NURS 504 Exam 5 Questions With Complete Solutions
A 30-year-old woman who is in the first trimester of pregnancy
has presented to her primary care provider with a 4-day history
of a reddened, itchy left eye that is crusted with purulent
exudate. The clinician suspects a bacterial, rather than viral,
etiology. How will the client's pregnancy affect the potential use
of ciprofloxacin to treat her conjunctivitis?
Ciprofloxacin is safe to use in pregnancy and the client may use
to same dose and route as a nonpregnant client. The use of
ciprofloxacin is contraindicated in pregnancy. It is safe for the
client to use topical ciprofloxacin but the oral route is potential
teratogenic. The client will require a lower dose and longer
course of ciprofloxacin than a nonpregnant, adult client. Correct
Answers The use of ciprofloxacin is contraindicated in
pregnancy.
A 40-year-old is being treated for an ear infection with a
cephalosporin. Which adverse reactions should the nurse
monitor for in the client?
Hypotension Chest pain Nausea Excessive tearing Correct
Answers Nausea
A 45-year-old client is prescribed acyclovir for the treatment of
genital herpes. Which is an expected outcome for this client?
The client will experience fewer recurrences. The client will be
cured of the viral infection. The client will experience
recurrences but milder symptoms. The client will no longer be
,able to transmit the infection to others. Correct Answers The
client will experience fewer recurrences.
A 66-year-old woman with a history of recurrent urinary tract
infections has been admitted to the hospital with a diagnosis of
pyelonephritis. The client began treatment 36 hours ago with
intravenous gentamicin and is being monitored closely. The
nurse is aware that the therapeutic effect of the client's drug
regimen is primarily a result of:
alterations in the osmolarity of bacterial cytoplasm. lysis of the
bacterial cell walls. interference with bacterial reproduction.
enhancement of the client's immune function. Correct Answers
interference with bacterial reproduction.
A 70-year-old man is being treated for herpes zoster virus. He
has been prescribed acyclovir (Zovirax). The clinic nurse should
prioritize assessments of which of the following?
Neurologic function Renal function Cardiac function
Respiratory function Correct Answers Renal function
A 72-year-old female clinic patient is started on trimethoprim-
sulfamethoxazole for treatment of a urinary tract infection. Prior
to administering this drug, the nurse should assess the patient for
which of the following conditions?
Asthma Hypertension Diabetes mellitus Renal impairment
Correct Answers Renal impairment
, A 75-year-old patient with a history of renal impairment is
admitted to the primary health care center with a UTI and has
been prescribed a cephalosporin. Which of the following
interventions is most important for the nurse to perform when
caring for this patient?
Monitoring fluid intake. Monitoring blood creatinine levels.
Testing for occult blood. Testing for increased glucose levels.
Correct Answers Monitoring blood creatinine levels.
A client asks the nurse if the client should use a topical
antifungal. The nurse is aware that contraindications to topical
antifungals are limited to clients with:
hepatic impairment. renal impairment. congestive heart failure.
known allergy to any of the antifungal drugs. Correct Answers
known allergy to any of the antifungal drugs.
A client has just been diagnosed with tuberculosis (TB). The
nurse can expect to start the client on which drug for the initial
phase of treatment?
INH, streptomycin, and rifampin INH, streptomycin,
pyrazinamide INH, rifampin, pyrazinamide, ethambutol INH,
rifampin, streptomycin, ethambutol Correct Answers INH,
rifampin, pyrazinamide, ethambutol
A client is being treated for a herpes outbreak and the health
care provider has prescribed acyclovir. In order to screen for
potential problems with the client's excretion of the drug, the
nurse should review the client's:
A 30-year-old woman who is in the first trimester of pregnancy
has presented to her primary care provider with a 4-day history
of a reddened, itchy left eye that is crusted with purulent
exudate. The clinician suspects a bacterial, rather than viral,
etiology. How will the client's pregnancy affect the potential use
of ciprofloxacin to treat her conjunctivitis?
Ciprofloxacin is safe to use in pregnancy and the client may use
to same dose and route as a nonpregnant client. The use of
ciprofloxacin is contraindicated in pregnancy. It is safe for the
client to use topical ciprofloxacin but the oral route is potential
teratogenic. The client will require a lower dose and longer
course of ciprofloxacin than a nonpregnant, adult client. Correct
Answers The use of ciprofloxacin is contraindicated in
pregnancy.
A 40-year-old is being treated for an ear infection with a
cephalosporin. Which adverse reactions should the nurse
monitor for in the client?
Hypotension Chest pain Nausea Excessive tearing Correct
Answers Nausea
A 45-year-old client is prescribed acyclovir for the treatment of
genital herpes. Which is an expected outcome for this client?
The client will experience fewer recurrences. The client will be
cured of the viral infection. The client will experience
recurrences but milder symptoms. The client will no longer be
,able to transmit the infection to others. Correct Answers The
client will experience fewer recurrences.
A 66-year-old woman with a history of recurrent urinary tract
infections has been admitted to the hospital with a diagnosis of
pyelonephritis. The client began treatment 36 hours ago with
intravenous gentamicin and is being monitored closely. The
nurse is aware that the therapeutic effect of the client's drug
regimen is primarily a result of:
alterations in the osmolarity of bacterial cytoplasm. lysis of the
bacterial cell walls. interference with bacterial reproduction.
enhancement of the client's immune function. Correct Answers
interference with bacterial reproduction.
A 70-year-old man is being treated for herpes zoster virus. He
has been prescribed acyclovir (Zovirax). The clinic nurse should
prioritize assessments of which of the following?
Neurologic function Renal function Cardiac function
Respiratory function Correct Answers Renal function
A 72-year-old female clinic patient is started on trimethoprim-
sulfamethoxazole for treatment of a urinary tract infection. Prior
to administering this drug, the nurse should assess the patient for
which of the following conditions?
Asthma Hypertension Diabetes mellitus Renal impairment
Correct Answers Renal impairment
, A 75-year-old patient with a history of renal impairment is
admitted to the primary health care center with a UTI and has
been prescribed a cephalosporin. Which of the following
interventions is most important for the nurse to perform when
caring for this patient?
Monitoring fluid intake. Monitoring blood creatinine levels.
Testing for occult blood. Testing for increased glucose levels.
Correct Answers Monitoring blood creatinine levels.
A client asks the nurse if the client should use a topical
antifungal. The nurse is aware that contraindications to topical
antifungals are limited to clients with:
hepatic impairment. renal impairment. congestive heart failure.
known allergy to any of the antifungal drugs. Correct Answers
known allergy to any of the antifungal drugs.
A client has just been diagnosed with tuberculosis (TB). The
nurse can expect to start the client on which drug for the initial
phase of treatment?
INH, streptomycin, and rifampin INH, streptomycin,
pyrazinamide INH, rifampin, pyrazinamide, ethambutol INH,
rifampin, streptomycin, ethambutol Correct Answers INH,
rifampin, pyrazinamide, ethambutol
A client is being treated for a herpes outbreak and the health
care provider has prescribed acyclovir. In order to screen for
potential problems with the client's excretion of the drug, the
nurse should review the client's:
