NURS 329 Midterm Exam Questions Already Solved And Passed.
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Course
NURS 329
Institution
NURS 329
In order for Penicillin to work, which of the following must happen?
A) Must bind to Penicillin Binding Proteins (PCB'S)
B) Must block the receptor sites of Penicillin Binding Proteins (PCB'S)
C) Inhibit the breakdown of the cell wall
D) Must activate beta lactamase to work - Answer A) Must...
NURS 329 Midterm Exam Questions
Already Solved And Passed.
In order for Penicillin to work, which of the following must happen?
A) Must bind to Penicillin Binding Proteins (PCB'S)
B) Must block the receptor sites of Penicillin Binding Proteins (PCB'S)
C) Inhibit the breakdown of the cell wall
D) Must activate beta lactamase to work - Answer A) Must bind to Penicillin Binding Proteins (PCB'S)
If someone is allergic to PCN which other antibiotic might they also be allergic to?
A) Carpapenem
B) Gentamicin
C) Cephalosporins
D) Azithromycin - Answer C) Cephalosporins
Which of the following types of penicillin can be given intravenously (IV)?
A) Potassium penicillin
B) Procaine penicillin
C) Benzathine penicillin
D) Sodium penicillin - Answer A and D
A patient is prescribed cefixime. The nurse should teach the patient to immediately report any signs of
what?
A. Milk intolerance
B. Skin rash, hives, or itching
,C. Constipation, nausea, or vomiting
D. Headache, contusions, or seizures - Answer B. Skin rash, hives, or itching
Rationale: Hypersensitivity reactions are common with cephalosporins. Patients should be instructed to
report any signs of allergy, such as skin rash, itching, or hives. Cefditoren contains a milk protein and
should not be prescribed for patients with a milk protein allergy. Cefoperazone and cefotetan can
promote bleeding. Diarrhea associated with antibiotic-associated pseudomembranous colitis (AAPMC) is
a possible side effect with cephalosporins.
A patient is prescribed vancomycin orally for antibiotic-associated pseudomembranous colitis. The nurse
will monitor the patient for what?
A. Leukopenia
B. "Red man" syndrome
C. Liver impairment
D. Ototoxicity - Answer D. Ototoxicity
Rationale: The most serious adverse effect of vancomycin is ototoxicity. "Red man" syndrome occurs only
with rapid intravenous administration. Thrombocytopenia is an adverse effect of vancomycin.
Which statement about allergic reactions to penicillin does the nurse identify as true?
A.Anaphylactic reactions occur more frequently with penicillins than with any other drug.
B.Allergy to penicillin always increases over time.
C.Benadryl is the drug of choice for anaphylaxis due to penicillin allergy.
D.Patients allergic to penicillin are also allergic to vancomycin. - Answer A.Anaphylactic reactions occur
more frequently with penicillins than with any other drug.
Rationale: Anaphylactic reactions occur more frequently with penicillins than with any other drug.
Allergy to penicillin can decrease over time. Epinephrine is the drug of choice for anaphylaxis.
Vancomycin, erythromycin, and clindamycin are effective and safe alternatives for patients with penicillin
allergy.
,A prescriber states that a patient will need to receive penicillin intravenously. The nurse anticipates
administering which drug?
A. Penicillin V
B. Procaine penicillin G
C. Benzathine penicillin G
D. Potassium penicillin G - Answer D. Potassium penicillin G
A patient with a history of a severe anaphylactic reaction to penicillin has an order to receive
cephalosporin. What should the nurse do?
A. Administer the cephalosporin as ordered.
B. Contact the health care provider for a different antibiotic.
C. Administer a test dose of cephalosporin to determine reactivity.
D. Have an epinephrine dose available when administering the cephalosporin. - Answer B. Contact the
health care provider for a different antibiotic.
Rationale: A few patients with penicillin allergy (about 1%) display cross-sensitivity to cephalosporins. If
at all possible, patients with penicillin allergy should not be treated with any member of the penicillin
family. Use of cephalosporins depends on the intensity of the allergic response to penicillin; if the
penicillin allergy is mild, use of cephalosporins is probably safe. However, if the allergy is severe,
cephalosporins should be avoided.
A patient is prescribed cefazolin. It is most important for the nurse to teach the patient to avoid which
substance while taking cefazolin?
A. Warfarin
B. Milk products
C. Digitalis
D.Alcohol - Answer D.Alcohol
, Rationale: Cefazolin and cefotetan can cause alcohol intolerance. A serious disulfiram-like reaction may
occur if alcohol is consumed. Inform patients about alcohol intolerance and warn them not to drink
alcoholic beverages.
If you have a patient receiving IV Clindamycin and they develop hypotension and ECG changes, what
would you do?
A) Continue monitoring the patient closely
B) Transfer Pt to ICU
C) Stop the drug
D) Slow the rate of administration - Answer C) Stop the drug
Your patient has intermittent colitis. Which antibiotic is contraindicated for use in this patient?
A. Erythromycin
B. Doxycycline
C. Clindamycin
D. Azithromycin - Answer C. Clindamycin
Your patient has an infected pressure ulcer. The wound culture reveals a vancomycin-resistant staph.
Which medication would you expect to be ordered?
A.Tetracycline
B.Clindamycin
C.Chloramphenicol
D.Linezolid (Zyvox) - Answer D.Linezolid (Zyvox)
The nurse is assessing for adverse effects of IV gentamycin. Which change would be a priority to report
to the prescriber?
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