Mastery EAQ Ch. 38

A  Quinolone

B  Sulfonamide

C  Tetracycline

D  Penicillin

A  “This drug is like erythromycin but has less severe gastrointestinal side effects.”

B  “I will call the doctor and ask for a different antibiotic.”

C  “I will ask the doctor for a prescription for an antiemetic for possible nausea.”

D  “You need this medication and will need to tolerate the nausea.”

A  Red blood cell count

B  Liver enzymes

C  Uric acid baseline level

D  Creatinine clearance

A  Estrogen-containing contraceptive

B  Tetracycline

C  Digoxin

D  Warfarin

A  Cefoxitin

B  Cefazolin

C  Cefepime

D  Ceftriaxone

A  “Avoid consumption of dairy products.”

B  “Eat more high-protein foods.”

C  “Use any method other than oral contraception for birth control.”

D  “Avoid eating high-calorie foods.”

A  To maintain the fluid and electrolyte balance in the body

B  To prevent hypotension

C  To prevent drug-related crystalluria

D  To prevent mucosal irritation and dryness of the mouth

A  No avoidance of alcohol warranted

B  During drug therapy and for 7 days afterward

C  During drug therapy and for 3 days afterward

D  During drug therapy and for 14 days afterward

A  Liver function, Baseline hearing status, Baseline cardiac function

B  Skin turgor, Visual acuity, Baseline hearing status

C  Baseline cardiac function, Visual acuity, Skin turgor

D  Skin turgor, Liver function, Visual acuity

A  Hydrochlorothiazide

B  Glimepiride

C  Furosemide

D  Celecoxib

A  Blood in the urine, Yellowish eyes, Change in the color of the sputum

B  Diarrhea, Blood in the urine, Shortness of breath

C  Yellowish eyes, Change in the color of the sputum, Shortness of breath

D  Yellowish eyes, Change in the color of the sputum, Diarrhea

A  A 55-year-old patient who received radiation therapy for lung cancer, A 40-year-old patient with coronary artery disease, A 30-year-old patient with fractured tibia

B  A 78-year-old patient with urinary incontinence, A 35-year-old patient who underwent a renal transplant, A 55-year-old patient who received radiation therapy for lung cancer

C  A 30-year-old patient with fractured tibia, A 40-year-old patient with coronary artery disease, A 78-year-old patient with urinary incontinence

D  A 30-year-old patient with fractured tibia, A 35-year-old patient who underwent a renal transplant, A 40-year-old patient with coronary artery disease

A  Schedule the medication before meals and at bedtime.

B  Call the health care provider to discuss changing the frequency of the dose.

C  Instruct the patient not to drink milk with the medication.

D  Instruct the patient about potential constipation.

A  Excessive fatigue, Mild nausea, Occasional loose stools

B  Mild nausea, Occasional loose stools, Jaundice

C  Elevated temperature, Mild nausea, Occasional loose stools

D  Jaundice, Excessive fatigue, Elevated temperature

A  Agranulocytosis, Anemia, Nausea and vomiting

B  Palpitations, Anemia, Agranulocytosis

C  Anemia, Jaundice, Agranulocytosis

D  Jaundice, Palpitations, Nausea and vomiting

A  Lipid panel

B  Serum electrolytes

C  Complete blood count

D  Liver function tests

A  The patient had taken ethanol (alcohol) in addition to the cefotetan.

B  The patient had taken methotrexate in addition to the cefotetan.

C  The patient had taken ranitidine in addition to the cefotetan.

D  The patient had taken probenecid in addition to the cefotetan.

A  Tetracycline

B  Azithromycin

C  Epinephrine

D  Ranitidine

A  “Take the medication on a full stomach.”

B  “Take the medication at regularly spaced intervals.”

C  “Take the medication on an empty stomach.”

D  “Take the medication with a full glass of fluid.”

A  Ensure that the information is documented in the chart.

B  Contact the health care provider to discuss the medication.

C  Ask the patient if he knows how he contracted the infection.

D  Administer the medication as ordered by the health care provider.

A  Assess the patient’s platelet counts.

B  Tell the patient to be more careful.

C  Ask the patient if someone is abusing her.

D  Administer vitamin K to the patient.

A  Azithromycin

B  Sulfasalazine

C  Demeclocycline

D  Fidaxomicin

A  The nurse requests culture and sensitivity testing for the patient.

B  The nurse anticipates administering sulfadiazine in a higher dose to the patient.

C  The nurse requests testing for Clostridium difficile.

D  The nurse contacts the primary health care provider before administration of the drug.

A  Assess hemoglobin and hematocrit.

B  Take blood pressure every 4 hours.

C  Assess blood sugar.

D  Monitor platelet count.

A  Polyuria, Constipation, Urticaria

B  Hepatotoxicity, Polyuria, Constipation

C  Urticaria, Pancreatitis, Hepatotoxicity

D  Pancreatitis, Polyuria, Constipation

A  Naproxen sodium, Potassium chloride

B  Acetaminophen, Naproxen sodium

C  Potassium chloride, Acetaminophen

D  Calcium citrate, Magnesium citrate

A  Instruct the patient to not take the medication before meals.

B  Obtain a baseline complete blood count.

C  Inform the patient about possible superinfections.

D  Assess whether the patient is on oral contraceptives.

A  Second-generation cephalosporins

B  Penicillins

C  Sulfonamides

D  First-generation cephalosporins

A  Ensure the patient does not eat anything when taking the medication.

B  Instruct the patient to take the medication for 14 days.

C  Instruct the patient to increase fluid intake.

D  Assess the patient’s urine before and after treatment.

A  Sputum test

B  Culture and sensitivity test

C  Acinetobacter test

D  Clostridium difficile test

A  The patient took the medication with a glass of milk.

B  The patient refrained from taking antacids along with the medication.

C  The patient refrained from going out in the sunlight.

D  The patient took the medication with salt crackers.

A  Aztreonam

B  Imipenem/cilastatin

C  Penicillin V potassium

D  Sulfamethoxazole/trimethoprim

A  A 40-year-old patient diagnosed with a rickettsial infection

B  A 60-year-old patient with hypertension

C  A 45-year-old patient with diabetes mellitus

D  A 6-year old patient with Haemophilus influenza

A  “Avoid the consumption of dairy products.”

B  “Avoid eating high-calorie foods.”

C  “Avoid eating high-protein foods.”

D  “Avoid eating low-carbohydrate foods.”

A  “Avoid eating citrus fruits.”

B  “Limit your fluid intake.”

C  “Avoid exposure to sunlight.”

D  “Limit your intake of milk products.”

A  Encourage liquids that produce acidic urine.

B  Encourage a diet that causes an alkaline ash.

C  Insert a Foley catheter for accurate input and output measurement.

D  Force fluids to at least 2000 mL/day.

A  History of immunizations

B  Cardiac assessment

C  History, including allergies

D  Neurologic assessment

A  Amoxicillin-clavulanic acid

B  Ampicillin

C  Penicillin V potassium

D  Ticarcillin-clavulanic acid

A  1 to 2 hours

B  1 to 1.5 hours

C  6 to 8 hours

D  0.5 to 1 hour

A  “Tetracycline binds to magnesium ions.”

B  “Tetracycline inhibits protein synthesis.”

C  “Tetracycline blocks RNA synthesis.”

D  “Tetracycline degrades the bacterial cell wall.”

A  Lincomycin

B  Daptomycin

C  Erythromycin

D  Aztreonam

A  Piperacillin/tazobactam (Zosyn)

B  Ampicillin (Totacillin)

C  Amoxicillin (Amoxil)

D  Penicillin V potassium (V-Cillin K)

A  Bacterial endocarditis

B  Meningeal infection

C  Bacterial pneumonia

D  Urinary tract infection

A  Carbamazepine

B  Acetaminophen

C  Clavulanic acid

D  Calcium citrate

A  Tolerance to the antibiotic drugs

B  Glucose-6-phosphate dehydrogenase (G6PD) deficiency

C  Clostridium difficile bacterial infection

D  An allergic anaphylactic reaction

A  When the patient has a gram-positive bacterial infection

B  When the patient has a gram-negative bacterial infection

C  When the serum level of an antibiotic is too high

D  When the antibiotic eliminates the normal bacterial flora

A  Empiric

B  Definitive

C  Prophylactic

D  Colonization

A  It binds irreversibly to the cell wall.

B  It interferes with cell wall synthesis.

C  It interrupts bacterial DNA processes.

D  It interrupts bacterial RNA processes.

A  Organ toxicity

B  Hypersensitivity

C  Superinfection

D  Rebound toxicity

A  “Did you take the drug with a full glass of water?”

B  “Did you take the drug with spicy food?”

C  “Did you take the prescribed dosage of the drug?”

D  “Were you using iron supplements while taking the drug?”

A  Avoid midday sun, Consume yogurt daily, Use an alternate form of birth control.

B  Brush teeth after taking drug, Take medication with antacids

C  Brush teeth after taking drug, Take medication with antacids, Avoid midday sun

D  Brush teeth after taking drug, Take medication with antacids