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pharm test bank test 3 questions and answers |100% pass

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pharm test bank test 3 questions and answers |100% pass The nurse has been caring for a patient who has been taking antibiotics for 3 weeks. Upon assessing the patient, the nurse notices the individual has developed oral thrush. What describes the etiology of the thrush? - Answer-Superinfection...

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  • October 6, 2024
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EmillyCharlotte
EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024




pharm test bank test 3 questions and
answers |100% pass

The nurse has been caring for a patient who has been taking antibiotics for 3 weeks. Upon assessing the

patient, the nurse notices the individual has developed oral thrush. What describes the etiology of the

thrush? - Answer✔✔-Superinfection


The nurse is caring for a patient on a medical-surgical unit who has a fever of unknown origin. The

prescriber has ordered a broad-spectrum antibiotic. Which intervention is the priority? - Answer✔✔-

Obtaining all cultures before the antibiotic is administered


The nurse is teaching a nursing student about the mechanism by which antimicrobial agents achieve

selective toxicity. Which statement by the student indicates a need for further teaching? - Answer✔✔-

"Some agents cause phagocytosis of bacterial cells."


A child has received amoxicillin [Amoxil] for three previous ear infections, but a current otitis media

episode is not responding to treatment. The nurse caring for this child suspects that resistance to the

bacterial agent has occurred by which microbial mechanism? - Answer✔✔-Drug inactivation


A nursing student asks a nurse to clarify the differences between the mechanisms of spontaneous

mutation and conjugation in acquired resistance of microbes. What will the nurse say? - Answer✔✔-

Spontaneous mutation leads to resistance to only one antimicrobial agent.


A patient has a viral sinus infection, and the provider tells the patient that antibiotics will not be

prescribed. The patient wants to take an antibiotic and asks the nurse what possible harm could occur by


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,EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024


taking an antibiotic. Which response by the nurse is correct? - Answer✔✔-"Even normal flora can

develop resistance and transfer this to pathogens."


A recent campaign, initiated by the Centers for Disease Control (CDC), to delay the emergence of

antibiotic resistance in hospitals, has what as one of its objectives? - Answer✔✔-Increased adherence to

prescribed antibiotics


A patient has a localized skin infection, which is most likely caused by a gram-positive cocci. Until the

culture and sensitivity results are available, the nurse will expect the provider to order a ____-spectrum

____ agent. - Answer✔✔-narrow; topical


A parent asks a nurse if the provider will prescribe an antibiotic for a child who attends school with

several children who have strep throat. The child is complaining of a sore throat and has a fever. What

will be the nurse's response - Answer✔✔-"Your child should come to the clinic to have a throat culture

done today."


n older adult patient with chronic obstructive pulmonary disease (COPD) develops bronchitis. The

patient has a temperature of 39.5°C. The nurse will expect the provider to: - Answer✔✔-order empiric

antibiotics while waiting for sputum culture results.


Which patients should be given antibiotics prophylactically? (Select all that apply.) - Answer✔✔-Patients

with certain congenital heart defects at risk for bacterial endocarditis


Patients with compound fractures undergoing surgical repair


Which are benefits of using a combination of two or more antibiotics? (Select all that apply.) -

Answer✔✔-Reduced toxicity



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,EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024


Reduced resistance


Reduced risk in severe infection


The nurse is teaching a pharmacology refresher course to a group of nurses. A student asks what host

factors affect the choice of agents in antimicrobial therapy. The nurse will tell the students that such host

factors include what? (Select all that apply.) - Answer✔✔-Age


Immune system status


Infection site


A nurse transcribes a new prescription for potassium penicillin G given intravenously (IV) every 8 hours

and gentamicin given IV every 12 hours. Which is the best schedule for administering these drugs? -

Answer✔✔-Give the penicillin at 0800, 1600, and 2400; give the gentamicin [Garamycin] at 1800 and

0600.


A nurse assisting a nursing student with medications asks the student to describe how penicillins (PCNs)

work to treat bacterial infections. The student is correct in responding that penicillins: - Answer✔✔-

disrupt bacterial cell wall synthesis.


A child with otitis media has had three ear infections in the past year. The child has just completed a 10-

day course of amoxicillin [Amoxil] with no improvement. The parent asks the nurse why this drug is not

working, because it has worked in the past. What will the nurse tell the patient? - Answer✔✔-"The

bacteria have synthesized penicillinase."


A child with an ear infection is not responding to treatment with amoxicillin [Amoxil]. The nurse will

expect the provider to order: - Answer✔✔-amoxicillin-clavulanic acid [Augmentin].



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, EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024


A patient is receiving intravenous potassium penicillin G, 2 million units to be administered over 1 hour.

At 1900, the nurse notes that the dose hung at 1830 has infused completely. What will the nurse do? -

Answer✔✔-Request an order for serum electrolytes and cardiac monitoring.


A patient is about to receive penicillin G for an infection that is highly sensitive to this drug. While

obtaining the patient's medication history, the nurse learns that the patient experienced a rash when

given amoxicillin [Amoxil] as a child 20 years earlier. What will the nurse do? - Answer✔✔-Request an

order for a skin test to assess the current risk.


A patient with no known drug allergies is receiving amoxicillin [Amoxil] PO twice daily. Twenty minutes

after being given a dose, the patient complains of shortness of breath. The patient's blood pressure is

100/58 mm Hg. What will the nurse do? - Answer✔✔-Contact the provider and prepare to administer

epinephrine


A patient has an infection caused by Streptococcus pyogenes. The prescriber has ordered dicloxacillin

PO. What will the nurse do? - Answer✔✔-Question the need for a penicillinase-resistant penicillin.


The parent of an infant with otitis media asks the nurse why the prescriber has ordered amoxicillin

[Amoxil] and not ampicillin [Unasyn]. What will the nurse tell the parent? - Answer✔✔-Ampicillin is not

as acid stable as amoxicillin.


A patient with an infection caused by Pseudomonas aeruginosa is being treated with piperacillin. The

nurse providing care reviews the patient's laboratory reports and notes that the patient's blood urea

nitrogen and serum creatinine levels are elevated. The nurse will contact the provider to discuss: -

Answer✔✔-reducing the dose of piperacillin.




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