Exam 6 Pharmacology
Exam 6 Pharmacology Quiz
Test your knowledge of pharmacology with our comprehensive Exam 6 quiz! This quiz is designed for healthcare professionals, students, and anyone interested in understanding pharmacological concepts and drug therapies.
With 47 questions covering various topics, you will explore:
- Antiviral medications
- Antibiotics and their applications
- Patient safety and nursing considerations
- Laboratory values and clinical assessments
Which drug is used to treat the majority of infections caused by the herpes simplex viruses and the varicella-zoster virus?
Acyclovir
Zanamivir
Ganciclovir
Amantadine
Which drug would the nurse expect to administer to a patient with genital herpes?
Acyclovir
Ribavirin
Zidovudine
Amantadine
Which microorganism is directly affected by acyclovir?
Varicella-zoster virus
Proteus vulgaris
Pneumocystis Jiroveci
Staphylococcus aureus
Which intervention would the nurse expect to implement in the case of a patient newly diagnosed with oral candidiasis of the mouth and throat?
Teach the patient to swish and gargle with nystatin
Instruct the patient to brush the teeth and gargle hourly
Start an intravenous (IV) line so that the patient does not have to eat by mouth
Administer valacyclovir, and monitor the lips, gums, mouth, and throat
Which patient would receive nystatin therapy?
A patient with aspergillosis
A patient with cryptococcosis
A patient with histoplasmosis
A patient with oral candidiasis
Which medication would the nurse suspect as the cause of the patient's condition if the patient, who is being treated for inflammatory bowel disease, reports dizziness, headaches, weakness, a rash, and a metallic taste?
Metronidazole
Flucytosine
Terbinafine
Colistimethate
Which bacterium is sensitive to gentamicin?
Clostiridium perfringens
Staphylococcus aureus
Streptococcus pyrogenes
Pseudomonas aeruginosa
Which rationale describes the reason that the nurse administers intravenous vancomycin to a patient over 1 hour?
To prevent edema
To prevent hemolysis
To prevent red man syndrome
To prevent abdominal flatulence
Which infusion rate would the nurse set if the nurse is setting up an intravenous infusion pump to administer a dose of vancomycin to a patient?
30 to 45 minutes
60 to90 minutes
100 to 120 minutes
150 to 250 minutes
Which statement accurately describes the use of sulfonamides?
Bactericidal agents very similar to penicillin
Antibiotics for bacterial and fungal infections
Inhibits bacterial synthesis of folic acid essential for bacterial growth
Treats bacterial and viral illnesses
Which instruction would a nurse provide to a patient who has been prescribed scopolamine patches? Select all that apply
After 3 days, switch patch to the other ear
Do not take this drug if you have high blood pressure
Apply patch 4 hours before the effect is desired
Do not use laxatives while on this drug
Do not use this drug for longer than a day
Drowsiness is a concern while on this drug
Which macrolide is derived from the bacteria Streptomyces erythreus?
Minocycline
Erythromycin
Clarithromycin
Streptomycin
Which medication decreases the production of gastric acid?
Misoprostol
Famotidine
Lansoprazole
Simethicone
Place in the correct order the steps the nurse will take to care for a patient on gentamicin with a trough to be obtained today.
Verify the correct patient
Check that the therapeutic drug monitoring has been ordered for trough level
Call the laboratory to come draw the trough level
Give the ordered gentamicin dose to the patient
Inform the pharmacy of the trough results
Which prophylactic medication would the nurse anticipate incorporating into the plan of care for a patient who informs the nurse about plans to travel to Africa in 2 weeks?
Polymixin
Ivermectin
Metronidazole
Chloroquine
Which patient report takes priority after administration of intravenous promethazine to treat nausea?
My mouth is very dry
I can't stop my legs from moving
How long does it take this to work? I am still sick!
I am feeling sleepy and dizzy since I took the medication
Which laboratory parameter might occur in a patient who has chronically taken promethazine for nausea?
Decrease in leukocyte count
Decrease in potassium levels
Decrease in thyroid function
Decrease in bicarbonate levels
Which antiemetic may cause a false pregnancy test?
Droperidol
Promethazine
Metoclopramide hydrochloride
Granisteron
Which generation of cephalosporins can treat klebsiella?
First
Second
Third
Fourth
Which medication can be added to enhance the effectiveness of amoxicillin?
Clavulanic acid
Aspirin
Carbamazepine
Allopurinol
Which statement is true regarding the pathophysiology of peptic ulcer disease?
The gastric pH is greater than 7
The gastrointestinal (GI) mucosal lining becomes thickened
The number of functioning parietal cells is decreased
There is hypersecretion of hydrochloric acid and pepsin
Which laboratory value would the nurse assess before administering polymyxin to a patient with a drug resistant infection?
Albumin
Urinalysis
Potassium
Serum creatinine
Which information is accurate when switching a patient from lincomycin to clindamycin?
Has a risk for higher toxic effects
Provides effective treatment when given orally
Provides continued treatment at a lower serum level
Targets gram-negative bacteria
The nurse is reviewing the data for a patient who has been presscribed intravenous lincomycin. Which statement from the patient is the nurse's priority for further assessment?
I feel nauseated after I get the treatment
My injection site is red and painful
I have a headache again
My mouth is dry and sore
Which adverse reaction is common for ivermectin?
Constipation
Nausea
Anxiety
Hypertension
Which aminoglcoside is typically given as a preoperative bowel antiseptic?
Tobramycin
Streptomycin
Gentamicin
Neomycin
The nurse is teaching a patient diagnosed with urinary tract infection about oral nitrofurantoin 7 day therapy. Which statement made by the patient indicates the teaching was effective? Select all that apply
I will drink plenty of water during the course of therapy
I will take an antacid if I have gastric distress because of the medication
I will call the clinic immediately if I notice brown urine
I will take the drug on an empty stomach to increase the effectiveness of therapy
I will rinse my mouth thoroughly to avoid staining of my teeth after taking the medication
Which instruction would the nurse give to a patient prescribed nitrofurantoin to ensure patient safety? Select all that apply
Take this drug with food
Rinse your mouth after drug administration
Take this drug with antacids
Avoid exposure to sunlight while on this drug
Notify you health care provider if you have chest pain or shortness of breath
Which laboratory values would a nurse monitor in apatient taking an anthelmintic? Select all that apply
Iron
Iodine
Calcium
Vitamin A
Vitamin D
The nurse is evaluating a patient prescribed chloramphenicol for Haemophilus influenzae pneumonia. Which cue in the patient's data will concern the nurse?
Resistant bacteria to treatment
Stevens-Johnson syndrom
Superinfection
Myelosuppression
Which drug is effective against Haemophilus influenza infections?
Daptomycin
Dalfopristin
Doxycycline
Chloramphenicol
Which drug alleviates nausea caused by chemotherapy? Select all that apply
Granisteron
Aprepitant
Hydroxyzine
Cyclizine HCl
Dimenhydrinate
Which drug would be most beneficial to treat nausea and vomiting by chemotherapy?
Bisacodyl
Ondansetron hydrochloride
Promethazine
Scopolamine
A patient has been taking a prescription of of nitrofuantoin. Which assessment finding is a side effect of this medication?
Urine with a red tone
Urine with bacteria
Cloudy urine
Brown urine
Which medication would the nurse anticipate incorporating into the plan of care for a patient with acne?
Polymixin
Bacitracin
Tetracycline
Vancomycin
Which drug is used to treat Heliobacter pylori? Select all that apply
Bismuth subsalicylate
Metronidazole
Eravacycline
Cefadroxil
Tetracycline
Which medication would be most beneficial to a patient with gastric discomfort and sever diarrhea?
Bisacodyl
Crofelemer
Magnesium citrate
Bismuth subsalicylate
Which drug would a nurse expect to be most beneficial for a patient with traveler's diarrhea?
Ondansetron hydrochloride
Dexamethasone
Difenoxin with atropine
Diphenoxylate with atropine
Which order is a normal dose of ceftriaxone?
250 mg IV every 8 hours
500 mg PO every 6 hours
875 mg PO every 8 hours
1000mg IV every 24 hours
Which pharmacokinetic factor is considered when administering trimethoprim-sulfamethoxazole (TMP-SMZ)?
Low oral absorption requires the intravenous route
Minimal amounts are needed due to low protein binding
Daily dosing if used for prolonged half-life
Urinary excretion requires adequate renal function
Which statement(s) by the nurse about azithromycin for the treatment of upper respiratory tract infections (are) incorrect and requires (require) further education? Select all that apply
I should check for yellowish discoloration of the eyes
I should dilute 500 mg of azithromycin in 1000 mL of normal saline
I should stop the medication when the patient's symptoms of infection have subsided
I should give a full glass of fruit juice when administering oral azithromycin
I should administer an antacid 2 hours after the administration of azithromycin
A patient is receiving a test dose infusion of amphotericin B 1mg IV over 20 minutes. Which cue would alert the nurse to and adverse reaction from the medication? Select all that apply
Tingling and numbness in extremities
Shortness of breath
Bradypnea
Hypertension
Warmth, swelling, and tenderness at IV site
Which action by the patient, who has been taught about performing self-infusions of amphotericin B in the home care setting, indicates a need for additional teaching?
Infuses drug over 4 hours
Obtains lab work every week
Keeps medication covered during infusion
Takes acetaminophen 1 hour after the infusion
Which symptom would the nurse include when educating a patient regarding common adverse effects of ethambutol? Select all that apply
Blurry vision
Vision changes
Tinnitus
Change in color vision
Damage to the ear
The nurse is reviewing the currently prescribed medications for a patient receiving treatment for a urinary tract infection with a history of rheumatoid arthritis and cardiac disease. Which medication interaction is the highest risk for this patient?
Increased serum potassium with furosemide
Hypotensive action with atenolol
Renal impairment with methotrexate
Liver toxicity with acetaminophen
Which drug is used to treat gastric ulcers caused by Zollinger-Ellison syndrome?
Rabeprazole
Sodium citrate
Metoclopramide hydrochloride
Aluminium hydroxide
A patient is prescribed daptomycin for urinary sepsis. The daptomycin is given concurrently with simvastatin and metoprolol for cardiac disease. Which cue would be most concerning to the nurse?
The patient reports, "I can't sleep well"
The patient has a white blood cell count of 9,000uL (mm^3)
The patient has two loose stools a day
The patient has dark urine
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