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NURS3550 FINAL EXAM WITH 100- CORRECT ANSWERS.
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NURS3550 FINAL EXAM WITH 100- CORRECT ANSWERS.
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NURS3550 FINAL EXAM WITH 100%CORRECT ANSWERS
A bpatient bhas bbeen bprescribed bciprofloxacin bfor btreatment bof ba burinary btract
binfection bwith bEscherichia bcoli. bBefore badministering bthe bdrug, bit bis bmost
bimportant bfor bthe bnurse bto bassess bthe bpatient bfor ba bhistory bof bwhat?
A.Hypertension
B.Diabetes bmellitus
C.Myasthenia bgravis
D.Seasonal ballergies b- bcorrect banswer-Answer: bC
Rationale: bCiprofloxacin band bother bfluoroquinolones bcan bexacerbate bmuscle
bweakness bin bpatients bwith bmyasthenia bgravis. bAccordingly, bpatients bwith ba
bhistory bof bmyasthenia bgravis bshould bnot breceive bthese bdrugs.
It bis bmost bimportant bfor bthe bnurse bto bavoid badministering boral bciprofloxacin bto
bthis bpatient bwith bwhich bfood?
A.Bananas
B.Baked bchicken
C.Grapefruit bjuice
D.Milk b- bcorrect banswer-Answer: bD
,Rationale: bAbsorption bof bciprofloxacin bcan bbe breduced bby bcompounds bthat
bcontain bcations. bAmong bthese bare b(1) baluminum- bor bmagnesium-containing
bantacids, b(2) biron bsalts, b(3) bzinc bsalts, b(4) bsucralfate, b(5) bcalcium bsupplements,
band b(6) bmilk band bother bdairy bproducts, ball bof bwhich bcontain bcalcium bions.
bThese bcationic bagents bshould bbe badministered bat bleast b6 bhours bbefore
bciprofloxacin bor b2 bhours bafter.
The bpatient bis bbeing bdischarged bwith bcontinued bciprofloxacin btherapy. bWhen
bproviding bdischarge bteaching, bthe bnurse bshould badvise bthe bpatient bto bcall bthe
bhealthcare bprovider bimmediately bif bwhat bdevelops?
A.Pain bin bthe bheel bof bthe bfoot
B.Nausea
C.Diarrhea
D.Headache b- bcorrect banswer-Answer: bA
Rationale: bRarely, bciprofloxacin band bother bfluoroquinolones bhave bcaused btendon
brupture, busually bof bthe bAchilles btendon. bThe bincidence bis b1 bin b10,000 bor bless.
bBecause btendon binjury bis breversible bif bdiagnosed bearly, bfluoroquinolones
bshould bbe bdiscontinued bat bthe bfirst bsign bof btendon bpain, bswelling, bor
binflammation. bIn baddition, bpatients bshould brefrain bfrom bexercise buntil btendinitis
bhas bbeen bruled bout.
Both bIV bampicillin/sulbactam band bgentamicin bare bordered bfor ba bpatient. bWhen
badministering bthese bmedications, bthe bnurse bwill bdo bwhat?
A.There bare bno bnecessary bprecautions.
B. bAdminister bthe bgentamicin bfirst.
C. bEnsure bthat bseparate bIV bsolutions bare bused.
D. bUse btwo bdifferent bperipheral bIV bsites. b- bcorrect banswer-Answer: bC bEnsure
bthat bseperate bIV bsolutions bare bused
A bpatient bis badmitted bto bthe bhospital bwith ba bmedical bdiagnosis bof bcommunity-
acquired bmethicillin-resistant bStaphylococcus baureus. bWhen btaking bthe bpatient's
bhistory, ba bnurse brecognizes bwhich binformation bas bthe bmost bimportant?
A. bHad bgallbladder bsurgery bin bthe bprevious bmonth
B. bPlays ba bcontact bsport band bis ban bathlete
C. bCurrently bresides bin ba blong-term bcare bfacility
D. bDid bnot bcomplete bthe blast bcourse bof bantibiotics b- bcorrect banswer-Answer bB:
bPlays ba bcontact bsport band bis ban bathlete
The bnurse bidentifies bwhich bstatements babout bpenicillins bas btrue? bSelect ball bthat
bapply.
•The bprincipal badverse beffect bof bpenicillins bis ballergic breaction.
•A bpatient bwho bis ballergic bto bpenicillin bis balso ballergic bto bvancomycin,
berythromycin, band bclindamycin.
•Penicillins bare bnormally beliminated brapidly bbut bcan baccumulate bto bharmful
blevels bif brenal bfunction bis bseverely bimpaired.
,•A bpatient bwho bis ballergic bto bpenicillin balways bhas ba bcross-allergy bto
bcephalosporins.
•Penicillins bare bthe bsafest bantibiotics bavailable. b- bcorrect banswer-•The bprincipal
badverse beffect bof bpenicillins bis ballergic breaction.
•Penicillins bare bnormally beliminated brapidly bbut bcan baccumulate bto bharmful
blevels bif brenal bfunction bis bseverely bimpaired.
•Penicillins bare bthe bsafest bantibiotics bavailable.
Which binstruction bshould ba bnurse binclude bin bthe bdischarge bteaching bfor ba
bpatient bwho bis bto bstart btaking btetracycline?
A. b"Take bthe bmedication bwith byogurt bor bmilk bso byou bwon't bhave bnausea."
B. b"You bmay bstop btaking bthe bpills bwhen byou bbegin bto bfeel bbetter."
C. b"You'll bhave bto bcome bback bto bthe bclinic bfor ba bweekly bblood bwork."
D. b"Use bsunscreen band bprotective bclothing bwhen boutdoors." b- bcorrect banswer-
Answer: bD b"Use bsunscreen band bprotective bclothing bwhen boutdoors."
A bnurse bassessing ba bpatient bwho bis b12 byears bold bshould bassociate bwhich
bcomplication bwith bthe bpatient's breceiving btetracycline bas ba byounger bchild?
A. bDelay bin blong bbone bgrowth
B. bDiscoloration bof bthe bteeth
C. bSevere bface band bbody bacne
D. bEarly bonset bof bpuberty b- bcorrect banswer-Answer: bB bDiscoloration bof bthe
bteeth
The bnurse bis bassessing ba bpatient bwho bis breceiving ba bsulfonamide bfor btreatment
bof ba burinary btract binfection. bTo bmonitor bthe bpatient bfor bthe bmost bsevere
bresponse bto bsulfonamide btherapy, bthe bnurse bwill bassess bfor bwhat?
A. bSkin brash band blesions
B. bDiarrhea
C. bBleeding
D. bHypertension b- bcorrect banswer-Answer: bA bSkin brash band blesions
A bpatient btaking ba bsulfonamide bis bbreast-feeding ban binfant. bWhich bcomplication
bin bthe binfant bwould bthe bnurse bassociate bwith bkernicterus?
A. bHemolytic banemia
B. bHepatocellular bfailure
C. bOphthalmic binfection
D. bNeurologic bdeficits b- bcorrect banswer-Answer: bD bNeurologic bdeficits
Before badministering btrimethoprim, bit bis bmost bimportant bfor bthe bnurse bto bassess
bthe bpatient bfor ba bhistory bof bwhat?
A. bAlcoholism
B. bEmphysema
C. bDiabetes
D. bHeart bfailure b- bcorrect banswer-Answer: bA bAlcoholism
, A bpatient bwho bhas bacquired bimmunodeficiency bsyndrome bis breceiving
btrimethoprim/sulfamethoxazole. bWhich bresponse bshould ba bnurse bexpect bif bthe
bmedication bis bachieving bthe bdesired beffect?
A. bIncrease bin bCD4 bT bcells
B. bResolution bof bpneumonia
C. bDecrease bin bjoint bpain
D. bIncreased bappetite band bweight bgain b- bcorrect banswer-Answer: bB bResolution
bof bpneumonia
The bnurse bidentifies bwhich bstatements babout bStevens-Johnson bsyndrome bas
btrue? bSelect ball bthat bapply.
A. bPatients bwith bStevens-Johnson bsyndrome bhave ba bmortality brate bof babout
b25%.
B. bShort-acting bsulfonamides bdo bnot binduce bStevens-Johnson bsyndrome.
C. bPatients bwith bStevens-Johnson bsyndrome busually bare bhypothermic.
D. bToxemia bis bassociated bwith bStevens-Johnson bsyndrome.
E. bLesions bof bthe bmucous bmembranes bare ba bcharacteristic bof bStevens-Johnson
bsyndrome. b- bcorrect banswer-Answer: bA, bD, bE b
•Patients bwith bStevens-Johnson bsyndrome bhave ba bmortality brate bof babout b25%.
•Toxemia bis bassociated bwith bStevens-Johnson bsyndrome.
•Lesions bof bthe bmucous bmembranes bare ba bcharacteristic bof bStevens-Johnson
bsyndrome.
After bcompleting ba bcourse bof bciprofloxacin bfor ba bskin binfection, bthe bpatient
bsays, b"I btook bthe bwhole bbottle bof bpills, bbut bmy binfection bhasn't bgotten bany
bbetter." bWhich badditional binformation bshould bthe bnurse brecognize bas bmost
bsignificant?
A. bThe bpatient btakes bantacids bon ba bdaily bbasis.
B. bThe bpatient btook btwo bdoses bof bdiphenhydramine bwhile bon bciprofloxacin
btherapy.
C. bThe bpatient bdid bnot buse bsunscreen bwhile btaking bthe bciprofloxacin.
D. bThe bmedication bwas bstored bin ba bcool, bdry barea. b- bcorrect banswer-Answer:
bA bThe bpatient btakes bantacids bon ba bdaily bbasis.
A bpatient bwho btakes bciprofloxacin band bruns b6 bmiles bdaily btells ba bnurse babout
bheel band bcalf btenderness. bThe bnurse banticipates bthe bhealthcare bprovider bto
btake bwhich baction?
A. bDiscontinue bthe bmedication, bbecause bsevere bdamage bcan bresult.
B. bContinue bthe bantibiotic bwith ban banti-inflammatory bmedication.
C. bNo baction bis bneeded, bbecause bthis bis ba btemporary bbut bexpected bside
beffect.
D. bSlow bthe brunning bpace band bwalk bmore. b- bcorrect banswer-Answer: bA
bDiscontinue bthe bmedication, bbecause bsevere bdamage bcan bresult.
Which bpatient bshould breceive bprophylactic bantibiotic btherapy?
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