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ATI Pharm Book infectives Questions

Total questions: 22

Worksheet time: 44mins

Name
Class
Date
1.

A nurse is preparing to administer nafcillin IM to an adult client who has an infection. Which of the following actions should the nurse take?

a)

Select a 25 gauge, 1/2 inch needle for the injection

b)

Administer the medication deeply into the ventrogluteal muscle

c)

Ask the client about an allergy to penicillin before administering medication

d)

Monitor the client for 30 min following the injection

e)

Tell client to expect a temporary rash to develop following an injection

2.

A nurse is collecting data from a client who has a severe infection and has been receiving cefotaxime for the past week. Which of the following findings indicates a potentially serious adverse reaction to this medication that the nurse should report to the provider?

a)

Diaphoresis

b)

Epistaxis

c)

Diarrhea

d)

Alopecia

3.

A nurse is obtaining a medication history from a client who is to receive imipenem- cilastatin IV to treat an infection. Which of the following medications the client also receives increases the risk for a medication interaction?

a)

Regular insulin

b)

Furosemide

c)

Valproic acid

d)

Ferrous sulfate

4.

A nurse is caring for a client who has a cerebral spinal fluid infection with gram-negative bacteria. Which of the following cephalosporin antibiotics should the nurse expect to administer IV to treat this infection?

a)

Cefaclor

b)

Cefazolin

c)

Cefepime

d)

Cephalexin

5.

A nurse is preparing to administer penicillin V to a client who has a streptococcal infection. The client reports difficulty swallowing the tablets and doesn't "do well" with liquid or chewable medications because of the taste, even when the nurse mixes medication from food. The nurse should request a prescription for which of the following?

a)

Fosfomycin

b)

Amoxicillin

c)

Nafcillin

d)

Cefaclor

6.

A nurse is reinforcing teaching with a client about taking tetracycline to treat a GI infection due to Helicobacter pylori. Which of the following statements should the nurse identify as an indication that the client understands the instructions?

a)

" I will take this medication with 8 ounces of milk"

b)

"I will let my doctor know if I start having diarrhea"

c)

"I can stop taking this medication when I feel completely well"

d)

"I can take this medication just before bedtime"

7.

A nurse is monitoring the administration of gentamicin by IV infusion at 0900. The medication will take 1 hr to infuse. When should the nurse plan to obtain a blood sample for peak blood level gentamycin?

a)

1000

b)

1030

c)

1100

d)

1130

8.

A nurse is assisting with the care of a client who has subacute bacterial endocarditis and is receiving several antibiotics, including streptomycin IM. For which of the following manifestations should the nurse monitor for?

a)

Ataxia

b)

Urinary retention

c)

Constipation

d)

Complex partial seizures

9.

The nurse is assisting with the care of a client who is starting a course of gentamicin by IV infusion for a serious respiratory infection. For which of the following manifestations should the nurse monitor as an adverse effect of this medication?

a)

Pruritus

b)

Hematuria

c)

Cardiac Arrhythmia

d)

Difficulty swallowing

e)

Vertigo

10.

A nurse is assisting with the care of a client who is undergoing preparation for extensive colorectal surgery. Which of the following oral antibiotics should the nurse expect to administer specifically to suppress normal flora in the GI tract?

a)

Kanamycin

b)

Gentamicin

c)

Neomycin

d)

Tobramycin

11.

A nurse is contributing to the plan of care for a client who has a wound infection. Which of the following actions should the nurse recommend as the priority?

a)

Administer antibiotic medication

b)

Obtain a wound specimen culture

c)

Monitor the client for superinfection.

d)

Reinforce teaching about wound care

12.

A nurse is reviewing information with a peer about antimicrobial therapy. The nurse should identify that affective penetration can be impeded by which of the following conditions?

a)

Meningitis

b)

An infected abscess

c)

Endocarditis

d)

Pneumonia

e)

Pyelonephritis

13.

A nurse is reviewing prophylactic antimicrobial therapy with the charge nurse. Whuch of the following actions should the nurse take considering this type of therapy?

a)

Administer prophylactic antimicrobial therapy to clients who report exposure to a STI

b)

Administer prophylactic antimicrobial therapy to clients who have orthopedic surgery

c)

Instruct clients who have a prosthetic heart valve about the need for prophylactic antimicrobial therapy before dental work

d)

Consult the provider for prophylactic antimicrobial therapy for those who have RECURRENT UTIS

14.

A nurse is reviewing a client's medication history notes an allergy to sulfonamides. This allergy is a contraindication for taking which of the following medications?

a)

Hydrochlorothiazide

b)

Metoprolol

c)

Acetaminophen

d)

Glipizide

e)

Furosemide

15.

A nurse is reinforcing teaching with a client who has a new prescription for nitrofurantoin. Which of the following information should the nurse include?

a)

Observe for bruising on the skin

b)

Take the medication with milk or meals

c)

Expect brown discoloration of urine

d)

Crush the medication if it is difficult to swallow

e)

Expect insomnia when taking it

16.

A nurse is reinforcing teaching with a client about nitrofurantoin. Which of the following information should the nurse include?

a)

Observe for pain and swelling of the Achilles tendon

b)

Watch for vaginal yeast infection

c)

Expect excessive night time perspiration

d)

Take it on an empty stomach

e)

Take the medication with a dairy product

17.

A nurse is contributing to the discharge of a female client who has a new prescription for trimethoprim-sulfamethoxazole. Which of the following information should the nurse include?

a)

Take the medication even if pregnant

b)

Maintain a fluid restriction while taking it

c)

Take it on an empty stomach

d)

Stop taking it when manifestations subside?

18.

A nurse is collecting data from a client who has been taking ofloxacin for a urinary tract infection. Which of the following statements should the nurse report to the provider?

a)

"I have been limiting my time outdoors"

b)

"I have had foul-smelling diarrhea"

c)

"I keep taking the medication even though my symptoms have stopped."

d)

"I have been taking loratadine for my allergies"

19.

A nurse is caring for a client who has diabetes mellitus, pulmonary tuberculosis, and a new prescription for isoniazid. Which of the following supplements should the nurse expect to administer to prevent an adverse effect of INH?

a)

Ascorbic acid

b)

Pyridoxine

c)

Folic acid

d)

Cyanocobalamin

20.

A nurse is assisting with the care of a client who is receiving IV B for treatment of systemic fungal infection. Which of the following adverse effects should the nurse monitor for?

a)

Hypoglycemia

b)

Constipation

c)

Fever

d)

Hyperkalemia

21.

A nurse is reinforcing teaching with a client who was beginning a course of metronidazole to treat infection. For which of the following findings of an adverse effect should the nurse instruct the client as a priority to stop taking metronidazole and notify the provider?

a)

Metallic taste

b)

Nausea

c)

Ataxia

d)

Dark-colored urine

22.

A nurse is reinforcing teaching with a client who has active tuberculosis about the treatment regimen. The client asks why four medications are necessary. Which of the following responses should the nurse take?

a)

"Four medications decrease the risk of a severe allergic reaction"

b)

"Four medications reduce the chance that the bacteria will become resistant"

c)

"Four medications will reduce the risk of adverse reactions"

d)

"Four medications decrease the risk of a positive tuberculin skin test"