Pharm Wk7

The patient has newly been prescribed Tetracycline PO for treatment of acne vulgaris. What statement by the patient requires further teaching from the nurse?
A)"I need to find an alternative to my oral contraceptive."
B)"I can't stop the course even thoug

C) "I need to increase my iron supplements."
A patient on tetracycline should NOT increase their iron supplements. It can cause formation of nonabsorbable chelates, thus reducing the absorption of tetracycline.

A patient calls a clinic complaining they are having side effects to tetracycline. Which of these is a complication of tetracycline? a)Photosensitivity
b)Tooth discoloration
c)Hepatotoxicity
d)Nausea and Vomiting
e)All of the above

e)All of the above

Patient received administration of piperacillin/tazobactam via IV 10 minutes ago and starts exhibiting signs of swelling in the airway, wheezing, and difficulty breathing. What adverse reaction is occurring?
A) hyperkalemia
B) anaphylaxis
C) dysrhythmia
D

B) Anaphylaxis
When administering penicillin it is important to monitor the client for 30 minutes after injection for an allergic reaction

When providing patient education to a patient taking piperacillin/tazobactam which statement by the patient would indicate the need for further teaching:
A) I will inform the provider if I have wheezing
B) I can drink apple juice while on this medication

C) I can have unprotected sex because I'm taking an oral contraceptive
Advise client to use an additional contraceptive method when taking penicillins

What medication would you question with for a patient on Ciprofloxacin?
A. Warfarin
B. 0.9% Nacl
C. Flintstones multivitamin
D. Bananas

A. Warfarin

What should you advise the patient to do when they are exposed to the sun while on Ciprofloxacin?
A. Wear long sleeves and sunblock
B. Lay in the sun for only 2 hours
C. Increase vitamin D consumption
D. Take warfarin

A. Wear long sleeves and sunblock

A client who is allergic to penicillin is at increased risk for an allergy to which drug?
A. Cefazolin
B. Aspirin
C. Tylenol
D. Cimetidine

A. Cefazolin

When assessing a patient who is receiving cefazolin (Ancef) for the treatment of a bacterial infection, which data suggest that treatment has been effective?
A. WBC count 20000
B. WBC count 4000
C. WBC count 8500
D. WBC count 16500

C. WBC count 8500

Which antibiotic inhibits dehydropeptidase?
A. Cilastatin
B. Tetracycline
C. Penicillin
D. Cimetidine

A. Cilastatin

Which adverse effect would be a priority to report to the provider?
a. Swelling
b. Redness
c. Jaundice
d. Soreness

c. Jaundice

What is the drug of choice for treating MRSA?
a. vancomycin
b. ondansetron
c. zofran
d. cimetidine

a. vancomycin

What class of medication is vancomycin?
a. Antibiotic
b. Antiemetic
c. Proton pump inhibitor
d. Opioid

a. Antibiotic

A nurse is teaching a patient about gentamicin and its complications. Which of statements indicates that the patient understands the medication's complication.
A) "This medication may cause fatigue"
B) "This medication may cause hearing loss and a loss in

B) "This medication may cause hearing loss and a loss in balance

A nurse is preparing to administer gentamicin. Which of the following statements indicate that the nurse understands the purpose of gentamicin?
A - "Gentamicin slows the growth of microorganisms"
B - "Gentamicin reduces muscle contractions"
C - "Gentamici

D - "Gentamicin is used to treat bacterial infections

Upon discharge patient states verbal understanding of medication Bactrim if she states the following:
A. If symptoms of an otitis media subside, I will continue taking AXB as ordered till completed.
B. I will take after eating meals
C. I do not have to wo

A. If symptoms of an otitis media subside, I will continue taking AXB as ordered till completed.

When taking Trimethoprim- Sulfamethoxazole to treat otitis, what should the patient do?
A. Increase fiber intake
B. Continue swimming
C. Take medication on empty stomach with 8oz of water
D. Stop course of medication once symptoms have subsided

C. Take medication on empty stomach with 8oz of water

A nurse is educating a patient newly prescribed Erythromycin for recent diagnosis for bacterial endocarditis. Which of the following would be of greatest concern?
A. Patient complains of nausea and vomiting.
B. Patient reports vertigo and tinnitus.
C. Pat

B. Patient reports vertigo and tinnitus.
Vertigo and tinnitus are signs and symptoms of ototoxicity.

The provider orders Erythromycin to treat a patient that was recently diagnosed with endocarditis. Which medication would require the nurse to immediately contact the provider?
A. Lovastatin
B. Aspirin
C. Zofran
D. Methotrexate

A. Lovastatin
Lovastatin is contraindicated.

A patient advises the nurse that they previously had an allergic reaction to amoxicillin. What medication could
The nurse safely administer.
A. Penicillin G
B. Penicillin V
C. Amoxicillin
D. Tetracycline

D. Tetracycline

An older adult with a history of renal insufficiency is taking PO Penicillin. What lab values should the nurse
monitor.
A. BUN, Creatinine, GFR
B. ALT, AST
C. Blood Pressure
D. HGT

A. BUN, Creatinine, GFR