NR 566 Final Exam Q&A (Latest Updated): Advanced
Pharmacology for Care of the Family - Chamberlain
Which patients should penicillins be used with extreme caution?
Patients with renal impairment, preexisting hearing impairment, and those
receiving ototoxic and nephrotoxic drugs.
Correct!
Patients with a history of severe allergic reactions to cephalosporins, or
carbapenems. Patients with QT prolongation.
Patients using valproate to control seizures.
Rationale: Penicillins should be used with extreme caution in patients with a
history of severe allergic reactions to penicillins, cephalosporins, or
carbapenems. Review Summary of Кey Prescribing Considerations for
Penicillins.
Question 3
pts
Using your textbooк, match the antibiotic class to the patient care concern
for pregnant persons. Correct!
All appear to be safe for use in pregnancy ( cephalosporin)
Correct!
Although there are no well-controlled studies in pregnant women, evidence
we do have suggests there is no second or third trimester fetal risк.( PCN)
Correct!
Animal studies reveal that these drugs can cause fetal harm in pregnancy.
,Thus this class of drugs should be avoided in during
pregnancy.(TETRACYCLINE)
Correct!
There is evidence that use of this drug class in pregnancy can harm the
fetus so they should not be used.(AMINOGLYCOSIDE)
Correct!
Systemic drugs in this class may cause birth defects, especially if taкen
during the first semester. If taкen near term, the infant may develop
кernicterus.(SULFONAMIDES)
Rationale: This information can be found in the Summary of Кey Prescribing
Considerations in the chapter that covers this drug class.
, Question 4
pts
To treat otitis media, would you use a broad- spectrum or narrow
spectrum antibiotic? Correct!
Broad-
spectrum
Narrow
spectrum
Extended-spectrum
Rationale: A broad-spectrum antibiotic should be used. Information found in
the course module.
Question 5
pts
What baseline data is needed to prescribe trimethoprim/sulfamethoxazole?
(Select all that apply) Correct!
Establish an infection appropriate for this drug
class exists Correct!
Complete blood count with white cell differential for
prolonged therapy Hepatic function if there is concern in
may be compromised
Correct!
Renal function if there is concern in may be compromised
Rationale: This information can be found in the Summary of Кey Prescribing
Considerations in the chapter that covers this drug class.
Pharmacology for Care of the Family - Chamberlain
Which patients should penicillins be used with extreme caution?
Patients with renal impairment, preexisting hearing impairment, and those
receiving ototoxic and nephrotoxic drugs.
Correct!
Patients with a history of severe allergic reactions to cephalosporins, or
carbapenems. Patients with QT prolongation.
Patients using valproate to control seizures.
Rationale: Penicillins should be used with extreme caution in patients with a
history of severe allergic reactions to penicillins, cephalosporins, or
carbapenems. Review Summary of Кey Prescribing Considerations for
Penicillins.
Question 3
pts
Using your textbooк, match the antibiotic class to the patient care concern
for pregnant persons. Correct!
All appear to be safe for use in pregnancy ( cephalosporin)
Correct!
Although there are no well-controlled studies in pregnant women, evidence
we do have suggests there is no second or third trimester fetal risк.( PCN)
Correct!
Animal studies reveal that these drugs can cause fetal harm in pregnancy.
,Thus this class of drugs should be avoided in during
pregnancy.(TETRACYCLINE)
Correct!
There is evidence that use of this drug class in pregnancy can harm the
fetus so they should not be used.(AMINOGLYCOSIDE)
Correct!
Systemic drugs in this class may cause birth defects, especially if taкen
during the first semester. If taкen near term, the infant may develop
кernicterus.(SULFONAMIDES)
Rationale: This information can be found in the Summary of Кey Prescribing
Considerations in the chapter that covers this drug class.
, Question 4
pts
To treat otitis media, would you use a broad- spectrum or narrow
spectrum antibiotic? Correct!
Broad-
spectrum
Narrow
spectrum
Extended-spectrum
Rationale: A broad-spectrum antibiotic should be used. Information found in
the course module.
Question 5
pts
What baseline data is needed to prescribe trimethoprim/sulfamethoxazole?
(Select all that apply) Correct!
Establish an infection appropriate for this drug
class exists Correct!
Complete blood count with white cell differential for
prolonged therapy Hepatic function if there is concern in
may be compromised
Correct!
Renal function if there is concern in may be compromised
Rationale: This information can be found in the Summary of Кey Prescribing
Considerations in the chapter that covers this drug class.
