WGU D116 Unit 8 OA Review Questions And Answers Verified Solutions
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Course
WGU D116
Institution
WGU D116
WGU D116 Unit 8 OA Review Questions And Answers Verified Solutions
A nursing student asks for clarification on the differences between the mechanisms of spontaneous mutation and conjugation in acquired resistance of microbes.
Which statement is correct? ANS Spontaneous mutation leads to resistan...
WGU D116 Unit 8 OA Review Questions And Answers
Verified Solutions
A nursing student asks for clarification on the differences between the mechanisms of spontaneous
mutation and conjugation in acquired resistance of microbes.
Which statement is correct? ANS Spontaneous mutation leads to resistance to only one
antimicrobial agent
A patient receiving a cephalosporin develops a secondary intestinal infection caused by Clostridium
difficile.
What is an appropriate treatment for this patient? ANS Discontinuing the cephalosporin and
beginning flagyl
A patient is diagnosed with a lung infection caused by Pseudomonas aeruginosa. The culture and
sensitivity report shows sensitivity to all aminoglycosides. The provider knows that the rate of
resistance to gentamicin is common in this hospital.
Which medication should the provider be expected to order? ANS Amikacin
When resistance to gentamicin and tobramycin is common, amikacin is the drug of choice for the
initial treatment of aminoglycoside-sensitive infections
A child with otitis media has had three ear infections in the past year. The child has just completed a
ten-day course of amoxicillin with no improvement. The parent asks the provider why this drug is not
working because it has worked in the past.
What should the provider tell the patient? ANS "The bacteria have synthesized penicillinase"
Beta-lactamases are enzymes that cleave the beta-lactam ring and render the PCN inactive
(amoxicillin)
Pt will need to start augmentin
A patient who is taking acetaminophen for pain wants to know why it does not cause gastrointestinal
upset as other over-the-counter pain medications do.
, Which property of acetaminophen is the most likely explanation for this? ANS It has minimal
effects at peripheral sites
Tylenol central effects
NSAIDs peripheral effects
A patient who has arthritis has been taking ibuprofen and a glucocorticoid medication. The patient
reports having tarry stools but denies gastric pain.
Which action by the provider is correct? ANS Prescribing an antiulcer medication
Glucocorticoid therapy, especially when combined with NSAIDs, can increase the risk of gastric
ulcer and possibly bleeding
A patient will begin taking hydroxychloroquine for rheumatoid arthritis. The patient is currently
taking high-dose NSAIDs and methotrexate.
What should the patient be taught about hydroxychloroquine? ANS An eye exam is necessary at
the beginning of therapy with this drug
Can cause retinal damage - eye exam at the onset of treatment as well as every 6 months during
treatment
A patient with gout who has increasingly frequent acute gouty attacks will begin receiving
allopurinol and colchicine.
Which statement should be included when teaching the patient about this drug regimen? ANS
"You will take both drugs initially and then stop taking colchicine"
Colchicine is used for prophylaxis when urate-lowering drugs (allopurinal) are initiated because
gouty episodes often increase during this time.
A postmenopausal patient develops osteoporosis. The patient asks the provider about medications to
treat this condition. The provider learns that the patient has a family history of breast cancer.
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