Mastery EAQ Ch. 38

A  Penicillin

B  Sulfonamide

C  Quinolone

D  Tetracycline

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

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

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

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

A  Uric acid baseline level

B  Red blood cell count

C  Liver enzymes

D  Creatinine clearance

A  Digoxin

B  Tetracycline

C  Estrogen-containing contraceptive

D  Warfarin

A  Cefazolin

B  Ceftriaxone

C  Cefoxitin

D  Cefepime

A  “Avoid eating high-calorie foods.”

B  “Avoid consumption of dairy products.”

C  “Eat more high-protein foods.”

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

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 14 days afterward

C  During drug therapy and for 3 days afterward

D  During drug therapy and for 7 days afterward

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  Glimepiride

B  Hydrochlorothiazide

C  Celecoxib

D  Furosemide

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 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

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 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  Instruct the patient about potential constipation.

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

C  Schedule the medication before meals and at bedtime.

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

A  Mild nausea, Occasional loose stools, Jaundice

B  Elevated temperature, Mild nausea, Occasional loose stools

C  Jaundice, Excessive fatigue, Elevated temperature

D  Excessive fatigue, Mild nausea, Occasional loose stools

A  Agranulocytosis, Anemia, Nausea and vomiting

B  Anemia, Jaundice, Agranulocytosis

C  Jaundice, Palpitations, Nausea and vomiting

D  Palpitations, Anemia, Agranulocytosis

A  Liver function tests

B  Lipid panel

C  Complete blood count

D  Serum electrolytes

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

A  Epinephrine

B  Azithromycin

C  Ranitidine

D  Tetracycline

A  “Take the medication on a full stomach.”

B  “Take the medication at regularly spaced intervals.”

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

D  “Take the medication on an empty stomach.”

A  Contact the health care provider to discuss the medication.

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

C  Ensure that the information is documented in the chart.

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

A  Administer vitamin K to the patient.

B  Assess the patient’s platelet counts.

C  Ask the patient if someone is abusing her.

D  Tell the patient to be more careful.

A  Azithromycin

B  Sulfasalazine

C  Fidaxomicin

D  Demeclocycline

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

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

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

D  The nurse requests testing for Clostridium difficile.

A  Assess hemoglobin and hematocrit.

B  Assess blood sugar.

C  Monitor platelet count.

D  Take blood pressure every 4 hours.

A  Pancreatitis, Polyuria, Constipation

B  Polyuria, Constipation, Urticaria

C  Hepatotoxicity, Polyuria, Constipation

D  Urticaria, Pancreatitis, Hepatotoxicity

A  Naproxen sodium, Potassium chloride

B  Potassium chloride, Acetaminophen

C  Calcium citrate, Magnesium citrate

D  Acetaminophen, Naproxen sodium

A  Assess whether the patient is on oral contraceptives.

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

C  Inform the patient about possible superinfections.

D  Obtain a baseline complete blood count.

A  Sulfonamides

B  Second-generation cephalosporins

C  Penicillins

D  First-generation cephalosporins

A  Instruct the patient to increase fluid intake.

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

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

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

A  Sputum test

B  Clostridium difficile test

C  Culture and sensitivity test

D  Acinetobacter test

A  The patient refrained from going out in the sunlight.

B  The patient took the medication with salt crackers.

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

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

A  Sulfamethoxazole/trimethoprim

B  Aztreonam

C  Penicillin V potassium

D  Imipenem/cilastatin

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

B  A 45-year-old patient with diabetes mellitus

C  A 60-year-old patient with hypertension

D  A 6-year old patient with Haemophilus influenza

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  “Avoid exposure to sunlight.”

C  “Avoid eating citrus fruits.”

D  “Limit your intake of milk products.”

A  Force fluids to at least 2000 mL/day.

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

C  Encourage liquids that produce acidic urine.

D  Encourage a diet that causes an alkaline ash.

A  Neurologic assessment

B  History of immunizations

C  History, including allergies

D  Cardiac assessment

A  Amoxicillin-clavulanic acid

B  Ampicillin

C  Penicillin V potassium

D  Ticarcillin-clavulanic acid

A  1 to 1.5 hours

B  1 to 2 hours

C  6 to 8 hours

D  0.5 to 1 hour

A  “Tetracycline binds to magnesium ions.”

B  “Tetracycline blocks RNA synthesis.”

C  “Tetracycline degrades the bacterial cell wall.”

D  “Tetracycline inhibits protein synthesis.”

A  Aztreonam

B  Erythromycin

C  Daptomycin

D  Lincomycin

A  Penicillin V potassium (V-Cillin K)

B  Piperacillin/tazobactam (Zosyn)

C  Ampicillin (Totacillin)

D  Amoxicillin (Amoxil)

A  Meningeal infection

B  Urinary tract infection

C  Bacterial endocarditis

D  Bacterial pneumonia

A  Acetaminophen

B  Calcium citrate

C  Clavulanic acid

D  Carbamazepine

A  Clostridium difficile bacterial infection

B  An allergic anaphylactic reaction

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 patient has a gram-positive bacterial infection

C  When the antibiotic eliminates the normal bacterial flora

D  When the patient has a gram-negative bacterial infection

A  Colonization

B  Definitive

C  Empiric

D  Prophylactic

A  It interrupts bacterial RNA processes.

B  It binds irreversibly to the cell wall.

C  It interrupts bacterial DNA processes.

D  It interferes with cell wall synthesis.

A  Organ toxicity

B  Hypersensitivity

C  Superinfection

D  Rebound toxicity

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

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

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

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

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

B  Brush teeth after taking drug, Take medication with antacids

C  Brush teeth after taking drug, Take medication with antacids

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