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AG Fall Pharm class: ABX ???
| Question | Answer |
|---|---|
| 1. You administer cefotetan (Cefotan) to pt who also is taking warfarin (Counmadin). You should monitor the pt carefully for | a. Bleeding INR/PT |
| 2. Pt complains of burning on urination and increased frequency. Pt has a hx of frequent UTI and is going out of town in 2 days. To treat the UTI quickly, you would expect the physician to order | a. Fosfomycin Table 88-1 |
| 3. For the pt with which condition would Doxycycline (Atridox) most likely be indicated? | a. Periodontal disease 984 |
| 4. Pt with latent TB has been on INH therapy for 2 months. You note that the liver function test reults have become grossly abnormal. Instruct the pt to | a. Stop taking INh change to different drug treatment |
| 5. You are providing pt education about ciprofloxacin (Cipro). Which of the following statements by the pt would indicate a need for further teaching? "I will take my medication..... | a. with calcium or iron supplements, milk or magnesium laxatives or antacids b. warfarin/theophayllin: Cipro alters their therapeutic effects 1029 |
| 6. A pt who works as landscaper is preparing to be d/c. He has been instructed to take tetracycline (Sumycin). Which of the following should be included in d/c education? | a. A/E =Photosensitivity -risk of sun burns i. Wear sunblock, avoid prolonged exposure to sunlight, wear protective clothing b. Vestibular toxicity (dizziness, lightheadedness, and unsteadiness) c. Take with food to decrease GI side effects. d. DO |
| 7. A pt who has been receiving clindamycin for 10 days develop profuse diarrhea and abdominal pain with temp of 101.2* F. You suspect C. diff. You wouold expect the prescriber to order? | a. Po vancomycin or metronidazole 986 |
| 8. You are cairng for a pt taking vancomycin (Vancocin). Upon assessment of the pt, you find that he is experiencing flushing, rash, pruritus, and urticarial. His vs are : P-120 BP 97/92, T-98.9 F, R-20. These finding are consistent with | a. Red Man Syndrome |
| 9. Which statement by the pt best demonstrates understanding of administration of tetracycline (Sumycin)? | a. Allow 2 hours before/after before taking: calcium or iron supplements, milk or magnesium laxatives or antacids b. 1 hour before meals or 2 hrs after and with a full glass of water c. Take med as ordered by doctor |
| 10. Pt is concurrently taking ciprofloxacin (Cipro) and warfarin (Counmadin). You should anticipate an | a. Increase level in warfarin and monitor prothrombin time (PT) 1030 |
| 11 | |
| . A pt admitted with an infected below the knee amputation (BKA) and heart failure(HF) is taking vancomycin (Vanocin) and furosemide (Lasix) Which of the following is the most important instruction you should provide? 12. A pt starts INH for latent TB. | a. Hepatotoxicity b. numbness in fingers and difficulty buttoning shirts 1020 |
| 13. Which statement indicates a correct understanding of the adverse effects of ethambutol? Ethambutol is anti-tuberculosis drug | a. Optic neuritis: blurred vision, constriction of visual fild and disrurbance of color discrimination if sympthoms occurs pt should stop taking Ethambutol |
| 14. A pt complains of mouth sores. Upon assessment, you note white, patchy spots and redness of the tongue and throat. Expect the prescriber to order? | a. Nystatin 1044 |
| 15. Itraconazole is for ringworms. A pt has been taking itraconazole (Sporanox) for 3 months for a persistent fungal infection. The pt has n/v, anorexia, fatigue, right upper abdominal pain, dark urine and pate stools. You likely suspect | a. ... |
| 17. You are performing a physical assessment on a pt with tuberculosis who takes rifampin (Rifadin). Which of the following would be an expected finding? | a. Discoloration of body fluids |
| 18. A pt is going to be started on a course of antibiotic therapy with penicillin. You understand that while taking the pt's health history, a priority assessment is questioning the pt about | a. Do you have a hx of allergic reaction to PCN or Cephalosporin? |
| 19. A pt admitted for an acute outbreak of herpes-zoster virus is reciving valacyclovir (Valtrex). What comment by the pt indicates a need for further teaching? | a. 500mg BID for 3 days i. 1000 mg 3x a day for 7 days b. Take it every day i. Only after s/s onset first c. Take it with meals i. Any time of day |
| - 20. 19 years old pt begins to cry when she learns that she has genital herpes. She asks about the treatment. Treatment includes drug that suppresses transmission, which is | a. Acyclovir (Zovirax) i. Topical: Initial infection reduce the duration of viral shedding... not effective for recureent genital infection ii. Oral:initial genital infections and for recureent infection and reduce the frequency at which lesions appear |
| 21. A patient present to emergency department with complaints of chills, severe flank apin, dyuria, and urinary frequency. Vital signs reveal: T-102.9 F, P-92, R24, BP-119/58. Pt shows s/s of | a. Acute pyelonephritis |
| 22. You are caring for a pt who received an order for PO levofloxacin (Leavquin). The pt is anxious to get out of the hospital, because he is a runner wants to compete in an upcoming DMS marathon. Which pt education would be essential? | a. Educate the patient about the risk of tendon damage and instruct them to report early signs of tendon injury (pain, swelling, inflammation) and to refrain from exercise until tendinitis has been ruled out (p. 1136) |
| 23. Youa re caring for an African American pt who has been admitted to the unit for antibiotic therapy. The pt is taking sulfonamide and shows a fever, pallor and jaundice. The has | a. Hemolytic anemia (p. 1104-1105) |
| 24. A pt being treated with cefmetazole (Zefazone)complains of h/a. Which analgesic would be the best choice for this patient? | a. Tylenol (end of cephalosporin chapter) |
| 25. You are providing education for a pt receiving griseofulvin (Fulvicin) for treatment of fungal infection. You advise the pt to take the medication | a. Advise the patient to take the medication with a fatty meal for better absorption (Ch. 92) |
| 26. Of the many A/E of tetracycline (Sumycin), one of the most serious is pseudomembranous colitis. This disorder most likely occurs because tetracycline is | a. Because tetracycline is a broad-spectrum agent, which increases the risk of a suprainfection (p. 1084-1085) |
| 27. A pt has been receiving amphotericin B (Fungizone) for systemic mycoses. You would most likely monitor for which signs and symptoms in this pt? | a. Renal (Kidney) damage/impairment (Ch. 92) |
| 28. The most common a.e of interferon is | a. Flu-like symptoms (fever, fatigue, myalgia, headache, chills) (Ch. 93) |
| 29. You assess a PPD on the forearm of a patient being screened for employment in an outpatient clinic. The induration is 4 mm. How should this finding be interpreted? | a. Negative 1018 |
| 30. You prepare to give a dose of cefriazone (Rocephin) plus doxycycline (Vibramycin) to a pt with acute epididymitis resulting from a chlamydial infection. Cefriazone must be administerd | a. Parenteral (IM or IV) only 976 b. 12,24 hours c. 50-100 mg/kg |
| 31. Voriconazole (Vfend) an antifungal has which unique A/E? | a. Stevens-Johnson syndrome??? 1039 |
| 32. A pt is beginning therapy for active TB. The patient asks, " Why do I have to take so many drugs?" What is the best response? | a. It helps to prevent resistance to the drugs. |
| 33. You are performing an assessment on a pt receiving ticarcillin (Ticar) for treatment of Pseudomonas infection. Which clinical manifestations should most concern? | a. Allergic reaction, Sodium overload(congestive heart failure). Promote bleeding 969 |
| 35. Vancomycin (Vancocin) generally is given IV. In which pt would an oral rout of administration be warranted? | a. C-Diff 978 |
| 11. A pt admitted with an infected below the knee amputation (BKA) and heart failure(HF) is taking vancomycin (Vanocin) and furosemide (Lasix) Which of the following is the most important instruction you should provide? | Find answer |
| 34. An older male pt comes to the clinic with c/o chills, malaise, myalgia, localized pain, dyuria, nocturia and urinary retention. The pt likely has | |
| a. Acute bacterial prostatitis | |
| 16. Eight hours after administering a sulfonamide, a pt has a temperature of 104*F, pulse -112 BP=104/52, R-20, malaise and widespread skin lesions. You suspect: | |
| stevens -johnson syndrome | |
Created by:
aanderson14