NURS 504 – Health Assessment Exam 5
| Questions and correct detailed
Answers | 2026 Updates | 100% correct
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. -
ANSWER- -The use of ciprofloxacin is contraindicated in pregnancy.
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. - ANSWER- -
interference with bacterial reproduction.
A client is receiving a cephalosporin and an aminoglycoside as combination therapy. What
assessment should the nurse prioritize?
Serum BUN and creatinine levels Coagulation studies Signs of disulfiram-like reaction Complete
blood count - ANSWER- -Serum BUN and creatinine levels
, 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. - ANSWER- -Monitoring blood creatinine levels.
Inappropriate use of antibiotics does all of the following except increase:
adverse drug effects. health care costs. the number of available effective drugs for serious or
antibiotic-resistant infections. infections with drug-resistant microorganisms. - ANSWER- -the
number of available effective drugs for serious or antibiotic-resistant infections.
Your client is being treated for streptococcal pharyngitis and is NPO. Her health care provider
has ordered Penicillin G to be given IM. She wants to know why she cannot take her
medications via an oral route. Your best response is:
Penicillin G is inactivated by gastric acid, therefore it is only given IM or IV. Penicillin G is
inactivated by gastric acid, therefore it is only given IM. Penicillin G can be given orally but
requires higher doses. Penicillin G is no longer used for this problem. - ANSWER- -Penicillin G
is inactivated by gastric acid, therefore it is only given IM or IV.
After teaching a group of nursing students about the action of penicillins, the instructor
determines that the teaching was effective when the students identify natural penicillins as
exerting which type of effect on microorganisms?
bactericidal bacteriostatic fungicidal fungistatic - ANSWER- -bactericidal
A nursing instructor is preparing a teaching plan for a nursing pharmacology class on the action
of fluoroquinolones. Which action would the instructor most likely include?
interfering with DNA synthesis in the bacterial cell interfering with protein synthesis disrupting
the bacterial cell wall blocking ribosomal reading of mRNA - ANSWER- -interfering with DNA
synthesis in the bacterial cell
| Questions and correct detailed
Answers | 2026 Updates | 100% correct
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. -
ANSWER- -The use of ciprofloxacin is contraindicated in pregnancy.
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. - ANSWER- -
interference with bacterial reproduction.
A client is receiving a cephalosporin and an aminoglycoside as combination therapy. What
assessment should the nurse prioritize?
Serum BUN and creatinine levels Coagulation studies Signs of disulfiram-like reaction Complete
blood count - ANSWER- -Serum BUN and creatinine levels
, 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. - ANSWER- -Monitoring blood creatinine levels.
Inappropriate use of antibiotics does all of the following except increase:
adverse drug effects. health care costs. the number of available effective drugs for serious or
antibiotic-resistant infections. infections with drug-resistant microorganisms. - ANSWER- -the
number of available effective drugs for serious or antibiotic-resistant infections.
Your client is being treated for streptococcal pharyngitis and is NPO. Her health care provider
has ordered Penicillin G to be given IM. She wants to know why she cannot take her
medications via an oral route. Your best response is:
Penicillin G is inactivated by gastric acid, therefore it is only given IM or IV. Penicillin G is
inactivated by gastric acid, therefore it is only given IM. Penicillin G can be given orally but
requires higher doses. Penicillin G is no longer used for this problem. - ANSWER- -Penicillin G
is inactivated by gastric acid, therefore it is only given IM or IV.
After teaching a group of nursing students about the action of penicillins, the instructor
determines that the teaching was effective when the students identify natural penicillins as
exerting which type of effect on microorganisms?
bactericidal bacteriostatic fungicidal fungistatic - ANSWER- -bactericidal
A nursing instructor is preparing a teaching plan for a nursing pharmacology class on the action
of fluoroquinolones. Which action would the instructor most likely include?
interfering with DNA synthesis in the bacterial cell interfering with protein synthesis disrupting
the bacterial cell wall blocking ribosomal reading of mRNA - ANSWER- -interfering with DNA
synthesis in the bacterial cell
