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unit 2 nclex
| Question | Answer |
|---|---|
| Your patient is allergic to PCN. He also may have a cross allergy to which class of antibiotics? | cephalosporins |
| Antibiotics cause diarrhea because: | normal intestinal bacteria are destroyed |
| When a nurse is giving an aminoglycoside,the nurse is aware that the client may develop: | neuromuscular blockade |
| All of the following are examples of a superinfection EXCEPT- thrush,vaginal discharge,urticaria or c-diff | urticaria |
| The nurse knows that both penicillins & cephalosporins act on bacteria by: | weakening the cell wall and allowing internal contents to be expelled |
| Which if the following should the nurse include in teaching about taking a tetracycline? | encourage the patient to take the medication before meals |
| What are the symptoms of Steven's Johnson Syndrome? | fever,cough & lesions on the skin & mucous membrane |
| When monitoring for leukopenia, what is the most important symptom that the nurse would report? | any fever or sore throat |
| What nursing action would be most important when caring for a patient with thrombocytopenia? | handle patient's extremities with care |
| What are the symptoms of a superinfections? | itching around the anal area & diarrhea |
| which of the following would the nurse tell the patient who has been prescribed an antibiotic? | Taking yogurt,buttermilk or acidophilus capsules may reduce the risk of superinfections |
| When discussing a culture & sensitivity test a team conference, the nurse correctly states that a culture identifies the microorganism & the sensitivity test__________ | identifies the antibiotic that will best control the infection |
| WHICH of the following is true humoral immunity? | a type of immunity based on the antigen-antibody response |
| Which of the following occurs with passive immunity? | antibodies made by another human or by an animal or used to provide immunity |
| Which of the following describes how naturally acquired immunity is attained? | The person develops the disease & forms antibodies against the disease |
| Which of the following lab tests would most likely be ordered if an antineoplastic drug depressess the bone marrow? | complete blood count (cbc) |
| WHich of the following nursing interventions would be most appropriate for the patient with stomatitis? | giving mouth care with a normal saline solution |
| If a patient experiences anorexia as an adverse reaction to antineoplastic drugs,which of the following interventions would the nurse add to the careplan? | offer 5 to 6 small meals each day rather than 3 large meals |
| Which of the following instructions would be most important for the nurse to tell a patient for whom tetracycline capsule have been prescribed? | Do not take with milk or milk products |
| What is photosensitivity reaction? | an exaggerated sunburn reaction when exposed to sunlight |
| The nurse would suspect that the patient taking gentamycin has developed ototoxicity if which of the following symptoms occur? | dizziness |
| Which of the following is a sign of neurotoxicity? | circumoral paresthesia |
| When administering an aminoglycoside, it is particularly important for the nurse to monitor the patient's ________________ because neuromuscular blockade is a possibility | respiratory rate |
| What is the purpose of receiving an antibiotic for the patient with a viral infection? | The antibiotic is given to prevent or treat a 2ndary bacterial infection |
| The human cells most likely to be affected by HIV are: | CD4 & TLymphocytes |
| Serious systemic fungal infections are treated with which medication? | amphotericin B |
| Your patient has a throat infection. The culture is postitive for candidis. Which medication do you expect to be ordered? | nystatin |
| Your patient complains of dysuria, the MD prescribes Pyridium, you instruct the patient that when taking pyridum with an antibiotic, do not take it longer than? | 2 days |
| When a patient is prescribed phenazopyridine(Pyridum) what would the nurse tell the pt concerning the urine? | The urine may appear reddish-orange |
| Which of the following drugs is an anticholinergic drug used to treat symptoms of an overactive bladder? | tolterodine (Detrol) |
| Your pt suffers from dysuria 2ndary to a UTI, they would get what med? | pyridum |
| An antibiotic with a high degree of activity against many organisms would be called? | broad-spectrum |
| What is the test to determine the specific organism and the treatment that will be most effective against it? | culture & sensitivity studies |
| A medication that interferes with an important life process of an organism, making it weaker or incapable of reproducing is? | bacteriostatic |
| What is used in viral, parasitic or fungal infections if a 2ndary bacterial infection develops? | antibiotics |
| What is the most common adverse reactions to antiinfective medications? | superinfections, organ toxicity & hypersensitivity |
| With organisms that produce penicillinase, the medication used should be? | penicillinase-resistant |
| When taking Birth control and antibiotics at the same time what would the nurse instruct the patient? | Use a backup method for birth control since antibiotics stop the action of the BC pill |
| Zovirax(acyclovir)is indicated in the treatment of ? | herpes simplex |
| Antiretroviral agents exert their effect by | interfering with the replication of the retrovirus |
| What condition can result when antifungals are taken concurrently with corticosteroid therapy? | Superinfection |
| Common adverse reactions associated with antineoplastic drugs include | alopecia & bone marrow depression |
| Hormones may be prescribed for a patient with cancer of the ? | prostate |
| A patient taking Mustargen is suffering from alopecia, the nurse should include which intervention in the care plan? | Offer the use of a scarf |
| A medication containing a weakened or dead antigen is called a ? | vaccine |
| An intervention to relieve local discomfort from an immunization is? | application of ice |
| An example of artificially acquired active immunity is? | receiving prophylactic vaccines |
| The development of the chicken pox virus is an example of what kind of immunity? | Artificial |
| Your patient has the protozoan clostridium difficile, you would expect to administer? | Flagyl (metronidizole) |
| Your patient suffers from dysuria 2ndary to a UTI, they would get? | Pyridum (phenazopyridine) |
Created by:
jmbosworth1972
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