Mastery EAQ Ch. 38

A  Penicillin

B  Quinolone

C  Sulfonamide

D  Tetracycline

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

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

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

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

A  Creatinine clearance

B  Uric acid baseline level

C  Liver enzymes

D  Red blood cell count

A  Warfarin

B  Estrogen-containing contraceptive

C  Digoxin

D  Tetracycline

A  Cefoxitin

B  Ceftriaxone

C  Cefepime

D  Cefazolin

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

B  “Avoid eating high-calorie foods.”

C  “Avoid consumption of dairy products.”

D  “Eat more high-protein foods.”

A  To maintain the fluid and electrolyte balance in the body

B  To prevent drug-related crystalluria

C  To prevent hypotension

D  To prevent mucosal irritation and dryness of the mouth

A  During drug therapy and for 3 days afterward

B  During drug therapy and for 7 days afterward

C  During drug therapy and for 14 days afterward

D  No avoidance of alcohol warranted

A  Skin turgor, Visual acuity, Baseline hearing status

B  Baseline cardiac function, Visual acuity, Skin turgor

C  Skin turgor, Liver function, Visual acuity

D  Liver function, Baseline hearing status, Baseline cardiac function

A  Celecoxib

B  Hydrochlorothiazide

C  Glimepiride

D  Furosemide

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

B  Diarrhea, Blood in the urine, Shortness of breath

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

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

A  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

B  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

C  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

D  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

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  Elevated temperature, Mild nausea, Occasional loose stools

B  Mild nausea, Occasional loose stools, Jaundice

C  Jaundice, Excessive fatigue, Elevated temperature

D  Excessive fatigue, Mild nausea, Occasional loose stools

A  Agranulocytosis, Anemia, Nausea and vomiting

B  Jaundice, Palpitations, Nausea and vomiting

C  Palpitations, Anemia, Agranulocytosis

D  Anemia, Jaundice, Agranulocytosis

A  Serum electrolytes

B  Lipid panel

C  Liver function tests

D  Complete blood count

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

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

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

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

A  Tetracycline

B  Ranitidine

C  Azithromycin

D  Epinephrine

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

B  “Take the medication on an empty stomach.”

C  “Take the medication at regularly spaced intervals.”

D  “Take the medication on a full stomach.”

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

B  Contact the health care provider to discuss the medication.

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

D  Ensure that the information is documented in the chart.

A  Tell the patient to be more careful.

B  Assess the patient’s platelet counts.

C  Administer vitamin K to the patient.

D  Ask the patient if someone is abusing her.

A  Demeclocycline

B  Sulfasalazine

C  Azithromycin

D  Fidaxomicin

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

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

C  The nurse requests testing for Clostridium difficile.

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

A  Assess blood sugar.

B  Assess hemoglobin and hematocrit.

C  Take blood pressure every 4 hours.

D  Monitor platelet count.

A  Urticaria, Pancreatitis, Hepatotoxicity

B  Hepatotoxicity, Polyuria, Constipation

C  Polyuria, Constipation, Urticaria

D  Pancreatitis, Polyuria, Constipation

A  Acetaminophen, Naproxen sodium

B  Naproxen sodium, Potassium chloride

C  Potassium chloride, Acetaminophen

D  Calcium citrate, Magnesium citrate

A  Inform the patient about possible superinfections.

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

C  Assess whether the patient is on oral contraceptives.

D  Obtain a baseline complete blood count.

A  Penicillins

B  First-generation cephalosporins

C  Second-generation cephalosporins

D  Sulfonamides

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

B  Instruct the patient to increase fluid intake.

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

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

A  Sputum test

B  Acinetobacter test

C  Clostridium difficile test

D  Culture and sensitivity test

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

B  The patient refrained from going out in the sunlight.

C  The patient took the medication with salt crackers.

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

A  Imipenem/cilastatin

B  Penicillin V potassium

C  Aztreonam

D  Sulfamethoxazole/trimethoprim

A  A 45-year-old patient with diabetes mellitus

B  A 6-year old patient with Haemophilus influenza

C  A 60-year-old patient with hypertension

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

A  “Avoid the consumption of dairy products.”

B  “Avoid eating high-protein foods.”

C  “Avoid eating low-carbohydrate foods.”

D  “Avoid eating high-calorie foods.”

A  “Limit your fluid intake.”

B  “Limit your intake of milk products.”

C  “Avoid eating citrus fruits.”

D  “Avoid exposure to sunlight.”

A  Encourage liquids that produce acidic urine.

B  Encourage a diet that causes an alkaline ash.

C  Force fluids to at least 2000 mL/day.

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

A  Neurologic assessment

B  History, including allergies

C  History of immunizations

D  Cardiac assessment

A  Penicillin V potassium

B  Ticarcillin-clavulanic acid

C  Ampicillin

D  Amoxicillin-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 degrades the bacterial cell wall.”

B  “Tetracycline inhibits protein synthesis.”

C  “Tetracycline binds to magnesium ions.”

D  “Tetracycline blocks RNA synthesis.”

A  Daptomycin

B  Erythromycin

C  Lincomycin

D  Aztreonam

A  Piperacillin/tazobactam (Zosyn)

B  Ampicillin (Totacillin)

C  Penicillin V potassium (V-Cillin K)

D  Amoxicillin (Amoxil)

A  Bacterial pneumonia

B  Urinary tract infection

C  Bacterial endocarditis

D  Meningeal infection

A  Calcium citrate

B  Clavulanic acid

C  Carbamazepine

D  Acetaminophen

A  An allergic anaphylactic reaction

B  Clostridium difficile bacterial infection

C  Glucose-6-phosphate dehydrogenase (G6PD) deficiency

D  Tolerance to the antibiotic drugs

A  When the serum level of an antibiotic is too high

B  When the antibiotic eliminates the normal bacterial flora

C  When the patient has a gram-positive bacterial infection

D  When the patient has a gram-negative bacterial infection

A  Prophylactic

B  Colonization

C  Definitive

D  Empiric

A  It interrupts bacterial DNA processes.

B  It binds irreversibly to the cell wall.

C  It interrupts bacterial RNA processes.

D  It interferes with cell wall synthesis.

A  Hypersensitivity

B  Organ toxicity

C  Rebound toxicity

D  Superinfection

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

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

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

D  “Did you take the prescribed dosage of 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

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