pharm exam 2 test bank A Answers 2024 2025 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 a Tetracyclines b Sulfonamides c Cephalosporins d Quinolones correct answer c The nurse is providing teaching to a patient taking an oral tetracycline antibiotic Which statement by the nurse is correct a Avoid direct sunlight and tanning beds while on this medication b Milk and cheese products result in increased levels of tetracycline c Antacids taken with the medication help to reduce gastrointestinal distress d Take the medication until you are feeling better correct answer A When reviewing the medication orders for a patient who is taking penicillin the nurse notes that the patient is also taking the oral anticoagulant warfarin Coumadin What possible effect may occur as the result of an interaction between these drugs a pharm exam 2 test bank A Answers 2024 2025 The penicillin will cause an enhanced anticoagulant effect of the warfarin b The penicillin will cause the anticoagulant effect of the warfarin to decrease c The warfarin will reduce the anti infective action of the penicillin d The warfarin will increase the effectiveness of the penicillin correct answer A 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 will the nurse do first a Notify the prescriber b Take the patient s vital signs c Stop the antibiotic infusion d Check for allergies correct answer C A patient is admitted with a fever of 102 8 F 39 3 C origin unknown Assessment reveals cloudy foul smelling urine that is dark amber in color Orders have just been written to obtain stat urine and blood cultures and to administer an antibiotic intravenously The nurse will complete these orders in which sequence a Blood culture antibiotic dose urine culture pharm exam 2 test bank A Answers 2024 2025 b Urine culture antibiotic dose blood culture c Antibiotic dose blood and urine cultures d Blood and urine cultures antibiotic dose correct answer D During drug therapy with a tetracycline antibiotic a patient complains of some nausea and decreased appetite Which statement is the nurse s best advice to the patient a Take it with cheese and crackers or yogurt b Take each dose with a glass of milk c Take an antacid with each dose as needed d Drink a full glass of water with each dose correct answer D The nurse is monitoring a patient who has been on antibiotic therapy for 2 weeks Today the patient tells the nurse that he has had watery diarrhea since the day before and is having abdominal cramps His oral temperature is 101 F 38 3 C Based on these findings which conclusion will the nurse draw a The patient s original infection has not responded to the antibiotic therapy b The patient is showing typical adverse effects of antibiotic therapy pharm exam 2 test bank A Answers 2024 2025 c The patient needs to be tested for Clostridium difficile infection d The patient will need to take a different antibiotic correct answer C The nurse is monitoring for therapeutic results of antibiotic therapy in a patient with an infection Which laboratory value would indicate therapeutic effectiveness of this therapy a Increased red blood cell count b Increased hemoglobin level c Decreased white blood cell count d Decreased platelet count correct answer C The nurse is reviewing the sputum culture results of a patient with pneumonia and notes that the patient has a gram positive infection Which generation of cephalosporin is most appropriate for this type of infection a First generation b Second generation c Third generation d pharm exam 2 test bank A Answers 2024 2025 Fourth generation correct answer A A patient will be having oral surgery and has received an antibiotic to take for 1 week before the surgery The nurse knows that this is an example of which type of therapy a Empiric b Prophylactic c Definitive d Resistance correct answer B A patient has a urinary tract infection The nurse knows that which class of drugs is especially useful for such infections a Macrolides b Carbapenems c Sulfonamides d Tetracyclines correct answer C During drug therapy for pneumonia a female patient develops a vaginal superinfection The nurse explains that this infection is caused by pharm exam 2 test bank A Answers 2024 2025 a large doses of antibiotics that kill normal flora b the infection spreading from her lungs to the new site of infection c resistance of the pneumonia causing bacteria to the drugs d an allergic reaction to the antibiotics correct answer A The nurse is preparing to use an antiseptic Which statement is correct regarding how antiseptics differ from disinfectants a Antiseptics are used to sterilize surgical equipment b Disinfectants are used as preoperative skin preparation c Antiseptics are used only on living tissue to kill microorganisms d Disinfectants are used only on nonliving objects to destroy organisms correct answer D A patient with a long term intravenous catheter is going home The nurse knows that if he is allergic to seafood which antiseptic agent is contraindicated a Chlorhexidine gluconate Hibiclens b pharm exam 2 test bank A Answers 2024 2025 Hydrogen peroxide c Povidone iodine Betadine d Isopropyl alcohol correct answer C During antibiotic therapy the nurse will monitor closely for signs and symptoms of a hypersensitivity reaction Which of these assessment findings may be an indication of a hypersensitivity reaction Select all that apply a Wheezing b Diarrhea c Shortness of breath d Swelling of the tongue e Itching f Black hairy tongue correct answer A C D E 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 drugs or drug classes Select all that apply a pharm exam 2 test bank A Answers 2024 2025 Opioids b Oral contraceptives c Sulfonylureas d Antihistamines e Phenytoin Dilantin f Warfarin Coumadin correct answer B C E F When a patient is on aminoglycoside therapy the nurse will monitor the patient for which indicators of potential toxicity a Fever b White blood cell count of 8000 cells mm3 c Tinnitus and dizziness d Decreased blood urea nitrogen BUN levels correct answer C The nurse is administering a vancomycin Vancocin infusion Which measure