Pharmacology CHAPTER 5 NCLEX Review Questions

Pharmacology CHAPTER 5 NCLEX Review Questions Leave the first rating Students also studied Terms in this set (63) Science MedicineNursing Save

Chapter 06: Drugs for Tuberculosis, ...

17 terms superWhoopiGoldbe...Preview Pharmacology Chapters 1-5 31 terms Ani2011Preview Chapter 5 Drugs for Bacterial Infecti...200 terms sissy9612Preview

Pharm:

19 terms NU The LPN is providing discharge teaching to a 38-year-old patient receiving treatment with ampicillin. Which statement indicates that the patient understands the nurse's instructions?

• "If I take aspirin, I may need an extra dose of ampicillin

every day."

• "I should take this drug on an empty stomach so it

works better."

• "If I take birth control pills with my ampicillin, I may

become pregnant."

• "Taking tetracycline with the ampicillin makes it work

better." C The LPN is educating a patient about penicillin. Which statement indicates that the patient understands the nurse's teaching?

• "I should expect a decrease in my symptoms after 4

days of treatment."

• "I have to wait 30 minutes after taking the first dose of

the drug before leaving the clinic."

• "This drug will not interfere with my birth control pills."
• "I should take my drug for at least 14 days and then

contact the healthcare provider." B

The nurse has just given the first dose of intramuscular penicillin to a patient. What would the nurse do next?

• Take the patient's blood pressure and pulse

immediately after the injection.

• Observe the injection site of the drug for evidence of

irritation.

• Instruct the patient to lie down for at least 4 hours

before leaving the clinic.

• Observe the patient for evidence of shortness of

breath, rash, or hives.D The LPN is caring for a patient who is receiving treatment with a sulfonamide drug. The patient's urine output decreases from 100 mL/h to 40 mL/h. What action would the nurse take first?

• Notify the healthcare provider of the changes.
• Document the findings as the only action.
• Encourage the patient to drink more fluids.
• Determine if the patient is experiencing incontinence.

A Which of the following patients would not be a candidate for treatment with tetracycline?

• A 72-year-old female with a history of cardiac

dysrhythmias

• A 7-year-old male with no history of chronic illnesses
• A 58-year-old male with a history of kidney stones
• A 21-year-old female who is considering becoming

pregnant B Which patient requires the nurse to intervene immediately?

• Receiving vancomycin and reports ringing in the ears
• Receiving amoxicillin and takes aspirin
• Receiving tetracycline and was exposed to sunlight
• Receiving erythromycin and reports diarrhea

A The LPN is explaining to a patient that penicillin acts by interfering with the creation of the mucopeptide cell wall of the cell. Which term accurately describes this type of action?

• Bactericidal
• Bacteriostatic
• Broad-spectrum
• Antimicrobial

B

A patient presents to the emergency department with symptoms of low back pain and difficulty urinating. The patient is diagnosed with a urinary tract infection and is prescribed a sulfonamide. Which information is most important to include in the teaching plan?

• Take this drug with food.
• If symptoms do not improve within 1 week, contact the

healthcare provider.

• Drink large amounts of water while taking this drug.
• When feeling better, stop taking the drug.

C Which anti-infective is classified according to generations?

• Lincomycin
• Doxycycline
• Ciprofloxacin
• Cephalosporins

D Which information is most important to include in a teaching plan for a patient starting ampicillin therapy?

• Take the drug with an antacid to avoid nausea and

vomiting.

• Immediately seek medical assistance if having difficulty

breathing.

• Discontinue the drug as soon as symptoms disappear

to avoid toxicity.

• Hives are to be expected within the first few days of

therapy.B The nurse is caring for a patient receiving a sulfonamide.Which information is most important to include in the teaching plan?

• Be sure to limit intake of caffeine products while taking

this drug.

• Do not combine this drug with milk products.
• Do not combine this drug with consumption of

alcohol.

• Avoid prolonged sun exposure while taking this drug.

D The patient asks the LPN why the provider ordered an antibiotic drug. The LPN explains that antibiotics are effective against which type of microbe?

• Fungi
• Viruses
• Bacteria
• Parasites

C

A woman presents to the clinic with symptoms of a vaginal yeast infection. The patient reports that symptoms began 3 days after starting a course of antibiotics for a throat infection. Which term best describes the cause of the patient's yeast infection?

• Superinfection
• Drug sensitivity
• Cross-infection
• Drug resistance

A Which drug is the drug of choice for the prevention and treatment of anthrax exposure?

• Piperacillin
• Ciprofloxacin
• Sulfamethizole
• Tetracycline

B Which IV drug will cause "red man" syndrome if infused too rapidly?

• Amikacin
• Ciprofloxacin
• Vancomycin
• Levofloxacin

C Which symptoms may develop as adverse reactions to sulfonamides? (Select all that apply.)

• Hearing loss
• Anemia
• Rash with fever
• Kidney damage
• Photosensitivity
• Persistent headache

B, C, D, E

Which symptoms may develop as common side effects from aminoglycosides? (Select all that apply.)

• Vomiting
• Insomnia
• Confusion
• Abdominal bloating
• Nausea
• Fever
• Rash

A, E, F, G

Antimicrobials/anti infectivesGeneral term used to describe drug therapy for infections with bacteria, virus's, fungi or protozoans Antibacterial’s/antibioticsAntimicrobial drugs used to kill bacteria infections only