ADDRESSED
PHARMACOLOGY
x
TEST BANK TEST x x
The xnurse xhas xbeen xcaring xfor xa xpatient xwho xhas xbeen xtaking xantibiotics xfor x3 xweeks. xUpon
xassessing xthe xpatient, xthe xnurse xnotices xthe xindividual xhas xdeveloped xoral xthrush. xWhat
xdescribes xthe xetiology xof xthe xthrush? x- xCORRECT xANSWER-Superinfection
The xnurse xis xcaring xfor xa xpatient xon xa xmedical-surgical xunit xwho xhas xa xfever xof
xunknown xorigin. xThe xprescriber xhas xordered xa xbroad-spectrum xantibiotic. xWhich
xintervention xis xthe xpriority? x - xCORRECT xANSWER-Obtaining xall x cultures xbefore xthe
xantibiotic xis xadministered
The xnurse xis xteaching xa xnursing xstudent xabout xthe xmechanism xby xwhich xantimicrobial
xagents xachieve xselective xtoxicity. xWhich xstatement xby xthe xstudent xindicates xa xneed xfor
xfurther xteaching? x- xCORRECT xANSWER-"Some xagents xcause xphagocytosis xof xbacterial
xcells."
A xchild xhas xreceived xamoxicillin x[Amoxil] xfor xthree xprevious xear xinfections, xbut xa xcurrent
xotitis xmedia xepisode xis xnot xresponding xto xtreatment. xThe xnurse xcaring xfor xthis xchild
xsuspects xthat xresistance xto xthe xbacterial xagent xhas xoccurred xby xwhich xmicrobial
xmechanism? x- xCORRECT xANSWER-Drug xinactivation
A xnursing xstudent xasks xa xnurse xto xclarify xthe xdifferences xbetween xthe xmechanisms xof
xspontaneous xmutation xand xconjugation xin xacquired xresistance xof xmicrobes. xWhat xwill
xthe xnurse xsay? x- xCORRECT xANSWER-Spontaneous xmutation xleads xto xresistance xto
xonly xone xantimicrobial xagent.
A xpatient xhas xa xviral xsinus xinfection, xand xthe xprovider xtells xthe xpatient xthat xantibiotics
xwill xnot xbe xprescribed. xThe xpatient xwants xto xtake xan xantibiotic xand xasks xthe xnurse xwhat
xpossible xharm xcould xoccur xby xtaking xan xantibiotic. xWhich xresponse xby xthe xnurse xis
xcorrect? x- xCORRECT xANSWER-"Even xnormal xflora xcan xdevelop xresistance xand xtransfer
,x this xto xpathogens."
,A xrecent xcampaign, xinitiated xby xthe xCenters xfor xDisease xControl x(CDC), xto xdelay xthe
xemergence xof xantibiotic xresistance xin xhospitals, xhas xwhat xas xone xof xits xobjectives? x-
xCORRECT xANSWER-Increased xadherence xto xprescribed xantibiotics
A xpatient xhas xa xlocalized xskin xinfection, xwhich xis xmost xlikely xcaused xby xa xgram-positive
xcocci. xUntil xthe xculture xand xsensitivity xresults xare xavailable, xthe xnurse xwill xexpect xthe
xprovider xto xorder xa x -
spectrum
agent. x- xCORRECT xANSWER-narrow; xtopical
A xparent xasks xa xnurse xif xthe xprovider xwill xprescribe xan xantibiotic xfor xa xchild xwho xattends
xschool xwith xseveral xchildren xwho xhave xstrep xthroat. xThe xchild xis xcomplaining xof xa xsore
xthroat xand xhas xa xfever. xWhat xwill xbe xthe xnurse's xresponse x- xCORRECT xANSWER-"Your
xchild xshould xcome xto xthe xclinic xto xhave xa xthroat xculture xdone xtoday."
n xolder xadult xpatient xwith xchronic xobstructive xpulmonary xdisease x(COPD) xdevelops
xbronchitis. xThe xpatient xhas xa xtemperature xof x39.5°C. xThe xnurse xwill xexpect xthe xprovider
xto: x- xCORRECT xANSWER-order xempiric xantibiotics xwhile xwaiting xfor xsputum xculture
xresults.
Which xpatients xshould xbe xgiven xantibiotics xprophylactically? x(Select xall xthat xapply.) x-
xCORRECT xANSWER- xPatients xwith xcertain xcongenital xheart xdefects xat xrisk xfor xbacterial
xendocarditis
Patients xwith xcompound xfractures xundergoing xsurgical xrepair
Which xare xbenefits xof xusing xa xcombination xof xtwo xor xmore xantibiotics? x(Select xall xthat
xapply.) x- xCORRECT xANSWER-Reduced xtoxicity
Reduced xresistance
Reduced xrisk xin xsevere xinfection
The xnurse xis xteaching xa xpharmacology xrefresher xcourse xto xa xgroup xof xnurses. xA xstudent
xasks xwhat xhost xfactors xaffect xthe xchoice xof xagents xin xantimicrobial xtherapy. xThe xnurse
xwill xtell xthe xstudents xthat xsuch xhost xfactors xinclude xwhat? x(Select xall xthat xapply.) x-
xCORRECT xANSWER-Age
, Immune xsystem
status xInfection xsite
x
PHARMACOLOGY
x
TEST BANK TEST x x
The xnurse xhas xbeen xcaring xfor xa xpatient xwho xhas xbeen xtaking xantibiotics xfor x3 xweeks. xUpon
xassessing xthe xpatient, xthe xnurse xnotices xthe xindividual xhas xdeveloped xoral xthrush. xWhat
xdescribes xthe xetiology xof xthe xthrush? x- xCORRECT xANSWER-Superinfection
The xnurse xis xcaring xfor xa xpatient xon xa xmedical-surgical xunit xwho xhas xa xfever xof
xunknown xorigin. xThe xprescriber xhas xordered xa xbroad-spectrum xantibiotic. xWhich
xintervention xis xthe xpriority? x - xCORRECT xANSWER-Obtaining xall x cultures xbefore xthe
xantibiotic xis xadministered
The xnurse xis xteaching xa xnursing xstudent xabout xthe xmechanism xby xwhich xantimicrobial
xagents xachieve xselective xtoxicity. xWhich xstatement xby xthe xstudent xindicates xa xneed xfor
xfurther xteaching? x- xCORRECT xANSWER-"Some xagents xcause xphagocytosis xof xbacterial
xcells."
A xchild xhas xreceived xamoxicillin x[Amoxil] xfor xthree xprevious xear xinfections, xbut xa xcurrent
xotitis xmedia xepisode xis xnot xresponding xto xtreatment. xThe xnurse xcaring xfor xthis xchild
xsuspects xthat xresistance xto xthe xbacterial xagent xhas xoccurred xby xwhich xmicrobial
xmechanism? x- xCORRECT xANSWER-Drug xinactivation
A xnursing xstudent xasks xa xnurse xto xclarify xthe xdifferences xbetween xthe xmechanisms xof
xspontaneous xmutation xand xconjugation xin xacquired xresistance xof xmicrobes. xWhat xwill
xthe xnurse xsay? x- xCORRECT xANSWER-Spontaneous xmutation xleads xto xresistance xto
xonly xone xantimicrobial xagent.
A xpatient xhas xa xviral xsinus xinfection, xand xthe xprovider xtells xthe xpatient xthat xantibiotics
xwill xnot xbe xprescribed. xThe xpatient xwants xto xtake xan xantibiotic xand xasks xthe xnurse xwhat
xpossible xharm xcould xoccur xby xtaking xan xantibiotic. xWhich xresponse xby xthe xnurse xis
xcorrect? x- xCORRECT xANSWER-"Even xnormal xflora xcan xdevelop xresistance xand xtransfer
,x this xto xpathogens."
,A xrecent xcampaign, xinitiated xby xthe xCenters xfor xDisease xControl x(CDC), xto xdelay xthe
xemergence xof xantibiotic xresistance xin xhospitals, xhas xwhat xas xone xof xits xobjectives? x-
xCORRECT xANSWER-Increased xadherence xto xprescribed xantibiotics
A xpatient xhas xa xlocalized xskin xinfection, xwhich xis xmost xlikely xcaused xby xa xgram-positive
xcocci. xUntil xthe xculture xand xsensitivity xresults xare xavailable, xthe xnurse xwill xexpect xthe
xprovider xto xorder xa x -
spectrum
agent. x- xCORRECT xANSWER-narrow; xtopical
A xparent xasks xa xnurse xif xthe xprovider xwill xprescribe xan xantibiotic xfor xa xchild xwho xattends
xschool xwith xseveral xchildren xwho xhave xstrep xthroat. xThe xchild xis xcomplaining xof xa xsore
xthroat xand xhas xa xfever. xWhat xwill xbe xthe xnurse's xresponse x- xCORRECT xANSWER-"Your
xchild xshould xcome xto xthe xclinic xto xhave xa xthroat xculture xdone xtoday."
n xolder xadult xpatient xwith xchronic xobstructive xpulmonary xdisease x(COPD) xdevelops
xbronchitis. xThe xpatient xhas xa xtemperature xof x39.5°C. xThe xnurse xwill xexpect xthe xprovider
xto: x- xCORRECT xANSWER-order xempiric xantibiotics xwhile xwaiting xfor xsputum xculture
xresults.
Which xpatients xshould xbe xgiven xantibiotics xprophylactically? x(Select xall xthat xapply.) x-
xCORRECT xANSWER- xPatients xwith xcertain xcongenital xheart xdefects xat xrisk xfor xbacterial
xendocarditis
Patients xwith xcompound xfractures xundergoing xsurgical xrepair
Which xare xbenefits xof xusing xa xcombination xof xtwo xor xmore xantibiotics? x(Select xall xthat
xapply.) x- xCORRECT xANSWER-Reduced xtoxicity
Reduced xresistance
Reduced xrisk xin xsevere xinfection
The xnurse xis xteaching xa xpharmacology xrefresher xcourse xto xa xgroup xof xnurses. xA xstudent
xasks xwhat xhost xfactors xaffect xthe xchoice xof xagents xin xantimicrobial xtherapy. xThe xnurse
xwill xtell xthe xstudents xthat xsuch xhost xfactors xinclude xwhat? x(Select xall xthat xapply.) x-
xCORRECT xANSWER-Age
, Immune xsystem
status xInfection xsite
x
