WorksheetsUnit 2: Anti-infective & Chemotherapeutics
Total questions: 10
Worksheet time: 10mins
A patient is scheduled for colorectal surgery tomorrow. He does not have sepsis, his WBC count is normal, he has no fever, and he is otherwise in good health. However, there is an order to administer an antibiotic on call before he goes to surgery. The nurse knows that the rationale for this antibiotic order is to
provide empiric therapy.
provide prophylactic therapy.
treat for a superinfection.
reduce the number of resistant organisms.
The nurse is reviewing the orders for a patient who has been admitted for treatment of pneumonia. The antibiotic orders include an order for doxycycline. However, when the patient is asked about his allergies, he lists “doxycycline” as one of his allergies. What is the nurse's priority action at this time?
Call the prescriber to clarify the order because of the patient's allergy.
Ask the patient to explain what happened when he had the allergic reaction.
Ask the pharmacy to order a different antibiotic.
Administer the drug with an antihistamine to reduce adverse effects.
When administering vancomycin, the nurse knows that which of these is most important to assess before giving the medication?
Renal function
WBC count
Liver function
Platelet count
During therapy with an intravenous aminoglycoside, the patient calls the nurse and says, “I'm hearing some odd sounds, like ringing, in my ears.” What is the nurse's priority action at this time?
Reassure the patient that these are expected adverse effects.
Reduce the rate of the intravenous infusion.
Increase the rate of the intravenous infusion.
Stop the infusion immediately.
When the nurse is teaching a patient who is taking acyclovir for genital herpes, which statement by the nurse is accurate?
“This drug will help the lesions to dry and crust over.”
“Acyclovir will eradicate the herpes virus.”
“This drug will prevent the spread of this virus to others.”
“Be sure to give this drug to your partner, too.”
The nurse is reviewing the use of multidrug therapy for HIV with a patient. Which statements are correct regarding the reason for using multiple drugs to treat HIV? (Select all that apply.)
The combination of drugs has fewer associated toxicities.
The use of multiple drugs is more effective against resistant strains of HIV.
Effective treatment results in reduced T-cell counts.
The goal of this treatment is to reduce the viral load.
This type of therapy reduces the incidence of opportunistic infections.
When teaching a patient who is taking nystatin lozenges for oral candidiasis, which instruction by the nurse is correct?
“Chew the lozenge carefully before swallowing.”
“Dissolve the lozenge slowly and completely in your mouth.”
“Dissolve the lozenge until it is half the original size, and then swallow it.”
“These lozenges need to be swallowed whole with a glass of water.”
The nurse is caring for a patient who becomes severely nauseated during chemotherapy. Which intervention is most appropriate?
Encourage light activity during chemotherapy as a distraction.
Provide antiemetic medications 30 to 60 minutes before chemotherapy begins.
Provide antiemetic medications only upon the request of the patient.
Hold fluids during chemotherapy to avoid vomiting.
During treatment with doxorubicin (Adriamycin), the nurse must monitor closely for which potentially life-threatening adverse effect?
Nephrotoxicity
Peripheral neuritis
Cardiomyopathy
Ototoxicity
The nurse is reviewing cyclosporine and recognizes that this drug works by which mechanism of action?
Suppressing viral replication.
Enhancing the action of macrophages.
Inhibiting activation of T-lymphocyte cells.
Increasing the number of T-lymphocyte cells.
