Advertisement Upgrade to remove ads

pharm

A patient is taking guanifenesin (humibid) as part of the treatment for influenza. Which instruction should the nurse include during patient teaching?

a.forces fluids to help loosen and liquefy secretions
b. report clear-colored sputum to the provider
c. avoid driving a car or operating machinery because of the sedating effects
d. report a fever of 100 F to the prescriber

a. forces fluids to help loosen and liquefy secretions

the nurse should instruct patients about a possible systemic effect that may occur if excessive amounts of topically applied nasal decongestants are used. Which systemic effect may occur?

a. heartburn
b. bradycardia
c. hypotension
d. nervousness

d. nervousness

a patient with a tracheostomy has difficulty removing excessive, thick, mucus from the respiratory tract. The nurse anticipates that which drug will be ordered to aid in the removal of mucus?

a. Humibid

The nurse is reviewing the medication history of a patient who will be taking an antibiotic. During antibiotic therapy, a significant drug interaction may occur with which drug group?

Oral contraceptives

When patients are receiving aminogylcosides, the nurse must monitor for tinnitus and dizziness, which may indicate which problem?

Ototoxicity

A pt is being prepared for colon surgery and will be receiving neomycin tablets the day before surgery. He asks the nurse why he needs to take this medicine before he even has surgery. What is the nurse's best response?

Reduce the number of bacteria in your intestines before surgery

A patient who is receiving vancomycin therapy should notify the nurse immediately if which effects are noted? Select all that apply

Ringing in the ears
Fullness

The nurse is administering IV acyclovir (Zovirax) to a patient with a viral infection. Which administration technique is correct?

Slowly over an hour

when monitoring patients on antitubercular drug therapy, the nurse knows that which drug may cause a decrease in visual acuity?

c. ethambutol

the nurse is cousnseling a woman who will be starting rifampin. The patient is on oral contraceptives. Which statement is true reguarding rifampin therapy for this patient?

c. Oral contraceptives are less effective

The nurse administering acyclovir (zorvirax) and recalls that it is considered the drug of choice for treatment of which viral infection?

Varicella-zoster virus (VSV)

When reviewing the use of amantadine (symmetrel) the nurse expects that the drug would be used most appropriately in which patient?

Influenza A

A patient who has started drug therapy for tuberculosis wants to know how long he will be on the meds. What is the nurse's best response?

As long as 24 months

The nurse is preparing to administer morning medications to a patient who has been newly diagnosed with TB. The patient asks, "why do I have to take so many different drugs? Which answer by the nurse is correct?

a. it is hoped that at least one of these drugs will work to fight the TB
b. taking multiple drugs reduces the chance that the tuberculosis will become drug resistant
c. using several drugs has a faster effect

b. taking multiple drugs reduces the chance that the tuberculosis will become drug resistant

A patient is taking a xanthine derivative as part of treatment for chronic obstructive pulmonary disease. The nurse will monitor for adverse effects associated with the use of xanthine derivatives, including:

a. diarrhea
b. palpitations
c.bradycardia
d. drowsiness

b. palpitations

after receiving a nebulizer treatment with a beta-agonist, a patient complains of feeling slightly nervous and wonders if her asthma is getting worse. What is the nurse's best response?

a. This is an expected adverse effect. Let me take your pulse
b. the next scheduled nebulizer treatment should be skipped
c. I will notify the physician about this adverse effect
d. we will hold the treatment for 24 hours

a. This is an expected adverse effect. Let me take your pulse

A patient has prescriptions for two inhalers. One inhaler is a bronchodilator, and the other is a corticosteroid. Which instruction regarding these inhalers should the nurse give to the patient?

a. the corticosteroid should be taken first
b. the bronchodilator should be taken first
c. the two drugs should be taken at least two hours apart
d. the order of administration does not matter with these two drugs

b. the bronchodilator should be taken first

22. When educating a patient recently placed on inhaled corticosteroids, the nurse will discuss which potential adverse effects?

a. fatigue and depression
b. anxiety and peripheral vasoconstriction
c. headache and rapid heart rate
d. oral candidiasis and dry mouth

d. oral candidiasis and dry mouth

during an IV infusion of amphotericin B, a patient develops tingling and numbess in his toes and fingers. What will the nurse do?

a. discontinue the infusion immediately
b. reduce the infusion rate gradually until the adverse effects subside
c. administer the medication by rapid IV infusion to reduce the potential adverse effects
d. nothing; these are expected side effects of the medication

a. discontinue the infusion immediately

The nurse is preparing an infusion of amphotericin B for a patient who has severe fungal infection. Which intervention is appropriate regarding the potential adverse effects of amphotericin B?

a. discontinuing the infusion immediately if fevers, chills, or nausea occur
b. gradually increasing the infusion rate until adverse effects occur
c. if fever, chills, or nausea occur during the infusion, administering the medications to treat the symptoms
d. before beginning the infusion administering an antipyretic and an antiemetic drug

d. before beginning the infusion administering an antipyretic and an antiemetic drug

During therapy with amphotericin B, the nurse would monitor for known adverse effects that would be reflected by which lab result?

a. serum potassium level of 2.9 mEq/l
b. serum potassium level of 5.6 mEq/l
c. white blood count of 6500 mm3
d. platelet count of 300,000 per microliter

a. serum potassium level of 2.9 mEq/l

A patient has received a prescription for a two week course of antifungal suppositories for a vaginal yeast infection. She asks the nurse if there is an alternative to this medication saying, "Idon't want to do this for 2 weeks!" The nurse recognizes that a possible alternative prescription in this situation would be

a. a single dose of vaginal antifungal cream
b. a one-time infusion of amphotericin B
c. a single dose of fluconazole (Diflucan)
d. less effective than the suppositories

c. a single dose of fluconazole (Diflucan)

A patient calls the gynecologic clinic because she has begun to menstruate while taking medication for vaginal yeast infection. She asks the nurse, "what should I do about taking this vaginal medication right now? What is the nurse's best response?

a. you should stop the medication until the menstrual flow has stopped
b. just take the medication at night only
c. you should stop the medication for three days, then start it again
d. it's okay to continue to take the medication

d. it's okay to continue to take the medication

A patient with late stage-HIV infection also has Pneumocytis jirovecii pneumonia. The nurse anticipates treatment with which medication for this pneumonia?

a.iodoquinol (Yodoxin)
b. atovaquone (Mepron)
c. praziquantel (Biltricide)
d. metronidazole (Flagyl)

b. atovaquone (Mepron)

The nurse is reviewing antihelmintic drug therapy with a patient and instructs the patient to look for and report which potential adverse reactions?

a. Drowsiness
b. insomnia
c. visual disturbances
d. constipation

c. visual disturbances

The nurse is administering an antifungal drug to a pateint who has severe systemic fungal infection. Which drug is most appropriate for this patient?

a. ampotericin B (Fungizone)
b. Fluconazole (Diflucan)
c. griseofulvin
d. terbinafine (Lamisil)

a. ampotericin B (Fungizone)

A patient has used buffered aspirin for several years as treatment for osteoarthritis. However, the symptoms are worse and she now needs something stronger. The physician prescribes an NSAID and misoprostol (Cytotect) She asks the nurse, "Why am I taking two pills for arthritis?"What is the nurse's best response?

a. cytotec will also reduce the symptoms of your arthritis
b. cytotec helps the action of the NSAID so that it will work better
c. cytotec reduces the mucous secretions in the stomach, which reduces gastric irritation
d. cytotec may help prevent gastric ulcers that may occur in patients taking NSAIDS

d. cytotec may help prevent gastric ulcers that may occur in patients taking NSAIDS

Your male patient is to receive three different anticancer drugs to treat his cancer. He asks the nurse why he needs so much chemotherapy. The nurse's best response would be that the combination chemotherapy:

a. works in just one phase of the cycle
b. increases tumor cell kill
c. uses drugs that work the same way
d. has no dose-limiting toxicities

b. increases tumor cell kill

Your patient has a low platelet count secondary to the administration of chemotherapy. Which of the following nursing actions would be MOST appropriate?

a. assess ; for diarrhea; provide small frequent meals
b. assess intake and output; help patient conserve energy
c. assess for localized infections; monitor breath sounds
d. assess for occult bleeding; apply pressure to injection sites

d. assess for occult bleeding; apply pressure to injection sites

One patient has cancer of the bone, another has cancer in the connective tissues of his leg muscles; a third patient has cancer in her vascular tissues. These patients have in common a type of tumor referred to as a:

a. sarcoma
b. leukemia
c. carcinoma
d. lymphoma

a. sarcoma

A patient is receiving her third course of 5-fluorouracil therapy and knows that stomatitis is a potential adverse effect of antineoplastic therapy. What will the nurse teach her about this problem?

a. aspirin should be taken to prevent the development of stomatitis
b. she should watch for and report back black, tarry stools immediately
c. she should increase her intake of foods containing fiber and citric acid
d. she should examine her mouth daily for bleeding, painful areas and ulcerations

d. she should examine her mouth daily for bleeding, painful areas and ulcerations

The nurse is developing a plan of care for a patient who is experiencing gastrointestinal adverse effects, including anorexia and nausea, after her first course of antineoplastic therapy. What is an appropriate goal for this patient when dealing with this problem? The patient will

a. eat 3 balanced meals a day within 4 days
b. return to her normal eating pattern within 1 month
c. maintain her normal weight by consuming healthful snacks as tolerated
d. maintain a diet of frequent feedings with nutritional supplement as a snack within 2 weeks

d. maintain a diet of frequent feedings with nutritional supplement as a snack within 2 weeks

A patient is receiving methotrexate and is experiencing severe bone marrow suppression. The nurse will expect which intervention to be ordered with this drug to reduce the problem?

a. a transfusion of whole blood
b. leucovorin rescue
c. filgrastim (Neuopogen) therapy
d. epoetin alfa (Epogen) therapy

b. leucovorin rescue

A patient who has been on methotrexate therapy has developed a fever. Her husband calls to see if he can give her some ibuprofen (NSAID) for the fever. The nurse's response is based on the fact that ibuprofen

a. aggravates stomatitis
b. masks signs of infection
c. can lead to methotrexate toxicity
d. will cause no problems for the patient on methotrexate

b. masks signs of infection

True or False: Premedication with antiemetics at the time of administration of antineoplastics is begun is the preferred treatment protocol to help reduce nausea and vomiting, prevent dehydration and malnutrition, and promote comfort.

False

True or False: Because drug resistant cells commonly develop, exposure to multiple drugs with multiple mechanisms and sites of action will destroy more subpopulations of cancer cells.

True

True or False: high-dose methotrexate is associated with bone marrow suppression, and it is always given in conjunction with the rescue drug leucovorin, which is an antidote for folic acid antagonists.

True

True or False:elevated white blood cell count will be the first sign of an oncoming infection in an individual with bone marrow suppression.

False

True or False: even if a patient has a known allergic reaction to a give antineoplastic medication, the urgency of treating the patients cancer may still necessitate administering the medication and then treating any allergic symptoms with supportive medications, such as antihistamines, corticosteroids, and acetaminophen.

True

True or False: the highest neutrophil count reached after a course of chemotherapy is known as nadir

False

True or False: ensuring hydration will help to prevent nephrotoxicity in patients receiving chemotherapy

True

True or False: very small chemotherapy spills can be cleaned up using tap water and paper towels.

False

True or False: with an absolute neutrophil count of 600, chemotherapy can be safely administered.

False

True or False: bone marrow proliferation (overgrowth) is often the reason that a patient with HIV infection has to be switched to another anti-HIV drug

False

True or False: two HIV drugs can be taken together , cutting back on the dosages of both and thus decreasing the likelihood of toxicity.

True

A patient in the oncology clinic has developed mucositis after receiving flurouracil (Adrucil, 5-FU). Which of the following statements made by the client would indicate the need for additional teaching about mucositis?

A. I'm supposed to frequently rinse out my mouth with normal saline
B. I'm supposed to try using ice pops or ice chips to help relieve my mouth pain
C. I'm going to use a mouthwash with alcohol to get my mouth cleaner
D. I'm going to use a soft toothbrush

C. I'm going to use a mouthwash with alcohol to get my mouth cleaner

The nurse knows that the drug of choice for the treatment of MRSA infection is which drug?

Vancomycin

When administering ganciclovir (Cytovene) the nurse keeps in mind that the main dose limiting toxicity for this drug is which condition?

a. renal failure
b. GI disturbances
c. peripheral neuropathy
d. bone marrow suppression

d. bone marrow suppression

When an antibiotic is referred to as broad-spectrum the expectations are that it will act against (Select all that apply)

a. gram-positive bacteria
b. viral infections
c. gram-negative bacteria
d. malaria
e. tuberculosis

a. gram-positive bacteria
c. gram-negative bacteria

A patient will be receiving long-term isoniazid (INH) therapy. What lab tests are most important for the nurse to monitor during therapy?

a. liver enzyme levels
b. hematocrit and hemoglobin levels
c. creatinine level
d. platelet count

a. liver enzyme levels

the nurse should include which information in the teaching plan for a patient who is taking isoniazid (INH)?

a. urine and saliva may be reddish orange
b. pyridoxine (vitamin B6) may be needed to prevent neurotoxicity
c. injection sites should be rotated daily
d. the medication should be taken with an antacid to reduce gastric distress.

b. pyridoxine (vitamin B6) may be needed to prevent neurotoxicity

patients who are in the initial period of treatment for tuberculosis need to perform which procedures? Select all that apply

a. wash their hands and cover their mouths when coughing or sneezing to reduce the spread of tuberculosis
b. throw dirty tissues away with care
c. be sure to get adequate rest, nutrition, and relaxation
d. skip medication doses occasionally if gastric distress occurs
e. medication therapy will be discontinued when the symptoms of tuberculosis are gone

a. wash their hands and cover their mouths when coughing or sneezing to reduce the spread of tuberculosis
b. throw dirty tissues away with care
c. be sure to get adequate rest, nutrition, and relaxation

a patient with newly diagnosed tuberculosis asks the nurse for how long he will need to take all this medicine. The nurse replies that drug therapy for active tuberculosis may need to last how long?

a. 6 months
b. 12 months
c. 24 months
d. a lifetime

c. 24 months

The nurse is explaining antitubercular therapy to a patient. They ask, "Why do I have to take so many different medications? What is the nurse's best response?

a. "it helps to prevent drug resistance"
b. "it makes sure the disease is cured"
c "these meds will reduce symptoms immediately"
d. "You will have fewer side effects"

a. "it helps to prevent drug resistance"

During an infusion of amphotericin B, the nurse monitors for which adverse effects? Select all that apply

a. abdominal pain
b. fever
c. malaise
d. diarrhea
e. chills

b. fever
c. malaise
e. chills

The nurse understands that laboratory tests must be assessed while a client is on drug therapy for HIV AIDS. Choose the typically most significant lab test for medication administration decisions for the patient with HIV AIDS?

a. CBC
b. clotting factors
c. HIV RNA
d. CD4 lymphocyte count
e. BUN

d. CD4 lymphocyte count

a patient is taking quinine therapy for a mild case of malaria. The physician has decided to add a sulfonamide or tetracycline along with the quinine. When the nurse gives the patient the prescription for this new medication, the patient is upset about having to take "another pill". What is the nurse's best explanation of the second drug?

a. The antibiotic treats bacterial infections that accompany malaria
b. the antibiotic reduces the severe adverse effects of quinine
c. the antibiotic will help the quinine to work more effectively against the malaria
d. the antibiotic therapy is also needed to kill the parasite that causes malaria

c. the antibiotic will help the quinine to work more effectively against the malaria

The nurse is reviewing Antihelmintic therapy. Which statement is true regarding antihelmintic therapy?

a. the medication can be stopped once symptoms disappear
b. antihelmintics are more effective in their parenteral forms
c. antihelmintics are broad in their actions and can be substituted easily for one another if a given med is not well-tolerated
d. Specific antihelmintic drugs target specific organisms

d. Specific antihelmintic drugs target specific organisms

Several people contracted a protozoal infection after a group trip to another country. The nurse is aware that which patient is at the highest risk of dying from a protozoal infection?

a. a teenager with no health problems
b. an adult with DM
c. an adult who had a kidney transplant a year ago
d. an adult with a history of myocardial infarction

c. an adult who had a kidney transplant a year ago

A 13-year-old patient has the flu, and her mother is concerned about her fever of 103 F
Which medication should the nurse suggest the mother use to treat the teen's fever?

a. aspirin
b. acetaminophen (Tylenol)
c. Indomethacin (indocin)
d. naproxen (aleve)

b. acetaminophen (Tylenol)

Which intervention is important for the nurse to perform before beginning antibiotic therapy?

a. obtain a specimen for culture and sensitivity
b. give an antacid to reduce GI upset
c. monitor for adverse effects
d. restrict oral fluids

a. obtain a specimen for culture and sensitivity

The nurse will instruct a patient who is receiving tetracycline antibiotic to take it using which guideline?

a. it should be taken with milk
b. it should be taken with 8oz of water
c. it should be taken 30 minutes before iron preparations are taken
d. an antacid should be also taken to decrease GI discomfort

b. it should be taken with 8oz of water

A patient is to receive antibiotic therapy with a cephalosporin. When assessing the patient's drug history, the nurse recognizes that an allergy to which drug class may be a possible contraindication to cephalosporin therapy?

a. cardiac glycosides
b. thiazide diuretics
c. penicillins
d. macrolides

c. penicillins

When patients are receiving aminoglycosides , the nurse must monitor for tinnitus and dizziness, which may indicate which problems?

a. cardiotoxicity
b. hepatotoxicity
c. ototoxicity
d. nephrotoxicity

c. ototoxicity

Please allow access to your computer’s microphone to use Voice Recording.

Having trouble? Click here for help.

We can’t access your microphone!

Click the icon above to update your browser permissions above and try again

Example:

Reload the page to try again!

Reload

Press Cmd-0 to reset your zoom

Press Ctrl-0 to reset your zoom

It looks like your browser might be zoomed in or out. Your browser needs to be zoomed to a normal size to record audio.

Please upgrade Flash or install Chrome
to use Voice Recording.

For more help, see our troubleshooting page.

Your microphone is muted

For help fixing this issue, see this FAQ.

Star this term

You can study starred terms together

NEW! Voice Recording

Create Set