UTA NURS3365 2021 October Module 8 Quiz Latest

NURS3365 Pharmacology in Nursing Practice

Module 8 Quiz

Question 1 A client has taken several doses of intravenous gentamicin for a severe infection and is scheduled for another dose this morning. The client is unsteady while walking to the bathroom this morning and complains of having some trouble hearing the nurse. The nurse notes that this is new behavior from what was shared in shift report. What action should the nurse implement?

  Administer the scheduled dose on time to help maintain a steady state of the gentamicin

  Contact the health care provider and request trough level before giving the scheduled dose

  Request a physical therapy consultation to help with balance and gait training

  Contact the health care provider and request an order for the gentamicin to be discontinued

Question 2A client is receiving vancomycin and experiences a sudden drop in blood pressure and increase in heart rate. The nurse also notes that the client is red on their face, neck and chest. What is the best action by the nurse?

  Decrease the rate of infusion as this is a known reaction to rapid vancomycin infusions

  Elevate the lower extremities to help raise the blood pressure to a normal value

  Administer 0.3 mg of intravenous epinephrine to combat this anaphylactic reaction

  Contact the health care provider since the patient is sensitive to the vancomycin

Question 3A client is prescribed metronidazole for an infection. The nurse is providing education to the client prior to discharge. What information should the nurse include in the discharge instructions?

  Take the medication until the symptoms disappear, then contact prescriber for further information

  You do not need to increase your fluid intake with this medication because it is easily excreted from the body

  Avoid alcohol, including alcohol hand gel, while on this medication to prevent a known interaction

  Take this medication with a full glass of water, on an empty stomach, to help aid in drug absorption

Question 4The nurse is providing education to a client prescribed an antibiotic. What are some general teaching points to remember with any antibiotic? SELECT ALL THAT APPLY

  Take the entire course of the prescribed antibiotic.

  If your family is sick too,sharing the antibiotic to treat the illness is appropriate to prevent drug-resistant organisms.

  Increase fluids to help with excretion of the antibiotic

  Organ toxicity is a common adverse effect of antibiotics,knowing the signs of the specific organ toxicity is important to prevent long term organ damage.

  Taking an antibiotic puts you at risk for a super infection so you need to take action to re-establish your normal flora by taking probiotics, either with yogurt, buttermilk or oral probiotic supplements

Question 5The nurse is administering levofloxacin to a client with a severe infection. What issues are included in the black box warning for this classification of drugs? SELECT ALL THAT APPLY

  Peripheral neuropathy

  Achilles tendon rupture

  CNS effects

  Sudden cardiac arrest

  Exacerbation of myasthenia gravis

Question 6Which one of the generations of cephalosporins can be used to treat methicillin resistant Staphylococcus Aureus (MRSA)?

  1st generation

  3rd generation

  7th generation

  5th generation

Question 7A young-adult, female client is to start a tetracycline antibiotic for treatment of acne. What teaching points should the nurse include in the education provided to this client? SELECT ALL THAT APPLY

  Take at the same time as a glass of buttermilk or yogurt to prevent superinfection

  Take on an empty stomach with a full glass of water, either 1 hour before meals or 2 hours after meals.

  This medication can make oral contraceptives less effective and some other form of birth-control is recommended to prevent pregnancy.

  Tetracycline antibiotics can cause birth defects in developing fetuses.

  Avoid sunlight and wear sun block and protective clothing because this drug can increase the chance of severe sunburns, also known as, a photosensitive reaction.

  Complete the full course of therapy, as prescribed.

Question 8A client is receiving acyclovir by intravenous route for herpes zoster infection. What action should the nurse implement to help prevent phlebitis?

  Ask the prescriber to change the route to intramuscular

  Dilute further in 1 liter of normal saline

  Administer infusion slowly, over 60 minutes

  Administer by  intravenous push

Question 9A client with tuberculosis will be starting on isoniazid, rifampin, and kanamycin for the initial phase of treatment. What education should the nurse provide this client? SELECT ALL THAT APPLY

  Kanamycin can cause kidney and ear toxicity, therefore, report decrease urine output or hearing or balance disturbances.

  These anti-tubercular drugs will only be administered for about 7 days.

  Rifampin can cause discoloration of body fluids, which can stain clothing and soft contact lenses.

  Take the medications exactly as prescribed to help prevent multi-drug resistant tuberculosis

  Because isoniazid depletes vitamin B6, peripheral neuropathy can occur, and any numbness or tingling should be reported.

  Isoniazid and rifampin can cause liver damage, avoid acetaminophen and alcohol while on these medications.  

Question 10 A client has oral candida albicans infection with throat involvement. The nurse is teaching the client about taking their prescribed swish and swallow medication. What statement made by the client indicates a need for additional teaching?

  “I will take the nystatin exactly as my health care provider prescribed it to ensure medication effectiveness.”

  “I will swish the medication around my mouth ensuring contact with all oral mucosa and gargle before swallowing.”

  “I will drink some water directly after swallowing the nystatin to help with the bad flavor in my mouth.”

  “I will shake the nystatin container prior to taking the dose of medication since it is a suspension.”

 

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