Pharm EXAM 2 Review Questions With Complete Solution Updated 2026/2027 (32pages)

-When caring for a client diagnosed with a peptic ulcer, the nurse administers omeprazole (Prilosec) along with what antibiotic to eradicate Helicobacter pylori? A. Gentamicin B. Ketoconazole C. Tetracycline D. Amoxicillin ANS-D. Amoxicillin -When administering anti-infectives to patients, the nurse is aware of the risk for what potentially fatal adverse effect? A. Gastrointestinal toxicity B. Eighth cranial nerve damage C. Anaphylaxis D. Toxic effects on the kidney ANS-C. Anaphylaxis -What priority teaching point does the nurse include when instructing clients about the use of antacids? A. Reduce calorie intake to reduce acid production. B. Take before each meal and before bed. C. Be aware of risk of acid rebound with long-term use. D. Consider liquid diet if diarrhea occurs. ANS-C. Be aware of risk of acid rebound with long-term use. -What nursing interventions are included in the plan of care for a client receiving antacids to relieve GI discomfort? A. Administer this drug with other drugs or food. B. Administer the antacid 1 hour before or 2 hours after other oral medications. C. Limit fluid intake to decrease dilution of the medication in the stomach. D. Have the patient swallow the antacid whole and do not crush or chew the tablet. ANS-B. Administer the antacid 1 hour before or 2 hours after other oral medications. -What is the therapeutic action of the prochlorperazine in reducing nausea? A. Reduce the production of gastric acid B. Change responsiveness of the chemoreceptor trigger zone (CTZ) C. Blocking histamine receptors D. Producing sedation ANS-B. Change responsiveness of the chemoreceptor trigger zone (CTZ) -What is the best indicator of decreased nausea after administration of promethazine? A. Heart rate 64 beats/min B. Blood pressure 110/64 C. Client is hungry D. Client states, "I feel less nauseated." ANS-D. Client states, "I feel less nauseated." -What classification of drugs does the nurse administer to treat peptic ulcers by suppressing the secretion of hydrochloric acid into the lumen of the stomach? A. Antipeptic agents B. Antacid C. Proton pump inhibitors D. Prostaglandins ANS-C. Proton pump inhibitors -What action does the histamine-2 antagonist administered by the nurse have on the human body that will help to prevent peptic ulcer disease? A. Destroys Helicobacter pylori B. Coats and protects the stomach lining C. Increases the pH of the secreted hydrochloric acid D. Reduces the amount of hydrochloric acid secreted ANS-D. Reduces the amount of hydrochloric acid secreted -The nurse, writing a care plan for a client on an aminoglycoside, includes what intervention to reduce the accumulation of the medication in the kidneys? A. Avoid caffeine intake. B. Increase fluids. C. Decrease activity. D. Decrease consumption of fruits and vegetables. ANS-B. Increase fluids. -The nurse is preparing to contact the physician for an antibiotic order for the client's infection. What information will the nurse be prepared to provide for the physician to choose the proper antibiotic? A. First day of infection symptoms