Pharmacology Made Easy 5.0 Infection Test

select 2 adverse effects that the nurse should plan to include when educating the client about their newly prescribed medications.

a. Elevated liver enzymes

b. red-orange color to the urine

c. hypoglycemia

d. ototoxicity

e. hypertension

when generating solutions, the nurse should plan to educate the client about adverse reactions of hepatotoxicity and discolored urine.

Isoniazid and rifampin can cause injury to liver cells, and the combination of the two medications increases the risks for hepatotoxicity.

Rifampin dissolves easily in body fluids, and clients receiving it may experience a change of color in urine, sweat, tears, and other body fluids to a red-orange color

a. Elevated liver enzymes

b. red-orange color to the urine

click to highlight the findings that indicate to the nurse that the client experiencing adverse reactions to the prescribed antibiotic medication.

When analyzing cues, the nurse should identify that findings of

1. vertigo

2. headache

3. tinnitus

indicate that the client is experiencing ototoxicity, which is an adverse effect of gentamicin.

The nurse anticipates a prescription for an antibiotic medication. For each medication, click to specify if the medication is indicated or contraindicated for the client. There must be at least 1 selection in every row.

telavancin is contraindicated for a client who has a prolonged QT interval

Hyperkalemia is a contraindication for the combination of sulfamethoxazole and trimethoprim because increased potassium level is a potential adverse effect.

The nurse should identify that the client's allergy to levofloxacin, another fluoroquinolone, is a contradiction to the use of ciprofloxacin.

the nurse should identify that the client does not have findings that are contraindications for the use of linezolid, such as concurrent use of a monoamine oxidase (MAO) inhibitor or selective serotonin reuptake inhibitor (SSRI) CIPROFLOXACIN: CONTRAINDICATED TELAVANCIN:CONTRAINDICATED LINEZOLID:NOT CONTRAIN SULFA:CONTAIN

a nurse is caring for a client who is about to begin taking itraxonazole to treat a fungal infection, the nurse should instruct the client to report which of the following adverse effects of the medication?

a. tingling in the hands and feet

b. joint pain

c. swelling of hands or feet

d. excessive sweating

c. swelling of hands or feet

a nurse is providing teaching for a client who takes an oral contraceptive and is about to begin rifampin therapy to treat tuberculosis, which of the following instructions should the nurse include?

a. increase the rifampin dose

b. increase the oral contraceptive dose

c. allow 2 hr between taking the two medications

d. use a non-hormonal form of contraception

d. use a non-hormonal form of contraception

a nurse is caring for a client who has a new diagnosis of bacterial meningitis. the nurse should expect the provider to prescribe a medication from which of the following classifications of antibiotics?

a. first generation cephalosporins

b. third generation cephalosporins

c. monobactams

d. macrolides

b. third generation cephalosporins

a nurse in a providers office receives a call from a client who has been taking penicillin three times daily and reports abdominal cramping with bloody diarrhea for several days, which of the following instructions should the nurse give the client?

a. bring in a stool sample for testing

b. take the medication only twice daily

c. use an over-the-counter anti-diarrheal medication

d. return to the clinic for blood work

a. bring in a stool sample for testing

a nurse in a providers office receives a call from a client who is taking tetracycline orally to treat a chlamydia infection and reports severe blood-tinged diarrhea. the nurse should suspect the client is experiencing which of the following?

a. hemorrhoids

b. clostridium difficile-associated diarrhea

c. diverticular disease

d. small bowel obstruction

b. clostridium difficile-associated diarrhea

a nurse is caring for a client whose sputum culture results indicate methicillin-resistant staphylococcus aureus (MRSA). The nurse should recognize that which of the following medications will likely be administered to this client?

a. trimethoprim/sulfamethoxazole

b. tetracycline

c. cephalexin

d. vancomycin

d. vancomycin

a nurse is caring for a client who is about to being taking isoniazid to treat tuberculosis. the nurse should instruct the client to report which of the following adverse effects of the medication? (select all that apply)

a. jaundice

b. numbness of the hands

c. dizziness

d. hearing loss

e. oral ulcers

a. jaundice

b. numbness of the hands

c. dizziness

a nurse is caring for a client who is taking ciprofloxacin to treat a urinary tract infection, the client also takes prednisolone to treat rheumatoid arthritis. Recognizing the adverse effects of ciprofloxacin, the nurse should instruct the client to report which of the following adverse effects?

a. tachycardia

b. hair loss

c. insomnia

d. tendon pain

d. tendon pain

a nurse in a providers office receives a call from a client who is taking amoxicillin to treat a respiratory infection and reports a rash and wheezing, which of the following instructions should the nurse give the client?

a. wait 1 hour and contact the provider if there is no improvement

b. skip today's dose of amoxicillin and resume taking the medication tomorrow

c. call emergency services immediately

d. take an NSAID to reduce skin and airway inflammation

c. call emergency services immediately

a nurse is caring for a client who has streptococcal pharyngitis and an allergy to penicillin, the nurse should recognize that which of the following medications can be safely administered to this client?

a. nafcillin

b. azithromycin

c. cephalexin

d. amoxicillin/clavulanic acid

b. azithromycin

a nurse is caring fro a client who is about to being taking nitrofurantoin to treat urinary tract infection, the nurse should tell the client to report which of the following adverse effects of the medication?

a. constipation

b. dark brown urine

c. cough

d. tremors

c. cough

a nurse is caring for a client who is taking warfarin and has a new prescription for trimethoprim/sulfamethoxazole to treat a urinary tract infection. the nurse should clarify the prescriptions with the provider because taking these two medications concurrently can increase the client's risk for which of the following?

a. bleeding

b. thrombosis

c. ECG changes

d. Ototoxicity

a. bleeding

a nurse is administering cefotetan IV to a client to treat an intra abdominal infection. the nurse notes that the IV insertion site is warm, edematous, and painful to the touch, which of the following actions should the nurse take?

a. decrease the rate of the cefotetan infusion

b. administer diphenhydramine to the client

c. request a prescription for another antibiotic

d. stop the cefotetan infusion

d. stop the cefotetan infusion

a nurse is caring for a client who is about to begin receiving acyclovir IV to treat viral infection, the nurse should recognize that cautious use of the medication is essential if the client also has which of the following conditions?

a. heart failure

b. dehydration

c. asthma

d. tinnitus

b. dehydration

when administering oral erythromycin to a client who has acute dipheria, a nurse should monitor for which of the following adverse effects?

a. hypothermia

b. blurred vision

c. constipation

d. cardiac dysrhythmias

d. cardiac dysrhythmias

a nurse is caring for a client who has a new prescription for aztreonam to treat a respiratory tract infection, which of the following findings in the client's medical record should the nurse recognize as requiring cautious use for this prescription and report to the provider?

a. glaucoma

b. closed-head injury

c. heart failure

d. renal impairment

d. renal impairment

a nurse is caring for a client who has a new prescription for acyclovir to treat a herpes simplex infection. which of the following laboratory values should the nurse monitor for this client?

a. prothrombin time

b. hematocrit

c. BUN

d. aspartate aminotransferase

c. BUN

a nurse is caring for a client who has gynecologic infection and a history of alcohol use disorder, the nurse should identify that which of the following medications can cause a reaction similar to disulfiram if the client drinks alcohol while taking it? (select all that apply).

a. nitrofurantoin

b. amoxicillin

c. aztreonam

d. cefotetan

e. metronidazole

d. cefotetan

e. metronidazole

a nurse is preparing to administer amphotericin B IV to a client who has systemic fungal infection, which of the following medications should the nurse prepare to administer prior to the infusion to prevent or minimize adverse reactions? (select all that apply)

a. aspirin

b. hydrocortisone

c. acetaminophen

d. dihenhydramine

e. ibuprofen

c. acetaminophen

d. dihenhydramine

a nurse in a providers office receives a call from a client who recently hospitalized and treated with imipenem IV for a bacterial infection and reports an inability to eat due to mouth pain, the nurse should identify that the client might be experiencing while of the following as an adverse effect of this medication?

a. malabsorption

b. superinfection

c. anorexia

d. dental caries

b. superinfection

a nurse in a provider's office receives a call from a client who is taking ciprofloxacin to treat a respiratory tract infection and reports dyspepsia, which of the following instructions should the nurse give the client?

a. take an antacid at least 2 hr after taking the medication

b. take the medication with a cup of coffee

c. take an iron supplement with the medication

d. take the medication with 240 mL (8 oz) of milk.

a. take an antacid at least 2 hr after taking the medication

a nurse is caring for a client who is about to being taking metronidazole to treat an anaerobic intra-abdominal bacterial infection. the nurse should recognize that cautious use of the medication is indicated if the client also has which of the following conditions?

a. seizure disorder

b. hearing loss

c. asthma

d. anemia

a. seizure disorder