthenia gravis should not receive
these drugs.
It is most important for the nurse to avoid administering oral ciprofloxacin to this patient with
which food?
A.Bananas
B.Baked chicken
C.Grapefruit juice
D.Milk Ans: ✓ ✓ ✓ Answer: D
Rationale: Absorption of ciprofloxacin can be reduced by compounds that contain cations. Among
these are (1) aluminum- or magnesium-containing antacids, (2) iron salts, (3) zinc salts, (4)
sucralfate, (5) calcium supplements, and (6) milk and other dairy products, all of which contain
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calcium ions. These cationic agents should be administered at least 6 hours before ciprofloxacin or 2
hours after.
The patient is being discharged with continued ciprofloxacin therapy. When providing discharge
teaching, the nurse should advise the patient to call the healthcare provider immediately if what
develops?
A.Pain in the heel of the foot
B.Nausea
C.Diarrhea
D.Headache Ans: ✓ ✓ ✓ Answer: A
Rationale: Rarely, ciprofloxacin and other fluoroquinolones have caused tendon rupture, usually of
the Achilles tendon. The incidence is 1 in 10,000 or less. Because tendon injury is reversible if
diagnosed early, fluoroquinolones should be discontinued at the first sign of tendon pain, swelling,
or inflammation. In addition, patients should refrain from exercise until tendinitis has been ruled
out.
Both IV ampicillin/sulbactam and gentamicin are ordered for a patient. When administering these
medications, the nurse will do what?
A.There are no necessary precautions.
B. Administer the gentamicin first.
C. Ensure that separate IV solutions are used.
D. Use two different peripheral IV sites. Ans: ✓ ✓ ✓ Answer: C Ensure that seperate IV solutions
are used
A patient is admitted to the hospital with a medical diagnosis of community-acquired methicillin-
resistant Staphylococcus aureus. When taking the patient's history, a nurse recognizes which
information as the most important?
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A. Had gallbladder surgery in the previous month
B. Plays a contact sport and is an athlete
C. Currently resides in a long-term care facility
D. Did not complete the last course of antibiotics Ans: ✓ ✓ ✓ Answer B: Plays a contact sport and
is an athlete
The nurse identifies which statements about penicillins as true? Select all that apply.
•The principal adverse effect of penicillins is allergic reaction.
•A patient who is allergic to penicillin is also allergic to vancomycin, erythromycin, and clindamycin.
•Penicillins are normally eliminated rapidly but can accumulate to harmful levels if renal function is
severely impaired.
•A patient who is allergic to penicillin always has a cross-allergy to cephalosporins.
•Penicillins are the safest antibiotics available. Ans: ✓ ✓ ✓ •The principal adverse effect of
penicillins is allergic reaction.
•Penicillins are normally eliminated rapidly but can accumulate to harmful levels if renal function is
severely impaired.
•Penicillins are the safest antibiotics available.
Which instruction should a nurse include in the discharge teaching for a patient who is to start
taking tetracycline?
A. "Take the medication with yogurt or milk so you won't have nausea."
B. "You may stop taking the pills when you begin to feel better."
C. "You'll have to come back to the clinic for a weekly blood work."
D. "Use sunscreen and protective clothing when outdoors." Ans: ✓ ✓ ✓ Answer: D "Use sunscreen
and protective clothing when outdoors."
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A nurse assessing a patient who is 12 years old should associate which complication with the
patient's receiving tetracycline as a younger child?
A. Delay in long bone growth
B. Discoloration of the teeth
C. Severe face and body acne
D. Early onset of puberty Ans: ✓ ✓ ✓ Answer: B Discoloration of the teeth
The nurse is assessing a patient who is receiving a sulfonamide for treatment of a urinary tract
infection. To monitor the patient for the most severe response to sulfonamide therapy, the nurse
will assess for what?
A. Skin rash and lesions
B. Diarrhea
C. Bleeding
D. Hypertension Ans: ✓ ✓ ✓ Answer: A Skin rash and lesions
A patient taking a sulfonamide is breast-feeding an infant. Which complication in the infant would
the nurse associate with kernicterus?
A. Hemolytic anemia
B. Hepatocellular failure
C. Ophthalmic infection
D. Neurologic deficits Ans: ✓ ✓ ✓ Answer: D Neurologic deficits
Before administering trimethoprim, it is most important for the nurse to assess the patient for a
history of what?
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NURS3550 Final Questions with Detailed Verified
Answers
A patient has been prescribed ciprofloxacin for treatment of a urinary tract infection with
Escherichia coli. Before administering the drug, it is most important for the nurse to assess the
patient for a history of what?
A.Hypertension
B.Diabetes mellitus
C.Myasthenia gravis
D.Seasonal allergies Ans: ✓ ✓ ✓ Answer: C
Rationale: Ciprofloxacin and other fluoroquinolones can exacerbate muscle weakness in patients
with myasthenia gravis. Accordingly, patients with a history of myasthenia gravis should not receive
these drugs.
It is most important for the nurse to avoid administering oral ciprofloxacin to this patient with
which food?
A.Bananas
B.Baked chicken
C.Grapefruit juice
D.Milk Ans: ✓ ✓ ✓ Answer: D
Rationale: Absorption of ciprofloxacin can be reduced by compounds that contain cations. Among
these are (1) aluminum- or magnesium-containing antacids, (2) iron salts, (3) zinc salts, (4)
sucralfate, (5) calcium supplements, and (6) milk and other dairy products, all of which contain
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calcium ions. These cationic agents should be administered at least 6 hours before ciprofloxacin or 2
hours after.
The patient is being discharged with continued ciprofloxacin therapy. When providing discharge
teaching, the nurse should advise the patient to call the healthcare provider immediately if what
develops?
A.Pain in the heel of the foot
B.Nausea
C.Diarrhea
D.Headache Ans: ✓ ✓ ✓ Answer: A
Rationale: Rarely, ciprofloxacin and other fluoroquinolones have caused tendon rupture, usually of
the Achilles tendon. The incidence is 1 in 10,000 or less. Because tendon injury is reversible if
diagnosed early, fluoroquinolones should be discontinued at the first sign of tendon pain, swelling,
or inflammation. In addition, patients should refrain from exercise until tendinitis has been ruled
out.
Both IV ampicillin/sulbactam and gentamicin are ordered for a patient. When administering these
medications, the nurse will do what?
A.There are no necessary precautions.
B. Administer the gentamicin first.
C. Ensure that separate IV solutions are used.
D. Use two different peripheral IV sites. Ans: ✓ ✓ ✓ Answer: C Ensure that seperate IV solutions
are used
A patient is admitted to the hospital with a medical diagnosis of community-acquired methicillin-
resistant Staphylococcus aureus. When taking the patient's history, a nurse recognizes which
information as the most important?
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A. Had gallbladder surgery in the previous month
B. Plays a contact sport and is an athlete
C. Currently resides in a long-term care facility
D. Did not complete the last course of antibiotics Ans: ✓ ✓ ✓ Answer B: Plays a contact sport and
is an athlete
The nurse identifies which statements about penicillins as true? Select all that apply.
•The principal adverse effect of penicillins is allergic reaction.
•A patient who is allergic to penicillin is also allergic to vancomycin, erythromycin, and clindamycin.
•Penicillins are normally eliminated rapidly but can accumulate to harmful levels if renal function is
severely impaired.
•A patient who is allergic to penicillin always has a cross-allergy to cephalosporins.
•Penicillins are the safest antibiotics available. Ans: ✓ ✓ ✓ •The principal adverse effect of
penicillins is allergic reaction.
•Penicillins are normally eliminated rapidly but can accumulate to harmful levels if renal function is
severely impaired.
•Penicillins are the safest antibiotics available.
Which instruction should a nurse include in the discharge teaching for a patient who is to start
taking tetracycline?
A. "Take the medication with yogurt or milk so you won't have nausea."
B. "You may stop taking the pills when you begin to feel better."
C. "You'll have to come back to the clinic for a weekly blood work."
D. "Use sunscreen and protective clothing when outdoors." Ans: ✓ ✓ ✓ Answer: D "Use sunscreen
and protective clothing when outdoors."
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A nurse assessing a patient who is 12 years old should associate which complication with the
patient's receiving tetracycline as a younger child?
A. Delay in long bone growth
B. Discoloration of the teeth
C. Severe face and body acne
D. Early onset of puberty Ans: ✓ ✓ ✓ Answer: B Discoloration of the teeth
The nurse is assessing a patient who is receiving a sulfonamide for treatment of a urinary tract
infection. To monitor the patient for the most severe response to sulfonamide therapy, the nurse
will assess for what?
A. Skin rash and lesions
B. Diarrhea
C. Bleeding
D. Hypertension Ans: ✓ ✓ ✓ Answer: A Skin rash and lesions
A patient taking a sulfonamide is breast-feeding an infant. Which complication in the infant would
the nurse associate with kernicterus?
A. Hemolytic anemia
B. Hepatocellular failure
C. Ophthalmic infection
D. Neurologic deficits Ans: ✓ ✓ ✓ Answer: D Neurologic deficits
Before administering trimethoprim, it is most important for the nurse to assess the patient for a
history of what?
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