VNSG 1400: Chapter 7 (Pharm) Prep
Questions and Correct Answers.
The nursing instructor is teaching about a new emerging bacterium that has both natural and
acquired resistance and that affects the severely ill, immunocompromised clients in intensive
care, transplant, and some cancer treatment units. This is which? - Answer VRE
Explanation: Bacteria that have both natural and acquired resistance are emerging. An example
is vancomycin-resistant enterococci (VRE). The other acronyms are distractors for this question.
MRSA is methicillin resistant staphylococcus aureus. STI are sexually transmitted infections and
RICE if an acronym used for treatment of soft tissue injuries such as sprains: rest, ice,
compression and elevation.
A postoperative client is ordered Keflex 250 mg every 6 hours for 5 days. How much Keflex will
the client receive in a 24-hour period? - Answer 1 Gram
Explanation: The client will receive 250 mg 4 times/day, which means 250 mg every 6 hours.
Four times 250 mg equals 1000 mg, or 1 Gram in a 24-hour period. All other options would be a
medication error/inaccurate dose.
A male client who has undergone surgery of the urinary tract is administered cephalosporins to
prevent infections. When assessing the client on the day after the surgery, the nurse notices
that he has an elevated temperature. Which nursing intervention would be most appropriate in
this case? - Answer Inform the primary health care provider.
Explanation:The nurse should immediately report an increase in the client's body temperature
to the primary health care provider. The nurse should consult the provider before increasing,
decreasing, or discontinuing the dosage. The nurse should measure and record the fluid intake if
there is a decrease in the urine output.
Michael, 25 years old, has had mitral valve regurgitation since age four, after having rheumatic
fever. Michael is planning to go to his dentist to have his teeth cleaned. Because of Michael's
history he will need to take antibiotics in conjunction with this procedure to prevent
bacteremia. Which class of antibiotics will Michael most likely receive if he has no allergies? -
Answer Penicillin
Questions and Correct Answers.
The nursing instructor is teaching about a new emerging bacterium that has both natural and
acquired resistance and that affects the severely ill, immunocompromised clients in intensive
care, transplant, and some cancer treatment units. This is which? - Answer VRE
Explanation: Bacteria that have both natural and acquired resistance are emerging. An example
is vancomycin-resistant enterococci (VRE). The other acronyms are distractors for this question.
MRSA is methicillin resistant staphylococcus aureus. STI are sexually transmitted infections and
RICE if an acronym used for treatment of soft tissue injuries such as sprains: rest, ice,
compression and elevation.
A postoperative client is ordered Keflex 250 mg every 6 hours for 5 days. How much Keflex will
the client receive in a 24-hour period? - Answer 1 Gram
Explanation: The client will receive 250 mg 4 times/day, which means 250 mg every 6 hours.
Four times 250 mg equals 1000 mg, or 1 Gram in a 24-hour period. All other options would be a
medication error/inaccurate dose.
A male client who has undergone surgery of the urinary tract is administered cephalosporins to
prevent infections. When assessing the client on the day after the surgery, the nurse notices
that he has an elevated temperature. Which nursing intervention would be most appropriate in
this case? - Answer Inform the primary health care provider.
Explanation:The nurse should immediately report an increase in the client's body temperature
to the primary health care provider. The nurse should consult the provider before increasing,
decreasing, or discontinuing the dosage. The nurse should measure and record the fluid intake if
there is a decrease in the urine output.
Michael, 25 years old, has had mitral valve regurgitation since age four, after having rheumatic
fever. Michael is planning to go to his dentist to have his teeth cleaned. Because of Michael's
history he will need to take antibiotics in conjunction with this procedure to prevent
bacteremia. Which class of antibiotics will Michael most likely receive if he has no allergies? -
Answer Penicillin
