Question 4
Pharmacology for Nursing Quiz 9. The clinic nurse is providing health teaching to a client who has been prescribed doxycycline. What is a priority teaching point for this client?
- a) Avoid sexual activity for the duration of treatment
- b) Stay out of the sun and tanning beds as much as possible.
- c) Avoid grapefruit juice for the duration of treatment.
- d) Take the medication with a full glass of milk.
Question 5
The nurse is educating a client newly diagnosed with a urinary tract infection about the prescribed phenazopyridine hydrochloride. Which statement made by the client establishes the need for further clarification?
- a) “The drug is an azo dye that acts directly on urinary tract mucosa to provide pain relief.”
- b) “If I develop a sore throat, bleeding, or bruising, I will report the symptoms to my prescriber.”
- c) “I will need to take the drug with food to decrease stomach upset.”
- d) “I will report reddish-orange urine immediately to the prescriber.”
Question 6
A client prescribed on acyclovir for the treatment of genital herpes. What is the expected outcome of this medication?
- a) Decreased testosterone production
- b) Decreased libido
- c) Decreased viral shedding
- d) Decreased bacterial replication
Question 7
When reviewing the medication orders, a nurse notes that combination therapy with two anti-infective agents has been ordered. What is the nurse’s best interpretation of this order?
- a) The client has an infection that is a result of antibiotic resistance.
- b) The risk of anaphylaxis precludes the use of one antibiotic in higher doses.
- c) The client has an infection that may be caused by more than one organism
- d) Treatment with a single antibiotic has proven unsuccessful.
Question 8
A client is scheduled for surgery and will receive a first-generation cephalosporin as a surgical prophylaxis to reduce surgical infections. Which medication will the nurse prepare?
- a) Amoxicillin
- b) Cefazolin
- c) Ciprofloxacin
- d) Metronidazole
Question 9
A nurse collects a culture sample from a client’s infected wound bed. Laboratory testing of this sample will allow the care team to:
- a) Identify the specific organism causing the infection.
- b) Identify individualized client factors contributing to infection.
- c) Approximate the client’s risk for antibiotic resistance.
- d) Assess the components of the client’s normal flora. Pharmacology for Nursing Quiz 9
Question 10
Which adverse reaction is most likely to occur with cefazolin?
- a) Rash and pruritus
- b) Gastrointestinal upset
- c) Orthostatic hypotension
- d) Anaphylaxis reaction
Question 11
A client who sustained a burn from a gas grill has been prescribed a sulfonamide to prevent a burn infection. What route is preferred in the prevention of a burn infection?
- a) Intrathecal
- b) Topical
- c) Parenteral
- d) Oral
Question 12
A client undergoing treatment for cytomegalovirus (CMV) received an initial dose of IV ganciclovir 3 days ago. When reviewing this client’s most recent blood work, what abnormality should the nurse recognize as a possible adverse effect of this drug?
- a) Hemoglobin 17 g/dL (170 g/L) (high normal)
- b) Prothrombin time (PT) 3.8 (high)
- c) Platelet count 118,000/mm3 (low)
- d) Leukocytes 11,900/mm3 (high)
Question 13
An older adult client diagnosed with community-acquired pneumonia has been prescribed aztreonam. What action should the nurse perform before administering the first dose?
- a) Swab the client’s nares for the presence of MRSA.
- b) Administer a 500-mL bolus of normal saline.
- c) Confirm the client’s allergy status.
- d) Teach the client to expect discolored urine during treatment.
Question 14
A client is being treated for a herpes outbreak, and the healthcare 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) Blood urea nitrogen and creatinine levels.
- b) Nutritional status.
- c) GGT, AST, ALT, and bilirubin levels.
- d) Complete blood count (CBC) and WBC differential. Pharmacology for Nursing Quiz 9
Question 15
A client is prescribed erythromycin. Which nursing assessment is the most appropriate in order to rule out contraindications of this therapy for the client?
- a) Question the client regarding a history of peptic ulcer disease
- b) Review the client’s liver function lab work
- c) Review the client’s kidney function lab work
- d) Assess the client’s baseline hearing ability
Question 16
A client is prescribed ciprofloxacin. Which nursing intervention will best prevent the possible development of crystalluria?
- a) The nurse should limit oral fluids to 500 mL/day.
- b) The nurse should encourage fluid intake of 2000 mL/day.
- c) The nurse should administer phenazopyridine
- d) The nurse should insert a urinary catheter.
Question 17
A nurse practitioner instructs a group of nurses about actions that have the potential to prevent antibiotic resistance. What teaching point should the nurse practitioner include?
- a) Antibiotics should be taken promptly to treat colds and other viral infections before the invading organism has a chance to multiply.
- b) It is very important to take the full course of an antibiotic as prescribed and not save remaining drugs for future infections.
- c) Antibiotic dosage should be reduced and used for shorter periods of time to reduce unnecessary exposure to the drug.
- d) Standing prescriptions for antibiotics should be available to clients so they can be filled as soon as clients suspect they have an infection.
Question 18 (Select all that apply)
The nurse prepares to administer nitrofurantoin 100 mg PO every 12 hours to an adult client newly diagnosed with a urinary tract infection. Which measures would the nurse provide for safe and effective drug administration? (Select all that apply)
- a) Instruct the client that the drug is a urinary analgesic to provide pain relief for urinary tract infection symptoms.
- b) Inform the client that the medication may cause the urine to turn a harmless brown color.
- c) Administer the drug with a meal or snack because food helps with drug absorption and decreases the onset of GI distress.
- d) Administer antacids with magnesium to increase the drug absorption of the nitrofurantoin.
- e) Educate the client that the drug is safe during pregnancy and has no adverse effects on fetal development.
Question 19 (Select all that apply)
A client has sought care from the primary healthcare provider after feeling ill for several days. What signs and symptoms would support the presence of a viral infection? (Select all that apply)
- a) Increased red cell count
- b) Idiopathic bleeding
- c) Malaise
- d) Fever
- e) Headache
Question 20 (Select all that apply)
Which of the following are examples of fluoroquinolones? (Select all that apply)
- a) Levofloxacin
- b) Amoxicillin
- c) Cephalexin
- d) Spectinomycin
- e) Ciprofloxacin
