Mastery EAQ Ch. 38

A  Penicillin

B  Quinolone

C  Tetracycline

D  Sulfonamide

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

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

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

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

A  Liver enzymes

B  Creatinine clearance

C  Uric acid baseline level

D  Red blood cell count

A  Estrogen-containing contraceptive

B  Warfarin

C  Tetracycline

D  Digoxin

A  Cefoxitin

B  Cefepime

C  Ceftriaxone

D  Cefazolin

A  “Avoid consumption of dairy products.”

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

C  “Eat more high-protein foods.”

D  “Avoid eating high-calorie foods.”

A  To prevent hypotension

B  To prevent drug-related crystalluria

C  To prevent mucosal irritation and dryness of the mouth

D  To maintain the fluid and electrolyte balance in the body

A  During drug therapy and for 3 days afterward

B  No avoidance of alcohol warranted

C  During drug therapy and for 7 days afterward

D  During drug therapy and for 14 days afterward

A  Baseline cardiac function, Visual acuity, Skin turgor

B  Skin turgor, Liver function, Visual acuity

C  Liver function, Baseline hearing status, Baseline cardiac function

D  Skin turgor, Visual acuity, Baseline hearing status

A  Hydrochlorothiazide

B  Glimepiride

C  Furosemide

D  Celecoxib

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

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

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

D  Diarrhea, Blood in the urine, Shortness of breath

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

B  Instruct the patient about potential constipation.

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

D  Schedule the medication before meals and at bedtime.

A  Excessive fatigue, Mild nausea, Occasional loose stools

B  Jaundice, Excessive fatigue, Elevated temperature

C  Elevated temperature, Mild nausea, Occasional loose stools

D  Mild nausea, Occasional loose stools, Jaundice

A  Jaundice, Palpitations, Nausea and vomiting

B  Anemia, Jaundice, Agranulocytosis

C  Agranulocytosis, Anemia, Nausea and vomiting

D  Palpitations, Anemia, Agranulocytosis

A  Complete blood count

B  Lipid panel

C  Serum electrolytes

D  Liver function tests

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

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

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

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

A  Azithromycin

B  Tetracycline

C  Ranitidine

D  Epinephrine

A  “Take the medication at regularly spaced intervals.”

B  “Take the medication on an empty stomach.”

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

D  “Take the medication on a full stomach.”

A  Contact the health care provider to discuss the medication.

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

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

D  Ensure that the information is documented in the chart.

A  Tell the patient to be more careful.

B  Ask the patient if someone is abusing her.

C  Assess the patient’s platelet counts.

D  Administer vitamin K to the patient.

A  Sulfasalazine

B  Demeclocycline

C  Azithromycin

D  Fidaxomicin

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

B  The nurse requests testing for Clostridium difficile.

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

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

A  Assess hemoglobin and hematocrit.

B  Assess blood sugar.

C  Take blood pressure every 4 hours.

D  Monitor platelet count.

A  Pancreatitis, Polyuria, Constipation

B  Polyuria, Constipation, Urticaria

C  Urticaria, Pancreatitis, Hepatotoxicity

D  Hepatotoxicity, Polyuria, Constipation

A  Acetaminophen, Naproxen sodium

B  Naproxen sodium, Potassium chloride

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  First-generation cephalosporins

B  Penicillins

C  Second-generation cephalosporins

D  Sulfonamides

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

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

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

D  Instruct the patient to increase fluid intake.

A  Clostridium difficile test

B  Sputum test

C  Acinetobacter test

D  Culture and sensitivity test

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

B  The patient refrained from going out in the sunlight.

C  The patient took the medication with salt crackers.

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

A  Imipenem/cilastatin

B  Penicillin V potassium

C  Aztreonam

D  Sulfamethoxazole/trimethoprim

A  A 6-year old patient with Haemophilus influenza

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

C  A 45-year-old patient with diabetes mellitus

D  A 60-year-old patient with hypertension

A  “Avoid eating low-carbohydrate foods.”

B  “Avoid the consumption of dairy products.”

C  “Avoid eating high-calorie foods.”

D  “Avoid eating high-protein foods.”

A  “Avoid eating citrus fruits.”

B  “Limit your fluid intake.”

C  “Avoid exposure to sunlight.”

D  “Limit your intake of milk products.”

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

B  Encourage a diet that causes an alkaline ash.

C  Force fluids to at least 2000 mL/day.

D  Encourage liquids that produce acidic urine.

A  History, including allergies

B  Cardiac assessment

C  Neurologic assessment

D  History of immunizations

A  Penicillin V potassium

B  Amoxicillin-clavulanic acid

C  Ampicillin

D  Ticarcillin-clavulanic acid

A  0.5 to 1 hour

B  6 to 8 hours

C  1 to 1.5 hours

D  1 to 2 hours

A  “Tetracycline degrades the bacterial cell wall.”

B  “Tetracycline blocks RNA synthesis.”

C  “Tetracycline inhibits protein synthesis.”

D  “Tetracycline binds to magnesium ions.”

A  Aztreonam

B  Daptomycin

C  Erythromycin

D  Lincomycin

A  Penicillin V potassium (V-Cillin K)

B  Ampicillin (Totacillin)

C  Piperacillin/tazobactam (Zosyn)

D  Amoxicillin (Amoxil)

A  Bacterial endocarditis

B  Bacterial pneumonia

C  Meningeal infection

D  Urinary tract infection

A  Acetaminophen

B  Carbamazepine

C  Calcium citrate

D  Clavulanic acid

A  Glucose-6-phosphate dehydrogenase (G6PD) deficiency

B  An allergic anaphylactic reaction

C  Tolerance to the antibiotic drugs

D  Clostridium difficile bacterial infection

A  When the patient has a gram-negative bacterial infection

B  When the patient has a gram-positive bacterial infection

C  When the antibiotic eliminates the normal bacterial flora

D  When the serum level of an antibiotic is too high

A  Colonization

B  Prophylactic

C  Empiric

D  Definitive

A  It interferes with cell wall synthesis.

B  It interrupts bacterial DNA processes.

C  It interrupts bacterial RNA processes.

D  It binds irreversibly to the cell wall.

A  Rebound toxicity

B  Hypersensitivity

C  Superinfection

D  Organ toxicity

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

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

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

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

A  Brush teeth after taking drug, Take medication with antacids

B  Brush teeth after taking drug, Take medication with antacids

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

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