PHARM EXAM 3 COMPLETE
QUESTIONS AND ANSWERS
1.The nurse has provided patient teaching for a patient who will be discharged to home
on an anti-
infective. What statement made by the patient indicates the nurse needs to provide
additional teaching
concerning the use of anti-infectives?
A) Antibiotics will not help me when I have a viral infection.
B) A bacterial culture will be done before antibiotics are prescribed for me.
C) I could develop diarrhea as a result of taking an antibiotic.
D) I will stop taking the antibiotic as soon as I feel better. -ANSAns: D
2.The nurse attends a class on preventing resistance to anti-infectives and learns that
the critical concept
in preventing the development of resistant strains of microbes is what?
A) Exposure of pathogens to an antimicrobial agent without cellular death
B) Drug dosages that are below a therapeutic level
C) The duration of drug use
D) Frequency of drug ingestion -ANSAns: C
3.When conducting patient teaching about using antibiotic medications, what is it critical
for the nurse to
include to help stop the development of resistant strains of microorganisms?
A) Antibiotics should be used quickly to treat colds and other viral infections before the
invading
organism has a chance to multiply.
B) Antibiotic dosage should be reduced and used for shorter periods of time to reduce
unnecessary
exposure to the drug.
C) Prescriptions for antibiotics should be readily available so they can be filled as soon
as patients
suspect they have an infection.
D) It is very important to take the full course of an antibiotic as prescribed and not save
remaining
drugs for future infections. -ANSD) It is very important to take the full course of an
antibiotic as prescribed and not save remaining
drugs for future infections.
4. The nurse is providing discharge teaching to a patient who is being sent home on oral
tetracycline
, (Sumycin). What instructions should the nurse include?
A) Take the medication only once a day.
B) Check pulse rate and hold the drug if lower than 60 beats per minute (bpm).
C) Take the drug on an empty stomach.
D) Take the medication with 2 ounces of water. -ANSAns: C
5. A 28-year-old patient has been prescribed penicillin for the first time. What nursing
diagnosis would be
most appropriate for this patient?
A) Acute pain related to gastrointestinal (GI) effects of the drug
B) Deficient knowledge regarding drug therapy
C) Imbalance nutrition: less than body requirements related to multiple GI effects of the
drug
D) Constipation -ANSAns: B
6. The nurse is caring for a 62-year-old patient who is receiving IV gentamicin
(Garamycin). The patient
complains of difficulty hearing. What should the nurse do?
A) Hold the dose and notify the physician immediately.
B) Administer the dose and speak in a louder voice when talking to the patient.
Test Bank - Focus on Nursing Pharmacology (8th Edition by Karch) 145
C) Administer the dose and report this information to the oncoming nurse.
D) Administer the dose and document the finding in the nurse's notes. -ANSAns: A
7. The nurse is preparing to contact the physician for an antibiotic order for the patient's
infection. What
information will the nurse be prepared to provide for the physician to choose the proper
antibiotic?
A) First day of infection symptoms
B) Culture and sensitivity test results
C) The patient's intake and output for past 2 days
D) Results of complete blood count with differential -ANSAns: B
8. A nursing student asks the pharmacology instructor for ways to minimize the
emergence of drug-
resistant microbial agents. What would be an appropriate response by the instructor?
(Select all that
apply.)
A) Avoid the use of broad-spectrum antibacterial drugs when treating trivial or viral
infections.
B) Use narrow-spectrum agents if they are thought to be effective.
C) Do not use vancomycin unnecessarily.
D) Prescribe antibiotics when the patient believes they are warranted.
E) Start the antibiotics, do culture and sensitivity tests, and provide patient education. -
ANSAns: A, B, C
QUESTIONS AND ANSWERS
1.The nurse has provided patient teaching for a patient who will be discharged to home
on an anti-
infective. What statement made by the patient indicates the nurse needs to provide
additional teaching
concerning the use of anti-infectives?
A) Antibiotics will not help me when I have a viral infection.
B) A bacterial culture will be done before antibiotics are prescribed for me.
C) I could develop diarrhea as a result of taking an antibiotic.
D) I will stop taking the antibiotic as soon as I feel better. -ANSAns: D
2.The nurse attends a class on preventing resistance to anti-infectives and learns that
the critical concept
in preventing the development of resistant strains of microbes is what?
A) Exposure of pathogens to an antimicrobial agent without cellular death
B) Drug dosages that are below a therapeutic level
C) The duration of drug use
D) Frequency of drug ingestion -ANSAns: C
3.When conducting patient teaching about using antibiotic medications, what is it critical
for the nurse to
include to help stop the development of resistant strains of microorganisms?
A) Antibiotics should be used quickly to treat colds and other viral infections before the
invading
organism has a chance to multiply.
B) Antibiotic dosage should be reduced and used for shorter periods of time to reduce
unnecessary
exposure to the drug.
C) Prescriptions for antibiotics should be readily available so they can be filled as soon
as patients
suspect they have an infection.
D) It is very important to take the full course of an antibiotic as prescribed and not save
remaining
drugs for future infections. -ANSD) It is very important to take the full course of an
antibiotic as prescribed and not save remaining
drugs for future infections.
4. The nurse is providing discharge teaching to a patient who is being sent home on oral
tetracycline
, (Sumycin). What instructions should the nurse include?
A) Take the medication only once a day.
B) Check pulse rate and hold the drug if lower than 60 beats per minute (bpm).
C) Take the drug on an empty stomach.
D) Take the medication with 2 ounces of water. -ANSAns: C
5. A 28-year-old patient has been prescribed penicillin for the first time. What nursing
diagnosis would be
most appropriate for this patient?
A) Acute pain related to gastrointestinal (GI) effects of the drug
B) Deficient knowledge regarding drug therapy
C) Imbalance nutrition: less than body requirements related to multiple GI effects of the
drug
D) Constipation -ANSAns: B
6. The nurse is caring for a 62-year-old patient who is receiving IV gentamicin
(Garamycin). The patient
complains of difficulty hearing. What should the nurse do?
A) Hold the dose and notify the physician immediately.
B) Administer the dose and speak in a louder voice when talking to the patient.
Test Bank - Focus on Nursing Pharmacology (8th Edition by Karch) 145
C) Administer the dose and report this information to the oncoming nurse.
D) Administer the dose and document the finding in the nurse's notes. -ANSAns: A
7. The nurse is preparing to contact the physician for an antibiotic order for the patient's
infection. What
information will the nurse be prepared to provide for the physician to choose the proper
antibiotic?
A) First day of infection symptoms
B) Culture and sensitivity test results
C) The patient's intake and output for past 2 days
D) Results of complete blood count with differential -ANSAns: B
8. A nursing student asks the pharmacology instructor for ways to minimize the
emergence of drug-
resistant microbial agents. What would be an appropriate response by the instructor?
(Select all that
apply.)
A) Avoid the use of broad-spectrum antibacterial drugs when treating trivial or viral
infections.
B) Use narrow-spectrum agents if they are thought to be effective.
C) Do not use vancomycin unnecessarily.
D) Prescribe antibiotics when the patient believes they are warranted.
E) Start the antibiotics, do culture and sensitivity tests, and provide patient education. -
ANSAns: A, B, C
