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Exam 4 Review Summer 2020 Flashcards | StudBud
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Exam 4 Review Summer 2020
Exam 4 Review Summer 2020
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1
What teaching should the nurse include for a patient with diabetes prescribed ciprofloxacin?
Check your blood sugar more often
You will need to decrease your insulin doses to half the normal amount
You will need to double your insulin doses
There is not impact on blood glucose when on ciprofloxacin
2
What are the general adverse reactions of antibiotics?
Allergy, superinfection, and organ toxicity
Clostridium Difficile and Candida albicans,
Steven's Johnson Syndrome and nephrotoxicity
Nausea, vomiting, and diarrhea
3
What are the 4 types of EPS?
Pseodoparkinsonism, acute dystonia, akithisia, tardive dyskinesia
Acute dystonia, akithisia, cardiotoxicity, hypertensive crisis
Tardive dyskinesia, acute dystonia, nystagmus, gingival hyperplasia
Psedoparkinsonism, serotonin syndrome, NMS, tardive dyskinesia
4
What teaching should the nurse provide to the parent of a child prescribed methylphenidate?
Administer after meals to prevent GI irritation
Give before bed because of the sedative effects.
Your child can still have caffeine while taking this drug
Methylphenidate causes growth suppression and weight loss
5
Vancomycin is the drug of choice for MRSA infections.
False
True
6
The black box warning for fluoroquinolones is that QT prolongation can occur.
True
False
7
What teaching with the nurse provide with nystatin swish and swallow?
Swish the medication around your mouth, coating all surfaces, then swallow
Drink water after taking the swish and swallow to help it reach the stomach
Do not shake the bottle as it will damage the medication
You must never gargle this drug as it can cause esophageal obstructions
8
Who should not take tetracycline antibiotics
People with sexually transmitted infections
Children under 8 years old
Women of childbearing age
People prescribed digoxin
9
Beta-lactamase inhibitors can be used alone or in combination with PCN.
False
True
10
What dietary teaching is important with lithium therapy?
Restrict fluid intake
Increase sodium intake
Restrict potassium intake
Increase caffeine intake
11
Sulfonamides can be used to treat urinary tract infections.
False
True
12
Acyclovir is commonly used to treat herpes zoster.
True
False
13
Stopping antidepressants abruptly does not pose a risk to the patient.
True
False
14
What teaching is important with sulfonamides?
Only urinate when your bladder feels full
Sulfonamides have very few adverse effects
Drink at least 2 liters of fluid every day
Limit sun exposure to 4 hours per day
15
How fast should vancomycin be administered when given intravenously?
Over a minimum of 15 minutes
Over 60-90 minutes
Over 30 minutes
Over 2- 6 hours
16
Sudden onset of watery stools and abdominal cramping is an expected adverse effect of antibiotics and is not concerning.
False
True
17
What statement by the patient indicates a need for additional education about lorazepam?
“I must stop drinking coffee and colas.”
“I can stop this drug after 3 weeks if I feel better.”
“I should not become pregnant while taking this drug.”
“I must stop drinking alcoholic beverages.”
18
PCN and cephalosporins have the same half-life and dosing schedules.
False
True
19
What is the first drug used to treat status epilepticus?
Lorezepam
Phenobarbitol
Midazolam
Phenytoin
20
What patient education should be done with phenytoin?
If you want to have a baby, stop the phenytoin immediately
Go to the dentist once per year
Brush and floss your teeth twice daily
Avoid flossing teeth due to gingival tenterness
21
The nurse is to administer a cephalosporin IV to a neonate. What information would cause the nurse the most concern?
Mother is allergic to PCN
Urine output is 1.5 ml/kg /hour
Blood glucose has been low 2 times in 48 hours
TPN infusion is prescribed
22
A patient is prescribed fluoxetine for depression. What information will the nurse include when teaching the patient?
The medication may cause headaches and insomnia.
The medication takes effect in only 1 week.
The medication increases libido.
The medication should be taken with grapefruit juice.
23
Match the below symptoms with either positive or negative symptoms of schizophrenia.
Positive=3,4,5,6&7; 1,2&8
Positive=2,4,7&8; Negative=1,3,5&6
Positive= 1,2,5,6&7; Negative=3,4&8
Positive= 1,2,3,5 &6; Negative= 4,7&8
24
What should the nurse assess for in a patient taking a PCN and warfarin?
Increased platelet count
Decreased INR level
Signs of bleeding
Increased infection
25
What should the nurse assess for in a patient taking a PCN and warfarin?
Decreased INR level
Signs of bleeding
Increased platelet count
Increased infection
26
What can contribute to antibiotic resistance?
Eating meat that from animals not treated with antibiotics
Taking the entire course of antibiotics
Overprescribing of antibiotics
Bacteria just are resistant to antibiotics
27
What information is important for the nurse to teach about MAOI's?
Increase intake of sodium while on MAOI's
Take other antidepressants in addition to the MAOI's
Stop these medications immediately if side effects occur
Avoid foods that contain tyramine
28
A female patient of child-bearing age is prescribed PCN. What education should the nurse provide?
GI upset is not likely with the PCN antibiotics.
Fluid intake does not need to be increased while on PCN
PCN should never be taken while pregnant
Oral contraceptives are not as effective while on PCN
29
Alcohol use with metronidazole can cause a disulfiram-like reaction.
True
False
30
What is a common adverse effects of valproic acid?
Hepatotoxity
Sedation
Gingival hyperplasia
Drug tolerance
31
A culture should be obtained before initiating any antibiotics.
True
False
32
What is a common life-threatening adverse effect of all antidepressants?
EPS
Hypertensive Crisis
Suicide
Serotonin Syndrome
33
What currently prescribed drug can have an interaction with aminoglycosides?
Morphine
Propranolol
Metformin
Ibuprofen
34
Buspirone is taken as needed for anxiety.
False
True
35
Fluphenazine deconoate and haloperidol deconoate can be given by intravenous route.
False
True
36
Macrolides can be given orally, intramuscularly, intravenously, and topically.
True
False
37
Therapeutic lithium range is 0.5-1.5 mEq/L
False
True
38
A pt is prescribed gentamicin. What assessment would be concerning to the nurse?
Urine is clear, light yellow and aromatic
The patient is unsteady on their feet and struggles with balance
Urine output of 1000 mL per day
The patient hears the nurse speaking clearly
39
Most of the antipsychotics, typical and atypical, can cause weight gain that can lead to metabolic syndrome.
False
True
40
Cephalosporins always cause an allergic reaction in patient's with a history of PCN allergy.
False
True
41
When a patient wants to take an antacid with antibiotics, what is the appropriate teaching?
You must take the antacid with the antibiotic to help the GI distress
You should take the antacid 1-2 hours after the antibiotic
You should take the antacid 1 hour before the antibiotic
You cannot take an antacid while presribed antibiotics
42
What is a common adverse effect of phenobarbitol?
Sedation
Increased focus
Gingival hyperplasia
Gastric ulcers
43
What signs and symptoms would the nurse associate with serotonin syndrome?
Shuffling gate, stooped posture, tremors
Blood pressure fluctuations, seizures, fever
Tremors, shivering, upward eye movement
Fever, tremors, shivering
44
Due to adverse effects of amitriptyline, it should be given first thing in the morning.
True
False
45
The nurse is administering scheduled antipsychotics orally. What action should be implemented to ensure patient safety?
Leave the pill cup at the bedside if the patient is not ready to take dose
Contact the prescriber for an injectable form of the medication
Ask the patient to open their mouth and stick out tongue after giving dose
Crush up the extended release tablets to prevent "cheeking"
46
A CBC should be drawn with carbamazepine because it can cause thrombocytopenia and neutropenia.
True
False
47
St. John's Wort is contraindicated with SSRI's and SNRI's because it increases the chance of serotonin syndrome.
False
True
48
Grapefruit juice can be consumed with carbamazepine.
True
False
49
Risperidone can cause gynecomastia.
False
True
50
Why are diuretics a common drug interaction with lithium?
They increase blood sugar.
They cause sodium depletion.
They cause potassium depletion.
They lower the blood pressure.
51
Amphotericin B is a relatively safe anti-fungal medication.
True
False
52
A pt is prescribed ceftriaxone. What concurrently prescribed medication would concern the nurse?
Metoprolol
Atorvastatin
Metformin
Furosemide
53
The therapeutic level of phenytoin is 20-40 mcg/dL.
True
False
