NursGuru

    Exam Review

    1. A nurse is caring for a client recently prescribed doxycycline (Doryx) for the treatment of a urinary tract infection. Which of the following statements below applies to doxycycline (Doryx)? (Select All that Apply.)
      (SATA)
      A)
      This medication may cause discoloration of the teeth
      B)
      This medication should not be taken if you are lactating
      C)
      This medication should not be taken with antacids
      D)
      This medication can cause hyperglycemia
      E)
      This medication should not be administered to anyone under the age of 20 years old.
      F)
      This medication may cause photosensitivity
    2. A client exposed to anthrax has presented to the healthcare setting. Which of the following medications below is the treatment for this biological exposure?
      A)
      nystatin (Mycostatin)
      B)
      ciprofloxacin (Cipro)
      C)
      metronidazole (Flagyl)
      D)
      amoxicillin/clavulanate (Augmentin)
    3. A client recently diagnosed with Iron deficiency Anemia is prescribed Ferrous Sulfate daily. Which of the following statements below is true regarding iron therapy?
      A)
      This medication should be taken with antacids to prevent gastrointestinal distress
      B)
      This medication should be taken with a straw to avoid discoloration of the teeth
      C)
      This medication is to be taken with milk to enhance absorption
      D)
      This medication is to be taken at night to prevent constipation from occurring
    4. A client presents to the clinic with intense itching at night and diagnosed with Pinworms. The nurse anticipates the client would be placed on which medication to treat this condition?
      A)
      zudovudine (Retrovir)
      B)
      Oketoconazole (Nizoral)
      C)
      metronidazole (Flagyl)
      D)
      mebendazole (Vermox)

    Exam Review

    1. A client with a organ transplant has been placed on methotrexate (Rheumatrex). Which of the following mechanism of actions below describes this medication?
      A)
      Inhibits helper T Cells
      B)
      Inhibits replication by blocking folic acid synthesis
      C)
      Prevents DNA and RNA synthesis
      D)
      Estrogen blocker
    2. The nurse is caring for a client with a fungal infection and prescribed fluconazole (Diflucan). Which of the following side effects should the nurse caution the client regarding?
      A)
      Increase in the client's liver panel.
      B)
      Increase in the client's creatinine clearance.
      C)
      Change of color to the clients' secretions.
      D)
      Red Man syndrome
    3. The charge nurse is performing an Inservice regarding the adverse effects of antibiotic therapy. Which of the following antibiotics should the nurse include regarding the potential to cause QT prolongation? (Select All that Apply.)
      A)
      Fluoroquinolones
      B)
      Macrolides
      C)
      Cephalosporins
      D)
      Penicillin's
      E)
      Tetracyclines
      F)
      Beta-Lactam's
    4. A nurse is caring for a client who has active pulmonary tuberculosis (TB) and a new prescription for rifampin (Rifadin). The nurse should instruct the client that they should expect which of the following clinical manifestations while taking this medication?
      A)
      Black-colored stools
      B)
      Orange-colored secretions
      C)
      Staining of teeth
      D)
      Constipation
      E)
      Tetracyclines

    Exam Review

    1. A nurse is instructing a client who is newly diagnosed with pulmonary tuberculosis (TB) about the use of antitubercular medications. Which of the following information should the nurse include in the teaching?
      A)
      Medications will need to be taken for the rest of the client's life, even if the client feels better.
      B)
      The client's family will also need to take medications to prevent infection.
      C)
      A typical course of treatment involves 6 to 12 months of consistent medication use.
      D)
      Medications will need to be taken until the Mantoux test is negative.
    2. A client diagnosed with a urinary tract infection (UTI) is prescribed sulfamethoxazole/trimethoprim (Bactrim). Which of the following conditions below would be a contraindication for this medication?
      A)
      Multiple Sclerosis
      B)
      Chronic kidney disease (CKD)
      C)
      megeloblastic anemia
      D)
      Helicobacter Pylori
    3. A nurse is caring for a client who recently traveled to a malaria-stricken country. The client is diagnosed with malaria and is prescribed chloroquine (Aralen). Which of the following adverse effects should the nurse educate the client regarding this medication?
      A)
      Retinal toxicity
      B)
      Nephrotoxicity
      C)
      Hepatoxicity
      D)
      Pancytopenia
    4. The nurse is caring for a client who has been diagnosed with frequent infections with Strep throat. Which of the following principles contributes to further bacterial resistance to antibiotics? (Select All that Apply.)
      A)
      Receiving excessive sunlight while on antibiotics
      B)
      Discontinuing antibiotics once symptoms subside
      C)
      Performing frequent handwashing while taking antibiotics
      D)
      Skipping dosages
      E)
      Treating viral infections with antibiotics
      F)
      Frequent use of antibiotics

    Exam Review

    1. The nurse is administering an estrogen blocker to a client diagnosed with advanced breast cancer. Which of the following side effects will the nurse caution the client regarding?
      A)
      Tendon Rupture
      B)
      Increase risk of lymphomas
      C)
      Thromboembolic events
      D)
      Photosensitivity
    2. The nurse is caring for a client receiving ciprofloxacin (Cipro) for treatment of a urinary tract infection (UTI). The nurse will include which black box warning (BBW) in the discharge education?
      A)
      This drug has a black box warning for causing tendon rupture
      B)
      This medication can cause thrombocytopenia
      C)
      This medication can cause thromboembolic events
      D)
      This medication can cause endometrial cancers
    3. A client diagnosed with trichomoniasis is prescribed metronidazole (Flagyl). The nurse should instruct the client to avoid which contraindication associated with this medication?
      A)
      Grapefruit Juice
      B)
      Alcohol
      C)
      Tyramine based foods
      D)
      Dairy
    4. A client who is newly diagnosed with metastatic breast cancer is being prepared for chemotherapy. Which of the following adverse effects below should the nurse educate the client regarding chemotherapy? (Select All that Apply.)
      A)
      Nausea
      B)
      Bleeding
      C)
      Urinary Frequency
      D)
      Bone marrow suppression
      E)
      Extrapyramidal symptoms
      F)
      Alopecia

    Exam Review

    1. The nurse is caring for an immunosuppressed pediatric client who reports soreness in his mouth and refuses to eat. Inspection of his mouth reveals a white, milky plaque that do not come off with rubbing. The nurse should anticipate which drug to be administered to this client?
      A)
      amoxicillin (Amoxil)
      B)
      acyclovir (Zovirax)
      C)
      metronidazole (Flagyl)
      D)
      nystatin (Mycostatin)
    2. A nurse is teaching a client who is beginning highly active antiretroviral therapy (HAART) for HIV which includes zidovudine (Retrovir). The nurse should include teaching regarding which black box warning associated with this medication?
      A)
      tendonitis rupture
      B)
      lactic acidosis
      C)
      nephrotoxicity
      D)
      thromboembolic events
    3. A client diagnosed with strep throat requires antibiotics for treatment. With an allergy to penicillin, the nurse understands which medication should be avoided due to cross-sensitivity with penicillin medications?
      A)
      Macrolides
      B)
      Cephalosporins
      C)
      Tetracyclines
      D)
      Sulfonamides
    4. A nurse is caring for a client who has chronic renal disease and is receiving therapy with epoetin alfa (Epogen). Which of the following laboratory results would the nurse assess for to determine therapeutic effectiveness?
      A)
      ALT & AST
      B)
      leukocyte count
      C)
      hemoglobin & hematocrit
      D)
      Clotting Factors

    Exam Review

    1. A nurse is caring for a client who is prescribed tetracycline 5 grams daily PO in divided doses every 8 hr. Available is tetracycline 500 mg capsules. How many capsules should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
    2. A nurse caring for a client receiving doxycycline (Doryx) for the treatment of Lyme's Disease. Which statement below should be included in the client teaching plan?
      A)
      Avoid grapefruit juice while taking this medication
      B)
      Take this medication with antiacids to relieve gastrointestinal symptoms
      C)
      Obtain frequent eye checkups to prevent complications with this medication.
      D)
      Avoid dairy products while taking this medication
    3. A nurse is caring for a client. Exhibits After reviewing the information in the client's medical record, which of the following provider prescriptions should the nurse anticipate? Complete the following sentence by using the list of options. The nurse should anticipate a provider prescription for ___as evidenced by the client's ___.
    4. 37 year old patient admitted for exploratory colonoscopy. Surgical note Patient is a 37 year old male with no past medical history taken today for exploratory colonoscopy with possible surgical intervention. Prior to surgery patient reported lower abdominal pain 8 out of 10, no blood or mucus in stool. Blood cultures were taken and resulted negative. Colonoscopy performed and shows normal tissue surrounding in descending colon. Diverticular abscess in sigmoid colon noted. Incision and drainage performed and samples obtained for colonic tissue culture. Patient to be started on antibiotics for abscess, pending culture results. A nurse is caring for the patient post colonoscopy. The nurse reviews the medication administration record and notes a one time dose of cefazolin was given prior to the procedure. The healthcare provider then places a new order for ampicillin/sulbactam. Complete the following sentence by using the list of options. The nurse understands that the antibiotic given prior to surgery is considered ___ therapy. Meanwhile the new antibiotic is used as ___ therapy.