Lesson 4 Chapter Questions Antibotics, Antimicrobials, HIV/AIDS

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Fyrcracker
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Lesson 4 Chapter Questions Antibotics, Antimicrobials, HIV/AIDS
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2013-10-17 12:28:09
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Chap 29 32 34 pg 472 477 35
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Chap: 29-32, 34, 35
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  1. A client is receiving Amoxicillin (Amoxil).  The nurse knows that the action of this drug is by which process?
    A. Inhibition of protein synthesis
    B. Inhibition of bacterial cell-wall synthesis
    C. Alteration of synthesis of bacterial ribonucleic aicid
    D. Alteration of membrane permeability
    B. Inhibition of bacterial cell-wall synthesis
    (this multiple choice question has been scrambled)
  2. Amoxicillin (Amoxil) is prescribed for a client who has a respiratory infection.  The nurse is teaching the client about this medication & realizes that more teaching is needed when the client makes which statement?
    A. "I should not take my med w/food."
    B. "I will take my entire prescription of medication."
    C. "I should report to the Dr. any genital itching."
    D. "I should report to the Dr. any excess bleeding."
    A. "I should not take my med w/food."
    (this multiple choice question has been scrambled)
  3. A client has been prescribed Cefaclor (Ceclor).  The nurse knows what fact about this med?
    A. It is used to Tx respiratory infections
    B. It has an IM admin route
    C. It has a normal adult dose of 2gr Q6hr
    D. It has a common s/e of hypotension
    A. It is used to Tx respiratory infections
    (this multiple choice question has been scrambled)
  4. Penicillin G (Pentids) has been prescribed for a client.  Which nursing intervention(s) should the nurse include for this client? (select all that apply)
    a. Collect C&S prior to 1st dose
    b. Monitor client for mouth ulcers
    c. Instruct client to limit fluid intake to 1000mL/day
    d. Have epinephrine on hand for a potential severe allergic rxn.
    • a. Collect C & S prior to 1st dose
    • b. Monitor client for mouth ulcers
    • d. Have epinephrine on hand for a potential severe allergic rxn.
  5. A client is taking Azithromycin (Zpack).   The nurse should apply which interventions? (select all that apply)
    a. Monitor periodic liver fxn tests.
    b. Dilute w/50ml for IV admin.
    c. Tell client to report any hearing loss
    d. Tell the client to report evidence of superinfection
    e. Teach client to take oral drug 1hr a.c. or 2hrs p.c. (before meals/after meals)
    f.  Avoid antacids from 2hrs prior to 2hrs after Zpack admin.
    • a. Monitor periodic liver fxn tests 
    • c. Tell client to report any hearing loss
    • d. Tell the client to report evidence of superinfection
    • e. Teach client to take oral drug 1hr a.c. or 2hrs p.c. (before meals/after meals)
    • f. Avoid antacids from 2hrs prior to 2hrs after Zpack admin.
  6. The nurse closely monitors the client taking Lincosamides for which serious adverse effect?
    A. Hepatotoxicity
    B. Pseudomembranous colitis
    C. Ototoxicity
    D. Seizures
    B. Pseudomembranous colitis
    (this multiple choice question has been scrambled)
  7. The nurse enters a client's room to find that his HR is 120, BP 70/50, & he is flushed.  Vancomycin is running IVPB. The nurse interprets this as a severe adverse rxn called "red man syndrome".  What should the nurse do?
    A. Stop the infusion & call the lab
    B. Reduce the infusion to 10mg/min
    C. Encourage the client to drink more oral fluids, up to 2L/day.
    D. Report to Dr. the onset of Stevens-Johnson syndrome.
    B. Reduce the infusion to 10mg/min
    (this multiple choice question has been scrambled)
  8. The nurse is administering Tetracycline (Vibramycin) to a client.  Which would be appropriate teaching?
    A. Take sunscreen precautions when at the beach.
    B. Take an antacid or milk w/the drug to prevent severe GI distress
    C. Obtain frequent eye checkups for early detection of retinal damage
    D. Obtain frequent hearing tests for early detection of hearing loss
    A. Take sunscreen precautions when at the beach.
    (this multiple choice question has been scrambled)
  9. A client is taking Levofloxacin (Levaquin).  The nurse knows that which is true regaurding this drug?
    A. Classified as an Aminoglycoside
    B. Admin IV only
    C. May cause HTN
    D. Adverse rxn includes dysrhythmias
    D. A/r includes dysrhythmias
    (this multiple choice question has been scrambled)
  10. What should the nurse include when teaching a client about Gentamicin? (select all that apply)
    a. Client should report any hearing loss
    b. Client must use sunscreen
    c. IV Gentamicin will be given over 20min
    d. Client will be monitored for mouth ulcers & vaginitis.
    e. Peak levels will be drawn 30min prior to IV dose
    f. Client should ^fluid intake
    • a. Client should report any hearing loss
    • b. Client must use sunscreen
    • d. Client will be monitored for mouth ulcers & vaginitis.
    • f. Client should ^fluid intake
  11. The nurse acknowledges which nursing intervention(s) for the client taking Ciprofloxacin (Cipro)? (Select all that apply)
    a. Obtain C&S prior to drug admin.
    b. Tell the client to avoid taking Cipro w/antacids.
    c. Monitor the client for hearing loss.
    d. Encourage fluids to prevent crystalluria
    e. Infuse IV Cipro over 60min
    f. Monitor blood glucose, as cipro can decrease effect of oral hypoglycemics.
    • a. Obtain C&S prior to drug admin.
    • b. Tell the client to avoid taking Cipro w/antacids.
    • c. Monitor the client for hearing loss.
    • d. Encourage fluids to prevent crystalluria
    • e. Infuse IV Cipro over 60min
  12. Sulfasalazine has been ordered for a client. The nurse knows that this drug is most effective against which organisms?
    A. Enterococcus faecium & Staphylococcus aureus
    B. Pseudomonas aeruginosa & Helicobacter pylori
    C. Escherichia coli & Clostridium
    D. Neisseria gonorrhoeae & H. Influenza
    C. Escherichia coli & Clostridium
    (this multiple choice question has been scrambled)
  13. A client is taking sulfasalazine.  What should the nurse teach the client to do?
    A. Take this drug w/an antacid to decrease the risk of GI distress.
    B. Monitor blood glucose carefully to avoid hyperglycemia.
    C. Avoid operating a motor vehicle as this drug may cause drowsiness.
    D. Drink at least 10 glasses of fluid per day.
    D. Drink at least 10 glasses of fluid per day
    (this multiple choice question has been scrambled)
  14. The nurse is teaching a client about sulfadiazine.  Which directive should the nurse include in the teaching?
    A. Use an ultraviolet light to enhance drug effectiveness.
    B. Administer in 50mL of fluid over 30min.
    C. Avoid sulfonamides during the 3rd trimester of pregnancy.
    D. Avoid caffeine during sulfonamide Tx.
    C. Avoid sulfonamides during the 3rd trimester of pregnancy.
    (this multiple choice question has been scrambled)
  15. A client is ordered to take trimethoprim-suflamethoxazole (TMP/SMZ Bactrim).  The nurse knows to expect which common a/r?
    A. Pseudomembranous colitis
    B. Stevens-Johnson syndrome
    C. Bronchospasm
    D. Dysrhythmias
    B. Stevens-Johnson syndrome
    (this multiple choice question has been scrambled)
  16. A client is taking a sulfonamide for an acute UTI.  Which med does the nurse realize is a short-acting sulfonamide?
    A. sulfamethoxazole
    B. co-trimoxazole/TMP-SMZ (bactrim)
    C. sulfdiazine
    D. sulfasalazine
    C. Sulfadiazine
    (this multiple choice question has been scrambled)
  17. The nurse is teaching the client about TMP-SMZ (Bactrim).  Which directives should be included in the teaching? (select all that apply)
    a. Report any bruising or bleeding immediately
    b. Report any diarrhea or bloody stools promptly
    c. Report any fever, rash, or sore throat promptly
    d. Avoid unprotected exposure to sunlight
    e. Report thirst & polyuria immediately
    • a. Report any bruising or bleeding immediately
    • b. Report any diarrhea or bloody stools promptly
    • c. Report any fever, rash, or sore throat promptly
    • d. Avoid unprotected exposure to sunlight
  18. A client is beginning isoniazid & rifampin Tx for TB.  The nurse gives the client which instruction?
    A. Take an antacid w/the drugs to <GI distress
    B. Do not skip doses.
    C. Take rifampin initially, & then begin isoniazid after 2 months.
    D. Take the drugs t.i.d. w/food
    B. Do not skip doses
    (this multiple choice question has been scrambled)
  19. A client taking isoniazid is worried about the s/e & a/r.  The nurse realizes that which is a common a/r of isoniazid?
    A. Ototoxicity
    B. Hepatotoxicity
    C. Nephrotoxicity
    D. Optic nerve toxicity
    B. Hepatotoxicity
    (this multiple choice question has been scrambled)
  20. The nurse teaches the client taking amphotericin B to report which s/s to the health care provider?
    A. Loss of hearing
    B. blindness
    C. Stevens-Johnson syndrome
    D. Nephrotoxicity
    B. Blindness
    (this multiple choice question has been scrambled)
  21. A client w/a diagnosis of intestinal amebiasis develops severe N/V, fever, facial flushing, slurred speech, tachycardia, hypotension, & palpitations.  A beginning assessment reveals that the client has just has several alcoholic beverages.  The nurse should obtain a drug Hx for which drug?
    a. Bacitracin
    b. Fluconazole
    c. Metronidazole (Flagyl)
    d. Ethambutol
    Metronidazole (Flagyl)
  22. A client has developed vaginal candidiasis.  the nurse knows that which medication is appropriate Tx for this condition?
    A. Haloprogin
    B. Tolnaftate
    C. Terconazole (Terazol-3)
    D. Terbinafine (Lamisil)
    C. Terconazole (Terazol-3)
    (this multiple choice question has been scrambled)
  23. A client has been diagnosed w/TB & is to begin the antitubercular meds isoniazid, rifampin, & ethambutol.  What should the nurse do?  (select all that apply)
    a. Encourage periodic eye exams
    b. Instruct client to take meds w/meals
    c. Suggest that client take antacids w/meds to prevent GI distress.
    d. Advise client to report numbness & tingling of hands or feet.
    e. Alert client that body fluids may develop a red-orange color.
    f. Teach client to avoid direct sunlight & to use sunblock.
    • a. Encourage periodic eye exams
    • d. Advise client to report numbness & tingling of hands or feet.
    • e. Alert client that body fluids may develop a red-orange color.
    • f. Teach client to avoid direct sunlight & to use sunblock.
  24. A client is diagnoses w/HSV-3.  The nurse understands that this illness is better know by which name?
    a. Chicken pox
    b. Hep B
    c. Shingles in an adult
    d. Cytomegalovirus
    • a. Chicken pox
    • c. Shingles in an adult
  25. Zanamivir (Relenza) is ordered for a client.  the nurse knows that this drug is intended for which purpose?
    A. Oral admin for Tx of HSV-1
    B. Admin w/in 48hrs of onset of symptoms to be effective
    C. Tx of HSV-2
    D. Tx of varicella-zoster viruses
    B. Admin w/in 48hrs of onset of symptoms to be effective
    (this multiple choice question has been scrambled)
  26. A client who is taking acyclovir asks the nurse about the drug.  Which instruction should the nurse include in client teaching?
    A. Monitor BP for HTN
    B. Stevens-Johnson syndrome is an a/r
    C. Restrict fluids to prevent complications.
    D. Importance of frequent CBC, BUN & Creatinine tests.
    D. Importance of frequent CBC, BUN & Creatinine tests.
    (this multiple choice question has been scrambled)
  27. A client w/a Hx of malaria, presently being treated w/chloroquine, is admitted to the hospital.  What should the nurse advise the client to do?
    A. Get frequent hearing checks.
    B. Take antimalarials before meals
    C. Get frequent testing of stool specimens
    d. Check HR before taking drug to ensure 60 or above.
    A. Get frequent hearing checks.
    (this multiple choice question has been scrambled)
  28. A client is taking thiabendazole (Mintezol).  What does the nurse realize about this drug?
    A. Family members should be checked for the same disease
    B. The drug should be avoided if the client has renal disease.
    C. Proper hygiene must be taught to avoid the spread of disease
    D. The drug is given for 7 days
    C. Proper hygiene must be taught to avoid the spread of disease
    (this multiple choice question has been scrambled)
  29. Acyclovir (Zovirax) has been ordered for a client w/genital herpes.  Which nursing interventions are appropriate for this client? (Select all that apply)
    a. Montior BUN & Creatinine
    b. Monitor client's BP for HTN
    c. Admin IV acyclovir over 30min
    d. Advise client to maintain adequate fluid intake
    e. Teach client to perform oral hygiene several times a day
    f. Monitor client's CBC, especially WBC, platelets, hemoglobin, & hematocrit
    • a. Monitor BUN & Creatinine
    • d. Advise client to maintain adequate fluid intake
    • e. Teach client to perform oral hygiene several times a day
    • f. Monitor client's CBC, especially WBC, platelets, hemoglobin, & hematocrit
  30. A client has been prescribed HAART therapy following a lab test that indicated an ^VL.  The client reports that he's glad to have a choice of medications from which to choose so he will have an easier time w/daily meds.  What should the nurse's response include?
    A. Written info about the scheduling of his meds w/meals.
    B. Support & encouragement for the client's readiness for Tx.
    C. Education about the importance of using multiple meds concurrently.
    D. Guidelines for follow-up labs monitoring & clinic appointments.
    C. Education about the importance of using multiple meds concurrently.
    (this multiple choice question has been scrambled)
  31. A client who has been taking antiretroviral Tx for 6mo indicates ^difficulty managing the daily dosing & remembering to take the meds at frequent but inconvenient times t/o the day.  In discussing the plan of Tx w/the health care team, what should the nurse recommend?
    A. Consulting w/the dietician to manage food & meds for greatest efficacy.
    B. Using a single daily dose of cofomulated med
    C. Monitoring the client's lab values more frequently.
    D. Asking the client to bring a significant other to the next appointment to help monitor med management.
    B. Using a single daily dose of cofomulated med
    (this multiple choice question has been scrambled)
  32. During a routine prenatal testing, a client was newly dx w/HIV infection.  To help prevent perinatal transmission of HIV to the fetus, what should the nurse do?
    A. Provide written & oral eduaction about the use of antiretroviral therapy during pregnancy.
    B. Provide the parents w/contact info for the local AIDS support group.
    C. Nofify the CDC of the client's diagnosis.
    D. Educate the client about the risks of HIV disease to her unborn child.
    A. Provide written & oral eduaction about the use of antiretroviral therapy during pregnancy.
    (this multiple choice question has been scrambled)
  33. During a routine visit, a client asks how she is supposed to follow all the blood values in her lab results.  She wonders if she will ever understand how to tell that her condition is improving as a result of her prescribed antiretroviral meds.  The nurse explains which is the best lab value to track to see results of Tx?
    A. Serum creatinine level
    B. Hemoglobin
    C. Lipids
    D. CD4-Tcells level
    D. CD4 T-cells level
    (this multiple choice question has been scrambled)
  34. When a client does not appear for her routine clinic visit, the nurse calls to ask about the missed visit.  The client says, "I really don't need to come any longer. I'm so thankful i no longer have HIV."  The nurse finds that the lab results indicate an "undetectable" HIV VL & that the client stopped her meds several weeks ago.  What is the nurses best response?
    A. Congratulate the client on her Tx success
    B. Educate the client about the continued need for her meds & ongoing lab monitoring.
    C. Have the client reschedule the visit
    D. Inform client that she must be seen immediately b/c the undetectable VL indicates that her meds stopped working.
    B. Educate the client about the continued need for her meds & ongoing lab monitoring.
    (this multiple choice question has been scrambled)

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