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pharm exam 2 test bank 100 % VERIFIED
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pharm exam 2 test bank 100 % VERIFIED
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By: roufiatousawadogo • 8 months ago
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pharmexam
2
test
bank
When
reviewing
the
allergy
history
of
a
patient,
the
nurse
notes
that
the
patient
is
allergic
to
penicillin.
Based
on
this
finding,
the
nurse
would
question
an
order
for
which
class
of
antibiotics?
a.
Tetracyclines
b.
Sulfonamides
c.
Cephalosporins
d.
Quinolones
-
ANSc
The
nurse
is
providing
teaching
to
a
patient
taking
an
oral
tetracycline
antibiotic.
Which
statement
by
the
nurse
is
correct?
a.
"Avoid
direct
sunlight
and
tanning
beds
while
on
this
medication."
b.
"Milk
and
cheese
products
result
in
increased
levels
of
tetracycline."
c.
"Antacids
taken
with
the
medication
help
to
reduce
gastrointestinal
distress."
d.
"Take
the
medication
until
you
are
feeling
better."
-
ANSA
When
reviewing
the
medication
orders
for
a
patient
who
is
taking
penicillin,
the
nurse
notes
that
the
patient
is
also
taking
the
oral
anticoagulant
warfarin
(Coumadin).
What
possible
effect
may
occur
as
the
result
of
an
interaction
between
these
drugs?
a.
The
penicillin
will
cause
an
enhanced
anticoagulant
effect
of
the
warfarin.
b.
The
penicillin
will
cause
the
anticoagulant
effect
of
the
warfarin
to
decrease.
c.
The
warfarin
will
reduce
the
anti-infective
action
of
the
penicillin.
d.
The
warfarin
will
increase
the
effectiveness
of
the
penicillin.
-
ANSA
A
patient
is
receiving
his
third
intravenous
dose
of
a
penicillin
drug.
He
calls
the
nurse
to
report
that
he
is
feeling
"anxious"
and
is
having
trouble
breathing.
What
will
the
nurse
do
first?
a.
Notify
the
prescriber.
b.
Take
the
patient's
vital
signs.
c. Stop
the
antibiotic
infusion.
d.
Check
for
allergies.
-
ANSC
A
patient
is
admitted
with
a
fever
of
102.8°
F
(39.3°
C),
origin
unknown.
Assessment
reveals
cloudy,
foul-smelling
urine
that
is
dark
amber
in
color.
Orders
have
just
been
written
to
obtain
stat
urine
and
blood
cultures
and
to
administer
an
antibiotic
intravenously.
The
nurse
will
complete
these
orders
in
which
sequence?
a.
Blood
culture,
antibiotic
dose,
urine
culture
b.
Urine
culture,
antibiotic
dose,
blood
culture
c.
Antibiotic
dose,
blood
and
urine
cultures
d.
Blood
and
urine
cultures,
antibiotic
dose
-
ANSD
During
drug
therapy
with
a
tetracycline
antibiotic,
a
patient
complains
of
some
nausea
and
decreased
appetite.
Which
statement
is
the
nurse's
best
advice
to
the
patient?
a.
"Take
it
with
cheese
and
crackers
or
yogurt."
b.
"Take
each
dose
with
a
glass
of
milk."
c.
"Take
an
antacid
with
each
dose
as
needed."
d.
"Drink
a
full
glass
of
water
with
each
dose."
-
ANSD
The
nurse
is
monitoring
a
patient
who
has
been
on
antibiotic
therapy
for
2
weeks.
Today
the
patient
tells
the
nurse
that
he
has
had
watery
diarrhea
since
the
day
before
and
is
having
abdominal
cramps.
His
oral
temperature
is
101°
F
(38.3°
C).
Based
on
these
findings,
which
conclusion
will
the
nurse
draw?
a.
The
patient's
original
infection
has
not
responded
to
the
antibiotic
therapy.
b.
The
patient
is
showing
typical
adverse
effects
of
antibiotic
therapy.
c.
The
patient
needs
to
be
tested
for
Clostridium
difficile
infection.
d.
The
patient
will
need
to
take
a
different
antibiotic.
-
ANSC
The
nurse
is
monitoring
for
therapeutic
results
of
antibiotic
therapy
in
a
patient
with
an
infection.
Which
laboratory
value
would
indicate
therapeutic
effectiveness
of
this
therapy?
a.
Increased
red
blood
cell
count
b.
Increased
hemoglobin
level
c. Decreased
white
blood
cell
count
d.
Decreased
platelet
count
-
ANSC
The
nurse
is
reviewing
the
sputum
culture
results
of
a
patient
with
pneumonia
and
notes
that
the
patient
has
a
gram-positive
infection.
Which
generation
of
cephalosporin
is
most
appropriate
for
this
type
of
infection?
a.
First
generation
b.
Second
generation
c.
Third
generation
d.
Fourth
generation
-
ANSA
A
patient
will
be
having
oral
surgery
and
has
received
an
antibiotic
to
take
for
1
week
before
the
surgery.
The
nurse
knows
that
this
is
an
example
of
which
type
of
therapy?
a.
Empiric
b.
Prophylactic
c.
Definitive
d.
Resistance
-
ANSB
A
patient
has
a
urinary
tract
infection.
The
nurse
knows
that
which
class
of
drugs
is
especially
useful
for
such
infections?
a.
Macrolides
b.
Carbapenems
c.
Sulfonamides
d.
Tetracyclines
-
ANSC
During
drug
therapy
for
pneumonia,
a
female
patient
develops
a
vaginal
superinfection.
The
nurse
explains
that
this
infection
is
caused
by:
a.
large
doses
of
antibiotics
that
kill
normal
flora.
b.
the
infection
spreading
from
her
lungs
to
the
new
site
of
infection.
c.
resistance
of
the
pneumonia-causing
bacteria
to
the
drugs.
d.
an
allergic
reaction
to
the
antibiotics.
-
ANSA The
nurse
is
preparing
to
use
an
antiseptic.
Which
statement
is
correct
regarding
how
antiseptics
differ
from
disinfectants?
a.
Antiseptics
are
used
to
sterilize
surgical
equipment.
b.
Disinfectants
are
used
as
preoperative
skin
preparation.
c.
Antiseptics
are
used
only
on
living
tissue
to
kill
microorganisms.
d.
Disinfectants
are
used
only
on
nonliving
objects
to
destroy
organisms.
-
ANSD
A
patient
with
a
long-term
intravenous
catheter
is
going
home.
The
nurse
knows
that
if
he
is
allergic
to
seafood,
which
antiseptic
agent
is
contraindicated?
a.
Chlorhexidine
gluconate
(Hibiclens)
b.
Hydrogen
peroxide
c.
Povidone-iodine
(Betadine)
d.
Isopropyl
alcohol
-
ANSC
During
antibiotic
therapy,
the
nurse
will
monitor
closely
for
signs
and
symptoms
of
a
hypersensitivity
reaction.
Which
of
these
assessment
findings
may
be
an
indication
of
a
hypersensitivity
reaction?
(Select
all
that
apply.)
a.
Wheezing
b.
Diarrhea
c.
Shortness
of
breath
d.
Swelling
of
the
tongue
e.
Itching
f.
Black,
hairy
tongue
-
ANSA,C,D,E
The
nurse
is
reviewing
the
medication
history
of
a
patient
who
will
be
taking
a
sulfonamide
antibiotic.
During
sulfonamide
therapy,
a
significant
drug
interaction
may
occur
with
which
of
these
drugs
or
drug
classes?
(Select
all
that
apply.)
a.
Opioids
b.
Oral
contraceptives
c.
Sulfonylureas
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