NURS 6521N Week 8 Quiz / NURS6521 Week 8 Quiz (4 NEW Versions,140 Q/A):Walden University

NURS 6521N Week 8 Quiz / NURS6521 Week 8 Quiz (4 Latest Versions): Advanced Pharmacology: Walden University

Walden University NURS 6521N Week 8 Quiz / Walden University NURS6521 Week 8 Quiz (4 Latest Versions)

Question 1

Laboratory testing has confirmed that a patient has chloroquine-resistant malaria and the patient's physician has prescribed quinine along with an adjunctive drug. The nurse should question the physician's order if the patient has a history of

A.

osteoporosis or low bone density.

B.

chronic obstructive pulmonary disease (COPD).

C.

diabetes mellitus.

D.

cardiac arrhythmias.

1 points  

Question 2

A 20-year-old female patient is receiving topical clindamycin for acne vulgaris. She develops a rash and urticaria along with severe itching where the medication is applied. The nurse will formulate which of the following nursing diagnoses for the patient?

A.

Diarrhea

B.

Imbalanced Nutrition: Less than Body Requirements

C.

Risk of Injury related to blood dyscrasia

D.

Risk for Injury related to allergic reactions

1 points  

Question 3

A 43-year-old man has been diagnosed with active TB. He is prescribed a multiple drug therapy, including INH and rifampin. A priority assessment by the nurse will be to monitor which combination of laboratory test results?

A.

Serum alanine transaminase, aspartate transaminase, and bilirubin

B.

Thyroid-stimulating hormone, thyroxine, and triiodothyronine levels

C.

Red blood count, white blood count, and differential

D.

Fasting blood sugar and 2-hour postprandial blood sugar

1 points  

Question 4

An immunocompromised cancer patient has developed cryptococcal meningitis and been admitted to the intensive care unit for treatment with amphotericin B. How should the nurse most safely administer this drug?

A.

Infuse the drug over 2 to 4 hours into a central line using an infusion pump

B.

Place the patient on a constant infusion of amphotericin B at a rate determined by the patient's body weight.

C.

Hang the drug by piggyback with lactated Ringer's and infuse over several hours to minimize the risk of infusion reaction

D.

Flush the patient's central line with normal saline and infuse the amphotericin B by intravenous push over 5 to 7 minutes.

1 points  

Question 5

A patient with AIDS has developed a number of secondary infections in recent weeks, including Kaposi's sarcoma. As a result of this most recent diagnosis, his care team has opted to begin treatment with interferon alfa-2a. The nurse is aware that this drug will address the etiology of Kaposi sarcoma by

A.

inhibiting tumor growth by enhancing inflammation.

B.

potentiating the effects of phagocytes and macrophages.

C.

increasing the production of B cells and T cells.

D.

causing mutations in the DNA of cancerous cells.

1 points  

Question 6

The nurse notices a cold sore on a patient's upper lip and requests medication; docosanol (Abreva) is ordered. Before applying the medication, the nurse would first

A.

clean the area to be treated and then pat it dry.

B.

put gloves on to protect herself.

C.

assess the area and make sure that there are no open lesions or abrasions.

D.

prepare the applicator for drug administration.

1 points  

Question 7

A patient has been prescribed oral tetracycline. The nurse will instruct the patient to take the drug

A.

on an empty stomach 1 hour before or 2 hours after taking any meals or other drugs.

B.

at bedtime only.

C.

with milk or fruit juice.

D.

with a meal.

1 points  

Question 8

A 30-year-old woman who is in the first trimester of pregnancy has presented to her primary care provider with a 4-day history of a reddened, itchy left eye that is crusted with purulent exudate. The clinician suspects a bacterial, rather than viral, etiology. How will the patient's pregnancy affect the potential use of ciprofloxacin to treat her conjunctivitis?

A.

Ciprofloxacin is safe to use in pregnancy and the patient may use to same dose and route as a nonpregnant patient.

B.

It is safe for the patient to use topical ciprofloxacin but the oral route is potential teratogenic.

C.

The use of ciprofloxacin is contraindicated in pregnancy.

D.

The patient will require a lower dose and longer course of ciprofloxacin than a nonpregnant, adult patient.

1 points  

Question 9

A 15-year-old boy is being carefully monitored for a skin infection and is being given ciprofloxacin. The nurse will observe for which of the following?

A.

Arthropathy

B.

Colitis

C.

Hepatitis

D.

Hypotension

1 points  

Question 10

Sulconazole has been prescribed for a patient with tinea pedis. The nurse will instruct the patient to use the topical agent

A.

once a day.

B.

twice a day.

C.

as needed.

D.

three times a day.

1 points  

Question 11

A nurse has questioned why a patient's physician has prescribed a narrow-spectrum antibiotic rather than a broad-spectrum drug in the treatment of a patient's infection. Which of the following facts provides the best rationale for the use of narrow-spectrum antibiotics whenever possible?

A.

The efficacy of most narrow-spectrum antibiotics has not been proven.

B.

The use of broad-spectrum antibiotics can create a risk for a superinfection.

C.

Broad-spectrum antibiotics confound the results of subsequent culture and sensitivity testing.

D.

Narrow-spectrum antibiotics normally require a shorter duration of treatment.

1 points  

Question 12

A 30-year-old African-American woman tested positive for TB and is prescribed isoniazid. The nurse will plan the patient's care to include close monitoring of the drug therapy because

A.

the process of drug metabolism may be faster in this patient.

B.

the therapeutic effect of the drug may be too slow to be effective.

C.

the process of drug elimination will be faster in this patient.

D.

the patient is at greater risk for high serum levels of the drug.

1 points  

Question 13

A patient has been prescribed daptomycin for a complicated skin infection. Which of the following will the nurse advise the patient to report immediately?

A.

Palpitations

B.

Muscle pain or tingling

C.

Nausea and vomiting

D.

Abdominal pain

1 points  

Question 14

A 34-year-old male has been diagnosed with TB and will be started on INH therapy. The medication history reveals that he currently takes antacids on a regular basis. The nurse will instruct the patient to take

A.

antacids not less than 1 hour before or 2 hours after taking INH.

B.

antacids during the day and INH only at night.

C.

INH before meals and antacids 1 or 2 hours after meals.

D.

antacids before meals and INH 1 or 2 hours after meals.

1 points  

Question 15

Mr. Laird is a 49-year-old electrician who experienced severe burns on his trunk, arms, and hands in a workplace accident 2 weeks ago. Part of his current wound care regimen involves the daily application of silver sulfadiazine to his wounds. The nurses who are providing care for Mr. Laird in the burns and plastics unit of the hospital should perform what action when administering this medication?

A.

Apply a layer of silver sulfadiazine that is sufficiently thick to make the wound bed invisible.

B.

Cleanse the wound of debris prior to applying the silver sulfadiazine

C.

Apply a thin layer of the drug to Mr. Laird's wound beds using clean technique.

D.

Perform thorough wound care immediately after the application of silver sulfadiazine

1 points  

Question 16

A 45-year-old female patient is prescribed ciprofloxacin to treat a bronchial infection. A nursing assessment revealed that she started taking daily vitamin supplements about 2 years ago. To maximize the therapeutic effects of the ciprofloxacin therapy, the nurse should advise the patient to

A.

reduce the dosage of vitamin supplements.

B.

take the vitamins at least 2 hours before or after taking ciprofloxacin.

C.

alternate the dosage of ciprofloxacin and vitamin supplements.

D.

reduce the dosage of vitamin supplements and double the dosage of ciprofloxacin.

1 points  

Question 17

An immunocompromised patient in a critical care setting has developed a respiratory infection that has been attributed to methicillin-resistant Staphylococcus aureus (MRSA). The nurse should anticipate that the patient will require treatment with

A.

ciprofloxacin.

B.

clindamycin.

C.

anantistaphylococcic penicillin.

D.

vancomycin.

1 points  

Question 18

A 9-year-old boy was bought to his primary care provider by his mother with signs and symptoms of hookworm infection and will be sent home with a prescription for mebendazole. When provided patient and family education, the nurse should teach the mother with which of the following measures to avoid reinfection following treatment?

A.

The importance of vigilant hygiene for the boy and the other members of the family

B.

The need for the boy to provide serial stool samples for 6 months following treatment

C.

The need to supplement the anthelminthic drug with prophylactic antibiotics

D.

The need to use prescription skin cleansers during treatment and for 6 weeks after

1 points  

Question 19

A 49-year-old farmer who normally enjoys good health has become seriously ill in recent days and the results of an extensive diagnostic work up have resulted in a diagnosis of histoplasmosis. The patient has been admitted to the hospital and has begun treatment with amphotericin B. The nurse who is providing care for the patient should prioritize which of the following diagnostic results during his course of treatment?

A.

PT, PTT, and platelets

B.

Electrolytes, blood urea nitrogen, and creatinine

C.

C-reactive protein

D.

Hemoglobin, hematocrit, and red blood cells

1 points  

Question 20

A patient has been admitted to the critical care unit with a diagnosis of peritonitis that has necessitated treatment with gentamicin. As a result, the care team should be cautious when concurrently administering other medications that may cause

A.

anemia or impaired erythropoiesis.

B.

neutropenia or autoimmune effects.

C.

increased intracranial pressure or changes in cognition.

D.

ototoxicity or nephrotoxicity.

1 points  

Question 21

A patient has been admitted to the critical care unit of the hospital with bacterial septicemia that has failed to respond to initial antibiotic treatment. The patient's most recent blood cultures reveal the presence of methicillin-resistant Staphylococcus aureus (MRSA) in the patient's blood. The nurse will anticipate that this patient will likely require intravenous administration of what antibiotic?

A.

Cefazolin

B.

Penicillin G

C.

Doripenem (Doribax)

D.

Vancomycin

1 points  

Question 22

A patient is receiving cefazolin in combination with anticoagulants. To minimize the adverse effects during therapy, the nurse will

A.

administer the medication with small amounts of food and fluids.

B.

monitor the patient for bleeding gums.

C.

continue therapy until 2 days after symptoms have resolved.

D.

monitor the site of injection.

1 points  

Question 23

A child is taking permethrin for head lice. The nurse will instruct her mother to

A.

wash her hair daily with a good shampoo.

B.

maximize the child's fluid intake.

C.

increase her daily intake of milk.

D.

stop using creams, ointments, and oils on the child's skin and scalp.

1 points  

Question 24

A nurse is aware that the concept of selective toxicity is foundational to antimicrobial therapy. Which of the following statements most accurately describes selective toxicity?

A.

A drug can be isolated and produced in a controlled manner in a laboratory setting.

B.

A drug's effect on microorganisms is proportionate to dose.

C.

A drug harms microbes without harming human cells.

D.

Most microbes may be collected from a host and cultured on an alternative medium.

1 points  

Question 25

Which of the following would a nurse assess for in a patient who is taking polymyxin B systemically?

A.

Peripheral neuropathy

B.

Endocarditis and hypertension

C.

Hyperkalemia and hyponatremia

D.

Nephrotoxicity and hepatotoxicity

1 points  

Question 26

An immunocompromised patient with a diagnosis of candidiasis has failed to respond to conservative therapy and has consequently begun treatment with amphotericin B. The nurse is aware that this drug achieves a therapeutic effect by way of its influence on

A.

the production and maturation of CD4+ T-cells.

B.

protein synthesis of fungal cells.

C.

theosmolarity of fungal intracellular fluid.

D.

the permeability of fungal cell walls.

1 points  

Question 27

A nurse is explaining the use of acyclovir therapy to a 72-year-old man. Nephrotoxicity is discussed as a major adverse effect in older patients. To minimize the risk of the patient developing this adverse effect, the nurse will advise him to

A.

eat light meals every day.

B.

take the tablets on an empty stomach.

C.

stay well hydrated by drinking at least eight 8-oz glasses of water daily.

D.

decrease the drug dosage if initial symptoms of nephrotoxicity appear.

1 points  

Question 28

A patient is taking rifampin (Rifadin) for active TB. When discussing this drug with the patient, the nurse should stress that

A.

body fluids such as urine, saliva, tears, and sputum may become discolored.

B.

facial flushing may appear but will go away once therapy is concluded.

C.

the drug frequently causes seizure activity.

D.

the drug usually causes cardiac arrhythmias.

1 points  

Question 29

A patient is being treated for Mycoplasma pneumoniae pneumonia. She is allergic to penicillin and is being given azithromycin (Zithromax) in capsule form. The nurse will inform the patient that she will need to take the capsule

A.

immediately after she eats.

B.

with or without food.

C.

with food.

D.

on an empty stomach.

1 points  

Question 30

A nurse is instructing a colleague on how an antimicrobial produces a therapeutic effect. Which of the following should be included in the nurse's teaching?

A.

Penicillin interferes with synthesis of the bacteria cell wall.

B.

Fluoroquinolones interfere with the growth and development of the bacteria cell wall.

C.

The first drugs used to treat infections date back to the 17th century.

D.

Selective toxicity determines the appropriate drug dosage needed.

1 points  

Question 31

A patient is to begin taking tobramycin (Nebcin) for a nosocomial infection. Which of the following assessments should the nurse prioritize?

A.

The peak and trough blood levels

B.

Other patient medications

C.

The patient's blood pressure

D.

The patient's ideal body weight

1 points  

Question 32

Which of the following is critical to helping prevent development of resistant strains of microbes in patients?

A.

Maintain the optimum duration of the antimicrobial agent

B.

Limit the exposure of bacteria to an antimicrobial agent

C.

Keep the antimicrobial drug dosage high

D.

Maintain the maximum safe frequency of antimicrobial drug ingestion

1 points  

Question 33

A 72-year-old patient is prescribed ophthalmic ciprofloxacin for a bacterial infection in her right eye. The nurse will teach her to observe for which of the following adverse effects of the drug?

A.

Cognitive changes

B.

Lid margin crusting and pruritus

C.

Nephrotoxicity and neurotoxicity

D.

Tendon ruptures

1 points  

Question 34

A 7-year-old child has tonsillitis and is prescribed penicillin V, which is to be administered at home. The nurse will instruct the parents to administer the drug

A.

with a glass of water 1 hour before or 2 hours after a meal.

B.

with a sip of water 1 hour before mealtime.

C.

intravenously with the assistance of a home health nurse.

D.

immediately before or with a meal.

1 points  

Question 35

A patient is receiving long-term clindamycin therapy for a life-threatening infection. The nurse will begin by monitoring this drug therapy by obtaining

A.

a baseline complete blood count.

B.

establishing the patient's auditory abilities.

C.

liver enzymes weekly until the drug therapy is completed.

D.

blood glucose levels daily for 1 week.