Pharm Exam 3 Test Bank A Giude 100 2024 2025 A patient with elevated lipid levels has a new prescription for nicotinic acid niacin The nurse informs the patient that which adverse effects may occur with this medication correct answer Pruritis cutaneous flusing The nurse will monitor for myopathy muscle pain when a patient is taking which class of antilipemic drugs correct answer HMG CoA reductase inhibitors The nurse is conducting a class about antilipemic drugs The antilipemic drugs ezetimibe Zetia works by which mechanism correct answer Inhibiting cholesterol absorption in the small intestine When giving Benzotate the nurse understands that this drug suppresses the cough reflex by which mechanism of action correct answer Anesthetizing the stretch receptors A patient has been advised to add a nasal spray an adrenergic decongestant to treat a cold The nurse will include which instruction correct answer Limit use to 3 to 5 days A patient is taking a xanthine derivative as part of treatment for chronic obstructive pulmonary disease The nurse will monitor for which adverse effects associated with the use of xanthine derivatives correct answer Palpitations After receiving a nebulizer treatment with a beta agonist the patient complains of feeling slightly nervous and wonders if her asthma is getting worse What is the nurse s best response correct answer This is an expected adverse effect Let me take your pulse Pharm Exam 3 Test Bank A Giude 100 2024 2025 A patient has prescriptions for two inhalers One inhaler is a bronchodilator and the other is a corticosteroid Which instruction regarding these inhalers will the nurse give to the patient correct answer Take the bronchodilator first When evaluating a patient s use of a metered dose inhaler the nurse notes that the patient is unable to coordinate the activation of the inhaler with her breathing What intervention is most appropriate at this time correct answer Obtain an order for a spacer device The nurse is reviewing medications for the treatment of asthma Which drugs are used for acute asthma attacks correct answer Albuterol nebulizer solution and Epinephrine The nurse is providing instructions to a patient who has a new prescription for a corticosteroid metered dose inhaler Which statement by the patient indicates that teaching was effective correct answer a I will rinse my mouth with water after using the inhaler and then spit out the water c I will clean the plastic inhaler casing weekly by removing the canister and then washing the casing in warm soapy water I will then let it dry before reassembling e I will continue to use the inhaler even if I am feeling better When reviewing the allergy history of a patient the nurse notes that the patient is allergic to penicillin Based on this finding the nurse would question an order for which class of antibiotics correct answer Cephalosporins The nurse is providing teaching to a patient taking an oral tetracycline antibiotic Which statement by the nurse is correct correct answer Avoid direct sunlight and tanning beds while on this medication Pharm Exam 3 Test Bank A Giude 100 2024 2025 When reviewing medication orders for a patient who is taking penicillin the nurse notes he patient is also taking warfarin coumadin What possible effect may occur as the result of an interaction between these drugs correct answer The penicillin will cause an enhanced anticoagulant effect of the warfarin A patient is receiving his third intravenous dose of a penicillin drug He calls the nurse to report that he is feeling anxious and is having trouble breathing What does the nurse do first correct answer Stop the antibiotic infusion A patient is admitted with a fever of 102 8 F origin unknown Assessment revels cloudy foul smelling urine that is dark amber in color Orders have just been written to obtain state urine and blood cultures and to administer antibiotic intravenously The nurse will complete these orders in which sequence correct answer Blood and urine cultures antibiotic dose The nurse is monitoring a patient who has been on antiobiotic therapy for 2 weeks Today the patient tells the nurse that he has had watery diarrhea since the day before and is having addominal cramps His oral temperature is 101 F Based on these findings which conclusion will the nurse draw correct answer The patient needs to be tested for C Diff infection The nurse is reviewing the sputum culture results of a patient with pneumonia and notes that the patient has a gram positive infection What generation of cephalosporin is most appropriate for this type of infection correct answer First generation A patient will be having oral surgery and has received an antibiotic to take for 1 week before the surgery The nurse that this is an example of which type of therapy correct answer Prophylactic Pharm Exam 3 Test Bank A Giude 100 2024 2025 A patient has a urinary tract infection The nurse knows that which class of drugs is especially useful for such infections correct answer Sulfonamides During drug therapy for pneumonia a female patient develops a vaginal superinfection The nurse explains that this infection is caused by correct answer large doses of antibiotics that kill normal flora The nurse is reviewing the medication history of a patient who will be taking a sulfonamide antibiotic During sulfonamide therapy a significant drug interaction may occur with which of these drug or drug classes correct answer b Oral contraceptives c Sulfonylureas e Phenytoin Dilantin f Warfarin Coumadin When a patient is on aminoglycoside therapy the nurse will monitor the patient for which indicators of potential toxicity correct answer Tinnitus and dizziness The nurse is administering a vancomycin Vancocin infusion Which measure is appropriate for the nurse to implement in order to reduce complications that may occur with this drug s administration correct answer Infusing the drug over at least 1 hour Which nursing diagnosis is appropriate for a patient who has started aminoglycoside therapy correct answer Risk of injury Renal damage A patient who has been hospitalized for 2 weeks has developed a pressure ulcer that contains MRSA Which drug would the nurse expect to be chosen for therapy correct answer Vancomycin Vancocin Pharm Exam 3 Test Bank A Giude 100 2024 2025 The nurse is reviewing the medication orders for a patient who will be reviewing gentamicin therapy Which other medication or medication class if ordered would be a potential interaction
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