Quiz

Question 1

Before discharge, the nurse is reviewing a patient’s prescribed medication regimen for tuberculosis (TB). The patient asks the nurse why pyridoxine has been prescribed while continuing to take isoniazid to treat TB. What is the nurse’s appropriate response?
A. “Multidrug therapy is necessary to prevent the occurrence of resistant bacteria.”
B. “You really should not be on that drug. I will check with the health care provider.”
C. “Pyridoxine is another antitubercular drug that will work synergistically with the isoniazid.”
D. “Pyridoxine will help prevent numbness and tingling that can occur secondary to the isoniazid

Answer 1

“Pyridoxine will help prevent numbness and tingling that can occur secondary to the isoniazid

Question 2

What information would the nurse provide to a patient prescribed rifampin?
A. Oral contraception is the preferred method of birth control when using rifampin.
B. The patient will only need to take this medication for the prescribed 14-day period.
C. A nonharmful adverse effect of this medication is red-orange discoloration of urine, sweat, tears, skin, salvia, and feces.
D. Peripheral neuropathy is an expected side effect, and the patient should report any numbness or tingling of the extremities

Answer 2

A nonharmful adverse effect of this medication is red-orange discoloration of urine, sweat, tears, skin, salvia, and feces.

Question 3

Which patient statement indicates to the nurse that the patient understands the discharge teaching for ethambutol?
A. “Constipation will be a problem, so I will increase the fiber in my diet.”
B. “Dizziness and drowsiness are common adverse effects with this drug.”
C. “I will need to have my vision checked periodically while I am taking this drug.”
D. ‘This medication may cause my bodily secretions to turn red-orange-brown.”

Answer 3

“I will need to have my vision checked periodically while I am taking this drug.”

Question 4

Which instruction would the nurse include for a patient prescribed rifampin and isoniazid prophylactically secondary to TB exposure?
A. Advise that these drugs will only need to be taken for 7 to 10 days.
B. Remind that sunscreen is not needed during outdoor activities.
C. Explain that isoniazid may decrease blood serum glucose in susceptible people.
D.Emphasize that oral contraceptives become ineffective when given with rifampin

Answer 4

Emphasize that oral contraceptives become ineffective when given with rifampin

Question 5

The nurse anticipates a prescription for vitamin supplementation for a patient who is receiving isoniazid therapy. What vitamin supplement is usually prescribed with isoniazid?
A. Folate
B. Calcium
C. Vitamin E
D. Vitamin B6

Answer 5

Vitamin B6

Question 6

When assessing for adverse effects to Rifamate (combination isoniazid and rifampin), the nurse would monitor which laboratory values. (Select all that apply.)
A. Cholesterol
B. Uric acid levels
C. Sputum cultures
D. Liver function tests
E. Complete blood cell count

Answer 6

Liver function tests
Complete blood cell count

Question 7

A patient is being treated for oral candidiasis. Which medication will the nurse anticipate administering?
A. Oseltamivir
B. Nystatin
C. Amantadine
D. Griseofulvin

Answer 7

Nystatin

Question 8

What is the PRIORITY intervention for the nurse to complete before administration of intravenous (IV) amphotericin B?
A. Assess for nausea and vomiting.
B. Monitor for cardiac dysrhythmias.
C. Check for premedication prescriptions.
D. Monitor IV site for signs of phlebitis.

Answer 8

Check for premedication prescriptions

Question 9

Which antifungal drug can be given intravenously to treat severe yeast infections as well can be prescribed as a one-time oral dose to treat vaginal yeast infections?
A. Voriconazole
B. Nystatin
C. Fluconazole
D. Caspofungin

Answer 9

Fluconazole

Question 10

A patient visits the health care provider for treatment of tinea pedis (athlete’s foot). Which medication would the nurse instruct the patient to use to treat this condition?
A. Terbinafine
B. Voriconazole
C. Caspofungin
D. Amphotericin B

Answer 10

Terbinafine

Question 11

The nurse providing care to patient with a fungal infection is aware that which drugs is known for the greatest number of possible adverse effects?
A. Fluconazole
B. Ketoconazole
C. Griseofulvin
D. Amphotericin B

Answer 11

Amphotericin B

Question 12

The nurse would question a prescription for voriconazole if the patient was taking which medication?
A. Quinidine
B. Prednisone
C. Captopril
D. Clindamycin

Answer 12

Quinodine

Question 13

The nurse has provided education to a patient about fungal skin infections. Further patient teaching is necessary when the patient tells the nurse they were prescribed antifungals for which condition?
A. Thrush
B. Impetigo
C. Athlete’s foot
D. Vaginal yeast infection

Answer 13

Impetigo

Question 14

Which are important for the nurse to monitor in a patient receiving an antifungal medication? (Select all that apply.)
A. Creatinine
B. Daily weights
C. Mental status
D. Intake and output
E. Blood urea nitrogen

Answer 14

Creative
Daily weights
Intake and output
Blood urea nitrogen

Question 15

What conditions are considered contradictions for use of antifungal medications? (Select all that apply.)
A. Heart failure
B. Liver failure
C. Kidney failure
D. Pancreatic failure I
E. Respiratory failure

Answer 15

Heart failure
Liver failure
Kidney failure

Question 16

The nurse is teaching a patient who is preparing to travel to a country with a warning for malaria about the prophylactic medication chloroquine. The nurse would instruct the patient to take this drug for how long after leaving the affected area?
A. 2 weeks
B. 4 weeks
C. 8 weeks
D. 12 weeks

Answer 16

8 weeks

Question 17

When admitting a patient to a medical-surgical unit with a diagnosis of Pneumocystis jirovecii pneumonia, the nurse will anticipate administering which medication?
A. Iodoquinol
B. Albendazole
C. Pentamidine
D. Paromomycin

Answer 17

Pentamidine

Question 18

The nurse would question a prescription for chloroquine in a patient also prescribed which medication?
A. Diazepam
B. Doxycycline
C. Clindamycin
D. Valproic acid

Answer 18

Valproic acid

Question 19

A nurse is caring for a patient diagnosed with malaria. What drug would the nurse expect to be prescribed?

A. Chloroquine
B. Penicillin
C. Metronidazole
D. Pentamidine

Answer 19

Chloroquine

Question 20

When preparing to administer an intravenous (IV) infusion of metronidazole. The nurse will set the medication to infuse for how many minutes?
A. 1 to 5
B. 5 to 10
C. 15 to 30
D. 30 to 60

Answer 20

30-60

Question 21

When a patient is receiving an IV infusion of metronidazole what adverse effect would the nurse immediately report to the health care provider?
A. Dark colored urine
B. Dizziness or confusion
C. Elevated blood pressure
D. Diminished breath sounds

Answer 21

Dizziness or confusion

Question 22

The nurse is providing education to a patient who is prescribed metronidazole for trichomoniasis. What patient statement indicates that the teaching was effective?
A. “I will have my partner evaluated and treated.”
B. “I won’t get this again because I have had it once.”
C. “I will stop taking the medication when the discharge stops.”
D. “I can continue to have intercourse as long as we use condoms

Answer 22

“I will have my partner evaluated and treated.”

Question 23

A patient, who weighs 45.4 kg, is prescribed pyrantel for a roundworm infection. The dosage is 11 mg/kg in one single dose to a maximum of 1 g. What is the appropriate dosage for this patient? ______

Answer 23

4

Question 24

single-celled fungi that reproduce by budding

Answer 24

yeast

Question 25

one of the major chemical groups of anti-fungal drugs; includes amphotericin B and nystatin

Answer 25

polyenes

Question 26

a very large, divers group of eukaryotic microorganisms that include all yeast and molds

Answer 26

fungi

Question 27

another of the major antifungal drugs; includes ketoconazole

Answer 27

imidazoles

Question 28

a term for fungi infection of the mouth

Answer 28

thrush

Question 29

one of the older antifungal drugs that acts by preventing susceptible fungi from reproducing

Answer 29

griseofulvin

Question 30

the drug of choice for many severe, systemic fungal infections; also, the older antifungal drug

Answer 30

amphotericin B

Question 31

an antifungal drug commonly used to tread candidal diaper rash

Answer 31

nystatin

Question 32

an infection caused by fungi

Answer 32

mycosis

Question 33

multicellular fungi characterized by long, branching filaments called hyphae, which entwine to form a mycelium

Answer 33

molds

Question 34

An infant has thrush. the nurse expects to administer which drug for the treatment of thrush? a. nystatin b. fluconazole c. miconazole

Answer 34

nystatin

Question 35

during an infusion of amphotecirin B, ht enurse monitors for which adverse effects? (SABA) a. neausea b. fever c. malaise d. constipation e. chills f. hypertnesion

Answer 35

nausea, fever, malalise, chills

Question 36

a patient calls the gynecologic clinic because eshe has begun to menstruate while taking vaginal cream for a vaginal infections. She asks the nurse, "what should I fo about taking this vaginal medicine right now?" which is the nurse best response? a. just take the medication at night only b. it's okay to continue to take the medication

Answer 36

its okay to continue to take hte meidcation

Question 37

a patient will be receiving a one-dose treatment for vaginal candidiasis. The nurse expects to administer which drug? a. terbinafine b. ketoconazole c. fluconazole

Answer 37

fluconazole

Question 38

the nurse is administering an antiufngal drug to a patient who has a severe systemic fungal infection. which drug is more appropriate for this patient? a. amphotecirin B b. fluconazole

Answer 38

amphotecirin B

Question 39

In an effort to prevent the complications associate with IV infusions of antifungal drugs such as amphotecirin B, the nurse will administer them over which time frame? a. 30 minutes b. 60 minutes c. 2-6 hours

Answer 39

2-6 hours

Question 40

the nurse is administering a new drug order for amphotericin B and reviewing the patient's current medications. Which medications, if also ordered, may cause an interaction with the amphotericin B? (SABA) a. digoxin, a cardiac glycoside b. metoprolol, a beta blocker c. hydrochlorothiazide, a thiazide diuretic

Answer 40

digoxin, a caridac glycoside hydrochlorothiazide, a thiazide diuretic

Question 41

Amphotericin B would be contraindicated in which patients? (SABA) a. one with severe bone marrow suppression b. one with asthma c. one with renal impairment

Answer 41

one with severe bone marrow suppresion one with renal imparment

Question 42

the order read, give amphotericin B 20 mg in 300 mL D5W over 6 hours. the nurse will set the infusion pump to what rate?

Answer 42

500

Question 43

a patient is to receive voriconazole as follows 6 mg/kg q12h X 2 doses, then change to 4 mg/kg q12h. The patient weighs 242 ib. how much will the patient receive for each 6 mg/kg dose? the 4 mg/kg dose?

Answer 43

600mg 440 mg

Question 44

a patient will be receiving long-term isoniazid therapy. what are laboratory tests more important for the nurse to monitor during treatment? a. liver enzyme levels b. platelet count c. creatine levels

Answer 44

liver enzyme levels

Question 45

the nurse should include which information in the teaching plan for a patient who is taking isoniazid? a. injection sites should be rotated daily b. pyridoxine (vitamin B6) should be added to regimen c. urine and saliva may be reddish-orange

Answer 45

pyridoxine (vitamin B6) should be added to regimen

Question 46

which teaching point is the priority when educating the patient about beginning antitubercular therapy? (SABA) a. stop the medications when symptoms ar egone b. increase intake of green leafy vegetables c. take medications as ordered and at the same time everyday d. take medications with food to reduce eGI upset

Answer 46

take medication as ordered and at hte same time everyday take medications with food to reduce GI upset

Question 47

a patient newly diagnosed with tuberculosis asks the nurse how long he will need to take "all this medicine." the nurse replies that drug therapy for active tuberculosis may need to last how long? a. 6 months b. 12 months c. 24 months

Answer 47

12 months

Question 48

the nurse is explaining antitubercular therapy to a patient. the patient asks, "why do I have to take so many different medications?" what it's the nure's best response? a. it makes sure that the disease is cured b. you will have fewer side effects c. it helps prevent the tuberculosis frm becoming drug-resistant

Answer 48

it helps prevent the tuberculosis frm becoming drug-resistant

Question 49

the nurs would correctly identify the method of action of isoniazid as which of ht following? a. inhibiting protein synthesis b. inhibiting mycobacterial ATP synthase c. altering cell wall cynthesis

Answer 49

altering cells wall cynthesis

Question 50

the nurse is reviewing the medication list of a patient who has been newly diagnosed with tuberculosis and will be taking rifampin. which classes of drugs, if taken with rifampin, may cause increased metabolism? (SABA) a. beta blockers b. proton pump inhibitors c. selective serotonin inhibitors d. oral anticoagulants e. oral antidiabetic drugs

Answer 50

beta blockers oral anticoagulants oral anti-diabetic drugs

Question 51

the nurse would be correct in identifying which findings as possible side effects of bedaquiline? (SABA) a. headache b. chest pain c. nausea d. QT prolongation e. paresthesias

Answer 51

headache chest pain nausea QT prolongation

Question 52

the patient is to receive isoniazid 0.3 g daily. the medication is available as 100 mg tablets. How many tablets will the nurse administer per dose?

Answer 52

3

Question 53

the patient has new orders for pyranzinamide, 30 mg/kg/day. the patient weighs 132 ib. how many milligrams will the patient receive per data? is this dosage safe?

Answer 53

1800

Question 54

the nurse is assessing a patient who is about to receive antifungal drug therapy. which problem would be the most concern? a. endocrine disease b. hepatic disease c. cardiac disease

Answer 54

hepatic disease

Question 55

while monitoring a pateint who is receiving IV amphotericin B, the nurse expects to see which advers effect(s)? (SABA) a. hypertension b. bradycardia c. fever d. headache e. chills

Answer 55

fever headache chills

Question 56

when administering antifungal drug therapy, the nurse knows that a patient's factor that contributes to many of the drug interactions with antifungal is which of these? a. history of cardiac disease b ethnic background c. the patients cytochrome P-450 enzyme

Answer 56

the patients cytochrome P-450 enzyme

Question 57

during an infusion of amphotericin B, the nurse knows that which administration technique may be used to minimize infusion-related adverse effects? a. infusing the medication quickly b. infusing the medication over a longer period of time

Answer 57

infusing the medication over a longe rperiod of time

Question 58

When teaching a patient who is taking nystatin lozenges for oral candidiasis, which instruction by the nurse is correct? a. chew the lozenge carefully before swallowing b. dissolve the lozenge slowly and completely in your mouth

Answer 58

dissolve the lozenge slowly and completely in your mouth

Question 59

when monitoring a patient who is receiving caspofungin, the nurse will look for which serious adverse effects? (SABA) a. blood dyscrasias b. hypotension c. tinnitus d. hepatoxicity

Answer 59

blood dyscrasias hypotension hepatoxicity

Question 60

the order reads, give nystatin suspension, 500,000 units by mouth (swish and swallow) 4 times a day for 1 week. The medication is available in a suspension of 100,000 units per ml. How many ml will the nurse giver per dose?

Answer 60

5 ml

Question 61

the nurse notes in a patient's medication history that the patient is taking terbinafine. base don this finding, the nurse interprets that the patin has which disordered? a. vaginal candidiasis .b fungal infection of toenail or fingernails

Answer 61

fungal infection of toenails or fingernails

Question 62

the nurse is teaching a patient who is starting antitubercular therapy with rifabutin. which adverse effects would the nurse expect to see? (SABA) a. headache and neck pain b. GI tract disturbances b. reddish brown urine c. neutropenia

Answer 62

GI tract disturbances reddish brown urine neutropenia

Question 63

during an antitubercular therapy with isoniazid, a patient received another prescription for pyridoxine. Which statement by the nurse best explains the rationale for this second medication? a. this vitamin will help improve your energy levels b. this vitamin helps to prevent neurologic adverse effect

Answer 63

this vitamin helps to prevent neurologic adverse effects

Question 64

the nurse is counseling a woman who is being antitubercular therapy with rifampin. the patient also takes an oral contraceptive. which statement by the nurse is most accurate regarding potential drug interaction? a. you will need to take a stronger dose of birth control pills while you are on rifampin b. you will need to switch to another form of birth control while you are taking rifampin

Answer 64

you will need to switch to another form of birth control while you are taking rifampin

Question 65

when counseling a patient who has been newly diagnosed with TB, the nurse will make sure that the patient realizes that he or she is contagious during which time? a. during all phases of the illness b. during the postictal phase of TB c. during the initial period of the illness and its diagnosis

Answer 65

during the initial period of the illness and its diagnosis

Question 66

while monitoring a patient, the nurse knows that a therapeutic response to antitubercular drugs would be which of these? a. there is a decrease in symptoms, along with improved chest radiograph and sputum culture results b. the patient reports a decrease in cough and night sweats

Answer 66

there is a decrease in symptoms, along with improved chest radiograph and sputum culture results

Question 67

the nurse is monitoring for liver toxicity in a patient who has been receiving long-term isonazoid therapy. manifestations of liver toxicity are which of these ? (SABA) a. orange discolorization of sweat and tears b. darkened urine c. dizziness d. fatigue e. jaundice

Answer 67

darkened urine fatigue jaundice

Question 68

the order for isoniazid reads; give 5 mg/kg PO daily. the patient weighs 275 ib. what it's the amount per dose? is this a safe dose?

Answer 68

625 max dose is 300 not a safe dose

Question 69

bedaquiline is prescribed for a pateint, and the nurse is providing instructions to the patient about the dedication. Which statement by the patient for a patient indicates a correct understanding of the instructions? a. i can stop this drug if the side effects bother me b.i will take this with food c. i need to take this 1 hour before breakfast

Answer 69

.i will take this with food

Question 70

the nurse is reviewing the medication history who is taking hydroxychloroquine. however, the patient's chart does not reveal a history of malaria or travel out of the country. the patients is most likely taking this medication for: a. thyroid disorders b. roundworms c. rheumatoid arthritis

Answer 70

rheumatoid arthritis

Question 71

which teaching point would be appropriate to include when the nurse is informing a patient about the adverse effects of antimalarials? a. the skin may turn blotchy while these medications r taken b. these medications may cause anorexia and abdominal distress c. these medications may cause increase urinary output

Answer 71

these medications may cause anorexia and abdominal distress

Question 72

when teaching a patient about the potential drug interactions with antiprotozal drugs, the nurse will include information about: a. acetaminophen b. warfarin c. decongestants d. antibiotics

Answer 72

warfarin

Question 73

before administering antiprotozal drugs, the nurse will review which baseline assessment? a. complete blood count b. serum magnesium level c. creatine clearance

Answer 73

complete blood count

Question 74

the nurse knows that antimalarial drugs are used to treat patients with infections caused by which microorganism? a. plasmodium spp b. candida albicans c. mycobacterium

Answer 74

plasmodium spp

Question 75

when giving metronidazole, the nurse implements appropriate administration techniques, including which of these? (SABA) a. giving oral forms with food b.administering intravenous doses by bolus love r5 minutes c. infusing intravenous doses over 30-60 minutes d. obtaining ordered specimens before starting the medcation

Answer 75

giving oral forms with food intravenous doses over 30-60 minutes obtaining ordered specimens before starting the medication

Question 76

a 5 year old pateint has been diagnosed with malaria after returning form an overseas trip. the patient is to receive one dose of mefloquine, 25 mg/kg PO. the child weighs 44 ib. how much mefloquine will this child receive?

Answer 76

500 mg

Question 77

praziquantel is prescribed for a pateint with a tapewomr infections. the nurse prepares to administer the medication by which route? a. rectal b. oral c. inhalation d. intravenous

Answer 77

oral

Question 78

Before beginning antiprotozal therapy, the nurse will assess for which possible contraindications. a. constipation, gastritis, and lactose intolerance b. underlying renal or liver disease, and pregnancy c. glaucoma, cataract,s anemia, and petechiae

Answer 78

underlying renal or liver disease and pregnancy

Question 79

a patient checks in to an urgent care center because of an abrupt onset of severe diarrhea. results of the stool specimen suggest giardiasis as the cause. the nurse would anticipate the provider to write a prescription for which drug? (SABA) a. fluke b. tapeworm c. nematodes d. cestodes e. trematodes

Answer 79

flukes tapeworms cestodes trematodes

Question 80

the nurse will warn the patient taking metronidazole about which possible adverse effects? (SABA) a. reddish-orange urine b. anorexia c. cough d. fatigue e. headache f. a metallic taste in the mouth

Answer 80

reddish-orange urine anorexia fatigue headache a metallic taste in the mouth

Question 81

a patient is taking quinine therapy for malaria. the prescriber has decide to add a sulfonamide or tetracycline drug along with the quinine. when the nurse gives the patient the prescription for those new medications, the patient is upset about having to take "another pill". what is the nurse's best explanation for the second drug? a. the antibiotic therapy is also needed to kill the parasite that causes malaria b. the antibiotic treats the bacterial infections that accompany malaria c. the antibiotic will help the quinine to work more effectively against the malaria

Answer 81

the antibiotic will help the quinine to work more effectively against the malaria

Question 82

which drugs are used mainly for the management of pneumocytis jirovci (formerly pneumocystitis carini) pneumonia? (SABA) a. metronidazole b. pyrantel c. pentamidine d. atovaquone

Answer 82

pentamidine atovaquone

Question 83

the nurse is reviewing anthelminitctherapy. which o statement is true regarding anthelminitc therapy? a. the medication can be stopped after rsypmtoms disappear b. specific antethminitc drugs are used to target specific organisms c. the medication can be stopped after t symptoms disappear

Answer 83

specific antethminitc drugs are used to target specific organisms

Question 84

the nurse is reviewing ht emedicaiton list of a patient with a new prescription for mefloquine. which drugs may have an interaction with the mefloquine? )SABA) a. beta blockers b. antidiabetic c. CCB d. proton pump inhibitors e. thiazide diuretics

Answer 84

beta blockers CCB

Question 85

a patient with pneumocystis jiroveci pneumonia will be receiving pentamidine intravenously. the order reads, give 4 mg/kg/ daily." the medications come in a 300 mg vial and are to be reconstituted with 5 mL of sterile water, with a resulting concentration of 60 mg/ml. the dose will then be added to a 100 ml bag of D5W for the infusion. the patient weighs 154 ib. --> (A) what it's the dose for this patient? _______ --> (B)how many ml of medication will the nurse add to the infusion bag _________

Answer 85

(A) 280 (B) 4.7

Question 86

a patient is to receive mefloquine 1250 mg in a single dose for the treatment of malaria. the medication is available in 250 mg tablets. how many tablets will the patients receive? _______

Answer 86

5

Question 87

a pateint with TB has been taking antitubercular drugs. a sputum culture is ordered to test for acid-fast bacili. when is the best time for the nurse to obtain the sputum culture a. in the morning b. noon c. 1700 d. 2200

Answer 87

in the morning

Question 88

a patient with a diagnosis of TB will be taking INH as part of the anti-TB therapy. when reviewing the patient's chart, the nurse finds documentation that the patient is a "slow acetylator." how should the nurse interpret this? a. the dosage of INH may need to be lower to prevent INH accumulation b. the dosage of INH may need to be higher because of the slow acetylation process c. he should not take INH d. he will need to take a combination of anti-TB drugs for successful therapy

Answer 88

the dosage of INH may need to be lower to prevent INH accumulation

Question 89

a patient is receiving INH for treatment of TB. which vitamin does the nurse anticipate administering with the INH to prevent INH-precipitated peripheral neuropathies? a. vitmain C b. vitamin B12 c. vitamin D d. vitamin B6

Answer 89

vitamin B6

Question 90

four weeks after beginning antitubercular drug therapy on an outpatient basis, the patient reports that he still experiences night sweats. what does the nurse identify as the main concern at this time? a. he is not taking his medication properly b. more time is needed to see a therapeutic response c. his infection may be resistant to the drug therapy ordered d. he may have contracted a different strain of TB

Answer 90

his infection may be resistant to the drug therapy ordered

Question 91

a patient has an extremely severe infection with a mycobacterium that this resistant to all but one antitubercular drug; however, the patient has had an allergic reaction to that drug in the past. what does the nurse anticipate as being ordered for this patient? a. a combination of antitubercular drugs will be chosen to fight the infection b. the patient will receive the drug and supportive care to help him tolerate the antitubercular therapy c. the patient will remain on isolation precautions until his cough clears d. there is nothing that can be done for this pateint

Answer 91

the patient will receive the drug and supportive care to help him tolerate the antitubercular therapy

Question 92

a home care nurse is visiting a patient with a diagnosis of TB. the patient traveled abroad two months age. he lives with his wife and 5 year-old son. the patient tells the nurse that he is concerned his son will also get tTB, so he wants to share his pills with his son will also get TB, so he wants to share his pills with his son. what is the best response by the nurse? a. that this a good idea. children should not be exposed to TB .b you should give your son half of the dose you take c. do not share any of your medications with anyone. contact your son's health care provider to discuss your concerns d. children have an immune system that makes them immune for TB

Answer 92

do not share any of your medications with anyone. contact your son's health care provider to discuss your concerns

Question 93

the pateint's wife is taking rifampin to prevent her from developing a TB infection. which statement by the wife indicates that further teaching is needed? a. because my oral contraceptive will not work while I am taking rifampin, I will use another form of birth control b. i will take the medication for 1 week and then stop c. i will avoid prolonged exposure to the sun d. my urine may turn a reddish color when taking rifampin

Answer 93

i will take the medication for 1 week and then stop

Question 94

a patient is taking nystatin in an oral troche form for oral candidiasis. which instruction is correct? a. allow the troche to dissolve slowly in the mouth b. swish the medication in the mouth and then swallow it c. chew the troche thoroughly to active the medication d. swallow the troche whole without chewing

Answer 94

allow the troche to dissolve slowly in the mouth

Question 95

fifteen minutes after an infusion of amphorericin B was started, the patient begins to complain of fever, chills, muscle pain, and nausea. his heart rate has increased slightly, but his blood pressure is down to 100/68 mm Hg. what is the nurse's priority? a. notify the prescriber immediately b. recognize an impending anaphylactic reaction and stop the infusion c. reduce these adverse effects` d. assess for other symptoms of this expected infusion related reaction

Answer 95

assess for other symptoms of this expected infusion related reaction

Question 96

a pateint is receiving amphotericin B lipid complex. the nurse knows which as an advantage of the lipid formulations of this drug? a. they have a lower cost b. they can be administered quickly c. they take longer to be absorbed d. they cause fewer adverse effects

Answer 96

they cause fewer adverse effects

Question 97

a patient is diagnosed with onychomycosis. the nurse anticipates use of which medication for the treatment of this condition? a. terbinafine b. voriconazole c. fluconazole d. amphotericin

Answer 97

terbinafine

Question 98

when pyrimethamine is used to treat malaria, a sulfonamide antibiotic is often also used. what it's the purpose of the antibiotic? a. to treat the bacterial infections that often accompany malaria b. to allow the antimalarial drug to be effective in the exoerythrocytic phase c. it causes synergism, allowing for a stronger antimalarial effect d. it allows for reduced adverse effects because the smaller disease of each drug are used

Answer 98

it causes synergism, allowing for a stronger antimalarial effect

Question 99

Before administration of primaquine, it is most important for the nurse to assess the patient for a history of which condition? a. asthma b. diabetes mellitus c. hypertension d. rheumatoid arthritis

Answer 99

rheumatoid arthritis

Question 100

a nurse is caring for a client who has a new prescription for amphotericin B. the nurse should plan to monitor the client for which of the following adverse effects? a. hyperkalemia b. hypertension c. constipation d. nephrotoxicity

Answer 100

nephrotoxicity

Question 101

a nurse in a community health clinic is assessing a new client who has prescriptions for isoniazid and rifampin. which of the following disorders should the nurse expect the client to have? a. tuberculosis b. hypertension c. diabetes d. cirrhosis

Answer 101

tuberculosis

Question 102

a nurse is assessing a client who has multi drug resistant tuberculosis and takes ethambutol. the nurse should identify which of the following findings as an adverse effect of this medication? a. mottling of the extremiteies b. orange-red urine and bodily secreetions c. yellowing of the sclera d. loss of red/green color discrimination

Answer 102

loss of red/green color discrimination

Question 103

a nurse is caring for a client who is taking streptomycin. which of the following medications increase she client's risk of developing ototoxicity when taken withs streptomycin? a. cefoxitin b. furosemide c. naproxen d. amphoterecing B

Answer 103

furosemide

Question 104

a nurse is caring for a client who has tuberculosis and is taking rifampin. which of the following client statements should indicate to the nurse that the client is experiencing an adverse effect to the medication? a. i have noticed my urine is orange in color b. i sleep more than i used to c. my tongue and mouth are sore d. my voice seems hoarse

Answer 104

i have noticed my urine is orange in color

Question 105

a nurse is caring for a client who has a new diagnosis of oral candidiasis after taking tetracycline for 7 days. the nurse should recognize that candidiasis is a manifestation of which of the following adverse effects? a. allergic response b. superinfeciton c. renal toxicity d. hepatoxicity

Answer 105

superinfeciton

Question 106

a nurs eis reviewing laboratory results of a client who is taking a medication and notes that the clients blood test shows an elevated level of the enzymes aspartate aminotransferase (AST) and alanine aminotransferase (AST). the nurse should recognize that these findings ar potential indications of which of the following conditions? a. renal dysfunction b. myelotoxicity c. hepatic toxicity d. cardiac dysrhythmia

Answer 106

hepatic toxicity

Question 107

a nurse is caring for a client who has tuberculosis and is taking rifampin. the nurse should monitor the client for which of the following adverse effects of rifampin? a. red-tinged urine b. tinitus c. blurred vision d. dry mouth

Answer 107

red-tinged urine

Question 108

a nurse is caring for a client who has RA and a new prescription for etanercept. which of the following values should the nurse review prior to the administration of the medication? a. ability to swallow b. results of lasts purified protein derivative (PPD) test c. serum creatine level d. blood glucose level

Answer 108

results of last purified protein derivative (PPD) test

Question 109

a nurse is providing teaching to a client with tuberculosis who has prescriptions for rifampin and ethambutol. which of the following findings is a n adverse effect of these medications that the client should report to the provider? a. red-orange discoloration of urine b. unexpected weight gain c. ringing in the ears d. decreased visual activity

Answer 109

decreased visual activity

Question 110

a nurs eis assessing a client with RA who has been taking high doses of prescribed hydroxychloroquine. which of the following statements should indicate to the nurse tha the client is experiencing an adverse effect of hydroxychloroquine? a. i have developed sores in my mouth b. i often feel like the room is spning c. i noticed that the whites of my eyes look yellow d. i have had a change in my vision recently

Answer 110

i have had a change in my vision recently

Question 111

a nurse is providing teaching to a client who has tuberculosis and an prescription for isoniazid. which of the following instructions should the nurse include? a. you'll need to take this medication for the rest of your life to prevent recurrence b. your provider will monitor your thyroid function while you are taking this medication c. you should tea this medication on an empty stomach

Answer 111

you should take this medication on an empty stomach

Question 112

a nurse is caring for client who has been taking isoniazid and rifampin for 3 weeks for the treatment of active pulmonary tuberculosis. the client reports his urine is an orange color. which of the following statement should the nurse make? a. stop taking isoniazid for 3 days and the discolorization should go away b. rifampin can turn body fluids orange c. ill make an appoint meant for you to see the provider this afternoon

Answer 112

rifampin can turn body fluids orange

Question 113

a male patient with an HIV infections has a severe case of pneumonia (PJP) and needs too be treated with pentamidine. however he is allergic to the inhaled form of this medication. considering the seriousness of his condition, what does the nurse expect will be done in this situation? a. he will be given the inhaled form of pentamidine and be monitored closely b. he will be given the pentamidine in an IV or IM injection and be monitored closely c. another drug, such as metronidazole will be ordered d. he will receive supportive care because he is unable to take pentamidine

Answer 113

he will be given the pentamidine in an IV or IM injection and be monitored closely

Question 114

a female pateint has been diagnosed wit giardiasis. the nurse anticipates treatment of the patient with which of the following types of medications? a. antibiotics b. antimalarial c. antiprotozoal d. antithermintic

Answer 114

antiprotozoal

Question 115

the nurse anticipates the patient with giardiasis to exhibit which of the following manifestations? a. trouble breathing b. foul-smelling vaginal discharge c. red rash on the skin d. diarrhea, bloating, and foul-smelling stools

Answer 115

diarrhea, bloating, and foul-smelling stools

Question 116

before starting treatment with antiprotozoal therapy, it is most important for the nurse to assess the patient's baseline? a. blood sugar b. Bp c. QT interval d. liver function

Answer 116

liver function