Knowledge Check for weeks 7&8

A nurse is preparing to administer an antibiotic to a client. Which action should the nurse take before giving the medication? (select all that apply)

a. Ask family member to verify the client’s allergy history

b. Just check in the client’s chart and give the medication

c. Check (scan) the client’s wristband to verify their identity

d. Ask the client to confirm their name and date of birth

c. Check (scan) the client’s wristband to verify their identity

d. Ask the client to confirm their name and date of birth

A nurse is caring for a patient in the hospital who has just been prescribed a loop diuretic for the treatment of heart failure. The patient is currently taking trimethoprim-sulfamethoxazole (Bacterium). Which of the following actions should the nurse take?

a. Withhold the loop diuretic and notify the provider

b. Administer the medications, as they are in different classes

c. Give both medications at least 2 hours apart

d. Ask the patient if they have ever taken both medications together before

a. Withhold the loop diuretic and notify the provider

Which of the following clients would most likely NOT be prescribed ciprofloxacin (Cipro)

a. A 50 year old female physician

b. A 15 year old middle school student

c. A middle aged chef

d. a 22 year old college student

b. A 15 year old middle school student

A patient is prescribed a fluoroquinolone antibiotic for a bacterial infection. The nurse explains the potential side effects of this medication. Which of the following is a common complication associated with the use of fluoroquinolones?

a. Hypertension

b. Peptic ulcers

c. Hepatoxicity

d. Yeast Infection

d. Yeast Infection

A client who has an allergy to an antibiotic in the penicillin class of antibiotics, could be most likely to also have an allergy to the ____

class of antibiotics,

Cephalosporins

Ciprofloxacin (Cipro) goes with which drug classification

Fluoroquinolone

Azithromycin (Zithromax) goes with which drug classification

Macrolide

Amoxicillin (Amoxil) goes with which drug classification

Penicillin

Trimethoprim-sulfamethoxazole (Bactrim) goes with which drug classification

Sulfonamide

Cephalexin (Keflex) goes with which drug classification

Cephalosporin

A pediatric nurse is preparing to administer a dose of medication to a child weighing 44lbs. The prescribed dose is 5mg/kg. How many milligrams (mg) of the medication should the nurse administer?

a. 10mg

b. 20mg

c. 100mg

d. 50mg

c. 100mg

T/F Clients should take trimethoprim-sulfamethoxazole (Bactrim) with at least 8 oz of water to acid in the prevention of crystalluria and to promote renal health.

True

A nurse is teaching a client about the pathophysiology of pneumonia. Which of the following statements best explains the process of infection in pneumonia?

a. “The infection causes inflammation and fluid buildup in the alveoli, impairing gas exchange”

b. “The infection causes airway constriction and increase mucus production, leading to wheezing”

c. “The bacteria invades the blood stream, causing widespread systemic infection”

d. “The virus causes damage of the pleura, leading to sharp chest pain and pleuritic breathing”

a. “The infection causes inflammation and fluid buildup in the alveoli, impairing gas exchange”

A client presents to the clinic with what the provider has diagnosed as cellulitis. The nurse knows this condition is commonly caused by?

a. Staphylococcus aureus and Streptococcus pyogenes

b. Influenza A virus

c. Parasites that burrow under the skin

d. Eschericha coli

a. Staphylococcus aureus and Streptococcus pyogenes

T/F While H2-receptors antagonists effectively reduce gastric acid secretion, they should not be administered concurrently with antacids, as antacids can interfere with their absorption and reduce their effectiveness.

True

T/F Zollinger-Ellison syndrome, a rare cause of peptic ulcer disease, result from an overproduction of gastric acid due to excessive stimulation of parietal cells by histamine, rather than a gastrinoma

False

A client with gastroesophageal reflux disease (GERD) is prescribed famotidine (Pepcid) and an antacid for symptoms relief. What instruction should the nurse provide regarding the administration of these medications?

a. “Take the antacid and famotidine (Pepcid) together to enhance acid suppression”

b. “Take the antacid 1 hour before or after taking famotidine (Pepcid)”

c. “Crush the famotidine (Pepcid) tablet and mix it with the antacid for better absorption”

d. “Only take the antacid if the famotidine (Pepcid) does not relieve your symptoms”

d. “Only take the antacid if the famotidine (Pepcid) does not relieve your symptoms”

A patient with ulcerative colitis is prescribed sulfasalazine (Asulfidine). When educating the patient, the nurse should state which important consideration? (select all that apply)

a. “You can stop this medication once your symptoms improve”

b. “Check with your provider before taking this is you have a sulfa allergy”

c. “You should wear sunscreen when outdoors”

d. “This medication is used for short-term management only”

e. “This medication helps reduce inflammation”

b. “Check with your provider before taking this is you have a sulfa allergy”

c. “You should wear sunscreen when outdoors”

e. “This medication helps reduce inflammation”

A patient ask how misoprostol (Cytotec) will treat peptic ulcer disease. Which response should the nurse make to the patient?

a. It neutralizes stomach acid

b. It inhibits bacterial growth

c. It increases mucus production in your stomach

d. It dissolves into a gel and sticks to your ulcer

c. It increases mucus production in your stomach

A patient is diagnosed with peptic ulcer disease. Which information should the nurse include when teaching the patient about omeprazole (Prilosec)? (select all that apply)

a. Omeprazole (Prilosec) is best taken with yogurt

b. Omeprazole (Prilosec) is recommended for long-term treatment of peptic ulcer disease

c. Omeprazole (Prilosec) should be taken before breakfast if possible

d. Omeprazole (Prilosec) should not be crushed or chewed

e. Omeprazole (Prilosec) should be administered after meals

c. Omeprazole (Prilosec) should be taken before breakfast if possible

d. Omeprazole (Prilosec) should not be crushed or chewed

A client reports taking proton-pump inhibitors (PPIs) for “several months”. Which conditions should the nurse identify as a complication for the long-term use of this medication?

a. Hypertension

b. Anemia

c. Intestinal Irritation

d. Osteoporosis

d. Osteoporosis

Long-term use of metoclopramide (Reglan) can lead to _________, a movement disorder characterized by involuntary, repetitive body movements.

Tardive dyskinesia

Patients diagnosed with _____ infection require a combination of antibiotics and either a proton pump inhibitor or an receptor antagonists

H-pylori