50iquestionsi4idosageicalculation
Aipatientiwhoihasistartedidrugitherapyiforituberculosisiwantsitoiknowihowilongiheiwillibeionitheimedication
s.iWhichiresponseibyitheinurseiisicorrect?
"Youishouldiexpectitoitakeitheseidrugsiforiasilongiai24imonths."
Howilongiwilliaipatientibeioniantibioticsitreatmentifor?
6itoi12imonths
PatientiwhoiisitakingiRifampin,iteaching
Increaseifluidiintakeitoiflushioutirediorangeicoloriurine
Aipatientinewlyidiagnosediwithituberculosisi(TB)ihasibeenitakingiantitubercularidrugsifori1iweekiandicallsit
heicliniciandiisiveryiupset.iHeisays,i"Myiurineiisidarkiorange!
iWhat'siwrongiwithime?"iWhichiresponseibyitheinurseiisicorrect?
"Thisiisianiexpectedisideieffectiofitheimedicine.iLet'sireviewiwhatitoiexpect."
Theinurseiisicounselingiaiwomeniwhoiwillibeistartingirifampini(Rifadin)iasipartiofiantiitubercularitherapy.iT
heipatientiisicurrentlyitakingioralicontraceptives.iWhichistatementiisitrueiregardingirifampinitherapyiforithisi
patient?
Oralicontraceptivesiareilessieffectiveiwhileitheipatientiisitakingirifampin
Whatiisitheiadverseieffectsiofitheiisoniazid?
iHepatotoxic,iicterusi(iyellowisclera)
TakingicareiofiaipatientioniIVivancomycin,iwhatitoireportitoitheidoctoriright?
Difficultyiofibreathing,iassessiforitheilung
Whenireviewingitheiallergyihistoryiofiaipatient,itheinurseinotesithatitheipatientiisiallergicitoipenicillin.iBased
ionithisifinding,itheinurseiwouldiquestionianiorderiforiwhichiclassiofiantibiotics?
Cephalosporins
Whatiinformationioriteachingithatiyouiwouldiprovideitoiaipersoniwithierythromycin?
iPartiofitheiadverseieffectiofithisimedicationiisiototoxicityi(ringingiinitheiear)
Foriaiclientireceivingianiintravenousi(IV)iinfusioniofigentamicini(Garamycin),itheinurseiwouldimonitoriwhi
chilaboratoryivalues?
Bloodiureainitrogeni(BUN)iandicreatinine
Theinurseishouldiassessiaiclientiforinephrotoxicityiandiototoxicityiwheniadministeringiwhichiantimicrobial?
Gentamicini(Garamycin),imonitoriforiserumileveli=ipeakianditoughiAlwa
ysimonitoritheileveliofitheimedication
,Theinurseiisiplanningicareiforiaiclientiprescribedionce-
dailyiIVigentamicini(Garamycin)itherapy.iWhenishoulditheinurseischeduleiaitroughidrugilevelitoibeidrawn?
12ihoursiaftericompletingitheiantibioticiinfusion
Troughiserumidrugilevelsishouldibeidrawniatileasti8itoi12ihoursiafteritheimedicationiisiinfused.
Theiprimaryihealthicareiprovideriinstructsiainurseitoiadministeriintravenousivancomycin.iDuringi infusion,ith
eipatientihasiexcessiveisweating,iflushesionitheineckiandihead,iandireportsiitchingionitheihead,iface,iandiuppe
ritrunk.iWhatiisitheibestinursingiinterventioniinithisisituation?
Decreaseitheirateiofiinfusioniofivancomycin.
Whichiadverseieffecticaniresultiifitetracyclineiisiadministereditoichildreniyoungerithani8iyearsiofiage?
Permanentidiscolorationiofitheiteethi
TeachingiforitetracyclineiDiscolorati
oniofitheiteeth
Makeisureitoitellitheidoctoriifipregnant
Theinurseiisiprovidingiteachingitoiaipatientitakingianioralitetracyclineiantibiotic.iWhichistatementibyitheinur
seiisicorrect?
"Avoididirectisunlightianditanningibedsiwhileionithisimedication."
AipatientiisitakingiaicombinationiofiantiviralidrugsiasitreatmentiforiearlyistagesiofiHIViinfection.iWhileidiscu
ssingitheidrugitherapy,itheipatientiasksitheinurseiifitheidrugsiwillikillitheivirus.iWhenianswering,itheinurseikee
psiinimindiwhichifactiaboutiantiviralidrugs?
Theyimayialsoikillihealthyicellsiwhileikillingiviruses
Aipatientiwhoihasibeenihospitalizedifori2iweeksihasidevelopediaipressureiulcerithaticontains
multidrug-
resistantiStaphylococcusiaureusi(MRSA).iWhichidrugiwoulditheinurseiexpectitoibeichoseniforitherapy?
vancomycini(Vancocin)
Aipatientiisiadmittediwithiaifeveriofi102.8iFi(39.3iC),ioriginiunknown.iAssessmentirevealsicloudy,ifoul
-
smellingiurineithatiisidarkiamberiinicolor.iOrdersihaveijustibeeniwrittenitoiobtainistatiurineiandibloodicu
lturesianditoiadministerianiantibioticiintravenously.iTheinurseiwillicompleteitheseiordersiiniwhichisequ
ence?
Bloodiandiurineicultures,iantibioticidose
Patientiwithigentamicinitoxicityi
Dizziness
Ringingiinitheieari(ototoxicity)
WhatiareitheitrueiregardingitoiCeftriaxonei(rocephin)iSATAiIti
isiwidelyiusedirightinow
Mustibeicautioniwhenipatientiisiallergicipenicillin
, Effectiveiforibroad-spectrumibacteria
NotishortiactingiandinotiiniclassiofiSulfonamides
Whatiwouldibeitheiadverseieffectiofizidovudinei(SATA)iHead
ache
Nausea
Boneimarrowisuppression
Theinurseiisimonitoringiaipatientiwhoihasibeenioniantibioticitherapyifori2iweeks.iTodayitheipatientitellsithei
nurseithatiheihasihadiwateryidiarrheaisinceitheidayibeforeiandiisihavingiabdominalicramps.iHisioralitempera
tureiisi101iFi(38.3iC).iBasedionitheseifindings,iwhichiconclusioniwillitheinurseidraw?
TheipatientineedsitoibeitestediforiClostridiumidifficileiinfection.
Patientiisioniantitubercularimedication,iwhatilabitestiisirequired?
Liverifunctionitest
Aniinfantihasibeenihospitalizediwithiaisevereilungiinfectionicausedibyitheirespiratoryisyncytialivirusi(R
SV)iandiwillibeireceivingimedicationiviaitheiinhalationiroute.iTheinurseiexpectsiwhichidrugitoibeiused?
ribavirini(Virazole)
Ainurseiteachingiaiclientireceivingiallopurinoli(Zyloprim)ishouldiincludeiwhichiinformation?
i"Increaseiyourifluidiintakeitoi3iLiperiday."
WhatitoiteachitheipatientiwithiantacididrugsiM
akeisureitoidrinkiglassiofiwater
Patientiwasionipainimedicationiandiwithiainewiprescriptionioficholaseiforiconstipation,iwhatiwoulditheinurs
eiteachitheipatient?
“Itiwillitakei3idaysiforithisimedicationitoiwork.”
AipatientiisitakingiNSAID,iwhatiareitheicontraindications?
PepticiulcersiAnticoagul
antsiDeficientiinivitami
nik
PatientiisigivingiNSAIDiandicytoteci(imisoprostol).iTheipatientiasks:i“whyiamiIitakingitwoiofitheseimedicati
onsiforiarthritisiinsteadiofione.”iWhatiwouldibeitheinurse'siresponse?
BecauseiitipreventsigastriciulcerithatimayihappeniwithipatientitakingiNSAIDiasiwell.
Patientiisihavingiarthritisi
Aspirin
, Whatiwouldibeitheiassessmentipriorityiforipatientiisionibisacodyl?
Howilongihaveiyouibeenitakingithisimedication
Theinurseiisicounselingiaipatientiabouticalciumisupplements.iWhichidietaryiinformationiisiappropriateiduri
ngithisiteachingisession?
Beisureitoieatifoodsihighiinicalcium,isuchiasidairyiproductsiandisalmon.
Theinurseiadministersicalciumislowlyiiniorderitoiavoidiwhichiadverseieffect?
Cardiaciarrest
Whenigivingiantihypertensiveidrugs,itheinurseiwilliconsiderigivingitheifirstidoseiatibedtimeiforiwhichiclassi
ofidrugs?
Alphaiblockersisuchiasidoxazosini(Cardura)
Aipatientihasiainewiorderiforitheiadrenergicidrugidoxazosini(Cardura).iWheniprovidingieducationiaboutithisi
drug,itheinurseiwilliincludeiwhichiinstructions?
"Beisureitoilieidowniafteritakingitheifirstidose,ibecauseifirst-doseihypotensionimayimakeiyou
dizzy."
Whileiassessingiptiwhoiisitakingibetaiblockeriforiangina,itheinurseiknowsitoimonitoriforiwhichiadverseieffec
t
Bradycardia
Theinurseiisicaringiforiaipatientiwhoiisihypertensiveiandihasiliveridysfunction.iTheinurseiwouldianticipateith
atitheipatientiwillimostilikelyibeiplacedioniwhichiantihypertensiveidrug?
Captoprili(notiprodrug)
Prodrugiareilosatan,iramipril,ienalapril
PtiwithiserveriliveridiseaseiisireceivingitheiACE,icaptopil,itheinurseiisiawareithatiadverseiofithisidrugiforithisi
ptiisiwhichicharacteristic?
Captopriliisinotiaiprodrugiandidoesn’tineeditoibeimetabolizedibyitheiliveribeforeibecoming
active.
Aipatientiisitoibeidischargediwithiaitransdermalinitroglycerinipatch.iWhichiinstructioniwouldithei"Ap
plyitheipatchitoiainonhairyiareaiofitheiupperitorsoioriarm."
Removeitheioldiointmentibeforeinewiointmentiisiapplied.
Theinurseiisiteachingiaipatientiaboutitheireasoniforitheiadministrationioficalciumichanneliblockers.iWhichistat
ementishouldibeiincludediinitheiteachingiplan?
"Thisimedicationiwillivasodilateiyouribloodivesselsitoiloweriyouribloodipressure."
Aipatientitakingiadrenergicidrugsiforihypertensioniisibeingigivenidischargeiteachingiaboutitheitherapy.iWhi
chiinformationishouldibeiincludediinithisiteachingiplan?
Aipatientiwhoihasistartedidrugitherapyiforituberculosisiwantsitoiknowihowilongiheiwillibeionitheimedication
s.iWhichiresponseibyitheinurseiisicorrect?
"Youishouldiexpectitoitakeitheseidrugsiforiasilongiai24imonths."
Howilongiwilliaipatientibeioniantibioticsitreatmentifor?
6itoi12imonths
PatientiwhoiisitakingiRifampin,iteaching
Increaseifluidiintakeitoiflushioutirediorangeicoloriurine
Aipatientinewlyidiagnosediwithituberculosisi(TB)ihasibeenitakingiantitubercularidrugsifori1iweekiandicallsit
heicliniciandiisiveryiupset.iHeisays,i"Myiurineiisidarkiorange!
iWhat'siwrongiwithime?"iWhichiresponseibyitheinurseiisicorrect?
"Thisiisianiexpectedisideieffectiofitheimedicine.iLet'sireviewiwhatitoiexpect."
Theinurseiisicounselingiaiwomeniwhoiwillibeistartingirifampini(Rifadin)iasipartiofiantiitubercularitherapy.iT
heipatientiisicurrentlyitakingioralicontraceptives.iWhichistatementiisitrueiregardingirifampinitherapyiforithisi
patient?
Oralicontraceptivesiareilessieffectiveiwhileitheipatientiisitakingirifampin
Whatiisitheiadverseieffectsiofitheiisoniazid?
iHepatotoxic,iicterusi(iyellowisclera)
TakingicareiofiaipatientioniIVivancomycin,iwhatitoireportitoitheidoctoriright?
Difficultyiofibreathing,iassessiforitheilung
Whenireviewingitheiallergyihistoryiofiaipatient,itheinurseinotesithatitheipatientiisiallergicitoipenicillin.iBased
ionithisifinding,itheinurseiwouldiquestionianiorderiforiwhichiclassiofiantibiotics?
Cephalosporins
Whatiinformationioriteachingithatiyouiwouldiprovideitoiaipersoniwithierythromycin?
iPartiofitheiadverseieffectiofithisimedicationiisiototoxicityi(ringingiinitheiear)
Foriaiclientireceivingianiintravenousi(IV)iinfusioniofigentamicini(Garamycin),itheinurseiwouldimonitoriwhi
chilaboratoryivalues?
Bloodiureainitrogeni(BUN)iandicreatinine
Theinurseishouldiassessiaiclientiforinephrotoxicityiandiototoxicityiwheniadministeringiwhichiantimicrobial?
Gentamicini(Garamycin),imonitoriforiserumileveli=ipeakianditoughiAlwa
ysimonitoritheileveliofitheimedication
,Theinurseiisiplanningicareiforiaiclientiprescribedionce-
dailyiIVigentamicini(Garamycin)itherapy.iWhenishoulditheinurseischeduleiaitroughidrugilevelitoibeidrawn?
12ihoursiaftericompletingitheiantibioticiinfusion
Troughiserumidrugilevelsishouldibeidrawniatileasti8itoi12ihoursiafteritheimedicationiisiinfused.
Theiprimaryihealthicareiprovideriinstructsiainurseitoiadministeriintravenousivancomycin.iDuringi infusion,ith
eipatientihasiexcessiveisweating,iflushesionitheineckiandihead,iandireportsiitchingionitheihead,iface,iandiuppe
ritrunk.iWhatiisitheibestinursingiinterventioniinithisisituation?
Decreaseitheirateiofiinfusioniofivancomycin.
Whichiadverseieffecticaniresultiifitetracyclineiisiadministereditoichildreniyoungerithani8iyearsiofiage?
Permanentidiscolorationiofitheiteethi
TeachingiforitetracyclineiDiscolorati
oniofitheiteeth
Makeisureitoitellitheidoctoriifipregnant
Theinurseiisiprovidingiteachingitoiaipatientitakingianioralitetracyclineiantibiotic.iWhichistatementibyitheinur
seiisicorrect?
"Avoididirectisunlightianditanningibedsiwhileionithisimedication."
AipatientiisitakingiaicombinationiofiantiviralidrugsiasitreatmentiforiearlyistagesiofiHIViinfection.iWhileidiscu
ssingitheidrugitherapy,itheipatientiasksitheinurseiifitheidrugsiwillikillitheivirus.iWhenianswering,itheinurseikee
psiinimindiwhichifactiaboutiantiviralidrugs?
Theyimayialsoikillihealthyicellsiwhileikillingiviruses
Aipatientiwhoihasibeenihospitalizedifori2iweeksihasidevelopediaipressureiulcerithaticontains
multidrug-
resistantiStaphylococcusiaureusi(MRSA).iWhichidrugiwoulditheinurseiexpectitoibeichoseniforitherapy?
vancomycini(Vancocin)
Aipatientiisiadmittediwithiaifeveriofi102.8iFi(39.3iC),ioriginiunknown.iAssessmentirevealsicloudy,ifoul
-
smellingiurineithatiisidarkiamberiinicolor.iOrdersihaveijustibeeniwrittenitoiobtainistatiurineiandibloodicu
lturesianditoiadministerianiantibioticiintravenously.iTheinurseiwillicompleteitheseiordersiiniwhichisequ
ence?
Bloodiandiurineicultures,iantibioticidose
Patientiwithigentamicinitoxicityi
Dizziness
Ringingiinitheieari(ototoxicity)
WhatiareitheitrueiregardingitoiCeftriaxonei(rocephin)iSATAiIti
isiwidelyiusedirightinow
Mustibeicautioniwhenipatientiisiallergicipenicillin
, Effectiveiforibroad-spectrumibacteria
NotishortiactingiandinotiiniclassiofiSulfonamides
Whatiwouldibeitheiadverseieffectiofizidovudinei(SATA)iHead
ache
Nausea
Boneimarrowisuppression
Theinurseiisimonitoringiaipatientiwhoihasibeenioniantibioticitherapyifori2iweeks.iTodayitheipatientitellsithei
nurseithatiheihasihadiwateryidiarrheaisinceitheidayibeforeiandiisihavingiabdominalicramps.iHisioralitempera
tureiisi101iFi(38.3iC).iBasedionitheseifindings,iwhichiconclusioniwillitheinurseidraw?
TheipatientineedsitoibeitestediforiClostridiumidifficileiinfection.
Patientiisioniantitubercularimedication,iwhatilabitestiisirequired?
Liverifunctionitest
Aniinfantihasibeenihospitalizediwithiaisevereilungiinfectionicausedibyitheirespiratoryisyncytialivirusi(R
SV)iandiwillibeireceivingimedicationiviaitheiinhalationiroute.iTheinurseiexpectsiwhichidrugitoibeiused?
ribavirini(Virazole)
Ainurseiteachingiaiclientireceivingiallopurinoli(Zyloprim)ishouldiincludeiwhichiinformation?
i"Increaseiyourifluidiintakeitoi3iLiperiday."
WhatitoiteachitheipatientiwithiantacididrugsiM
akeisureitoidrinkiglassiofiwater
Patientiwasionipainimedicationiandiwithiainewiprescriptionioficholaseiforiconstipation,iwhatiwoulditheinurs
eiteachitheipatient?
“Itiwillitakei3idaysiforithisimedicationitoiwork.”
AipatientiisitakingiNSAID,iwhatiareitheicontraindications?
PepticiulcersiAnticoagul
antsiDeficientiinivitami
nik
PatientiisigivingiNSAIDiandicytoteci(imisoprostol).iTheipatientiasks:i“whyiamiIitakingitwoiofitheseimedicati
onsiforiarthritisiinsteadiofione.”iWhatiwouldibeitheinurse'siresponse?
BecauseiitipreventsigastriciulcerithatimayihappeniwithipatientitakingiNSAIDiasiwell.
Patientiisihavingiarthritisi
Aspirin
, Whatiwouldibeitheiassessmentipriorityiforipatientiisionibisacodyl?
Howilongihaveiyouibeenitakingithisimedication
Theinurseiisicounselingiaipatientiabouticalciumisupplements.iWhichidietaryiinformationiisiappropriateiduri
ngithisiteachingisession?
Beisureitoieatifoodsihighiinicalcium,isuchiasidairyiproductsiandisalmon.
Theinurseiadministersicalciumislowlyiiniorderitoiavoidiwhichiadverseieffect?
Cardiaciarrest
Whenigivingiantihypertensiveidrugs,itheinurseiwilliconsiderigivingitheifirstidoseiatibedtimeiforiwhichiclassi
ofidrugs?
Alphaiblockersisuchiasidoxazosini(Cardura)
Aipatientihasiainewiorderiforitheiadrenergicidrugidoxazosini(Cardura).iWheniprovidingieducationiaboutithisi
drug,itheinurseiwilliincludeiwhichiinstructions?
"Beisureitoilieidowniafteritakingitheifirstidose,ibecauseifirst-doseihypotensionimayimakeiyou
dizzy."
Whileiassessingiptiwhoiisitakingibetaiblockeriforiangina,itheinurseiknowsitoimonitoriforiwhichiadverseieffec
t
Bradycardia
Theinurseiisicaringiforiaipatientiwhoiisihypertensiveiandihasiliveridysfunction.iTheinurseiwouldianticipateith
atitheipatientiwillimostilikelyibeiplacedioniwhichiantihypertensiveidrug?
Captoprili(notiprodrug)
Prodrugiareilosatan,iramipril,ienalapril
PtiwithiserveriliveridiseaseiisireceivingitheiACE,icaptopil,itheinurseiisiawareithatiadverseiofithisidrugiforithisi
ptiisiwhichicharacteristic?
Captopriliisinotiaiprodrugiandidoesn’tineeditoibeimetabolizedibyitheiliveribeforeibecoming
active.
Aipatientiisitoibeidischargediwithiaitransdermalinitroglycerinipatch.iWhichiinstructioniwouldithei"Ap
plyitheipatchitoiainonhairyiareaiofitheiupperitorsoioriarm."
Removeitheioldiointmentibeforeinewiointmentiisiapplied.
Theinurseiisiteachingiaipatientiaboutitheireasoniforitheiadministrationioficalciumichanneliblockers.iWhichistat
ementishouldibeiincludediinitheiteachingiplan?
"Thisimedicationiwillivasodilateiyouribloodivesselsitoiloweriyouribloodipressure."
Aipatientitakingiadrenergicidrugsiforihypertensioniisibeingigivenidischargeiteachingiaboutitheitherapy.iWhi
chiinformationishouldibeiincludediinithisiteachingiplan?
