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BSN Pharm exam 1 review

Total questions: 14

Worksheet time: 7mins

Name
Class
Date
1.

How would the nurse describe selective toxicity?

a)

A. Selective toxicity interferes with a biochemical reaction common to many different organisms.

b)

B. Selective toxicity will decrease invading bacteria by interfering with the pathogens' ability to reproduce.

c)

C. Selective toxicity will eliminate bacteria by interrupting protein synthesis and damaging the pathogen's cell wall.

d)

D. Selective toxicity is the ability of the drug to kill foreign cells without causing harm to one's own body cells.

2.

Following ingestion, a drug crosses a membrane from an area of higher concentration to an area of lower concentration. This is explained by which mechanism?

a)

active transport

b)

osmosis

c)

diffusion

d)

metabolism

3.

When assessing a client before starting a drug regimen, why would the nurse consider it important to assess baseline kidney function?

a)

To anticipate adverse effects of drugs

b)

To determine client's baseline electrolyte levels

c)

To determine client's ability to excrete the drug

d)

To determine client's ability to metabolize the drug

4.

The nurse is reviewing the client's medication orders and finds an order stating “amoxicillin 250 mg every 8 hours.” What would the nurse question regarding this order?

a)

Route

b)

Dose

c)

frequency of administration

d)

Allowance for generic substitution

5.

What influences drug absorption?

a)

Amount of fluid the drug is taken with

b)

Route of administration

c)

Route of excretion

d)

The age of the client

6.

When administering antibiotics to clients, the nurse is aware of the risk for what potentially fatal allergic response?

a)

Gastrointestinal toxicity

b)

Eighth cranial nerve damage

c)

Anaphylaxis

d)

Toxic effects on the kidney

7.

The nurse is caring for a 62-year-old client who is receiving IV gentamicin (Garamycin), an aminoglycoside. The client complains of difficulty hearing. What should the nurse do?

a)

Hold the dose and notify the physician immediately.

b)

Administer the dose and speak in a louder voice when talking to the client

c)

Administer the dose and report this information to the oncoming nurse.

d)

Administer the dose and document the finding in the nurse's notes.

8.

Which intervention is necessary to perform prior to initiating antibiotic therapy?

a)

Increase fluid intake.

b)

Monitor for adverse effects.

c)

Administer an antidiarrheal to prevent GI upset.

d)

Obtain a specimen for culture and sensitivity.

9.

Which drug is the cornerstone of treatment for prophylaxis and treatment of tuberculosis (TB)?

a)

Amphotericin B (Abelcet)

b)

Acyclovir (Zovirax)

c)

Isoniazid (Nydrazid)

d)

Streptomycin (Streptomycin)

10.

Which is a correct statement concerning trough levels?

a)

It is drawn one day after medication administration

b)

It is the point when the drug is at lowest concentrations in the system

c)

It is the time it takes for 50% of the serum concentration of a drug to be eliminated from the body

d)

It is the point when the drug is at highest concentration in the system

11.

The healthcare provider ordered ciprofloxacin 2g IV. How many mg will the nurse administer?

a)

20mg

b)

.02mg

c)

2000mg

d)

200mg

12.

A client who is prescribed fluoroquinolones should be educated on which of the following adverse effects?

a)

Drooling

b)

Constipation

c)

Photosensitivity

d)

Kernicterus

13.

The nurse is asked to administer carvedilol 6.25 mg b.i.d. What does the term b.i.d. mean?

a)

Twice a week

b)

Twice a day

c)

Before bedtime

d)

Before breakfast

14.

Antimalarials are known for causing

a)

nausea and vomiting

b)

Vision changes

c)

ototoxicity

d)

Steven Johnson syndrome