NURS 6521 (Advanced Pharmacology)
FINAL EXAM STUDY QUESTIONS AND
ANSWERS COMPLETE RATED A WALDEN
UNIVERSITY.
A patient has an infection caused by Pseudomonas aeruginosa. The
prescriber has ordered piperacillin and amikacin, both to be given
intravenously. What will the nurse do?
Correct Answer -Make sure to administer the drugs at different times using
different IV tubing.
A child with an ear infection is not responding to treatment with amoxicillin
[Amoxil]. The nurse will expect the provider to order:
Correct Answer -amoxicillin-clavulanic acid [Augmentin].
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?
Correct Answer -Request an order for serum electrolytes and cardiac
monitoring.
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?
Correct 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:
Correct Answer -disrupt bacterial cell wall synthesis.
A patient has an infection caused by Streptococcus pyogenes. The
prescriber has ordered dicloxacillin PO. What will the nurse do?
Correct 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?
Correct Answer -Ampicillin is not as acid stable as amoxicillin.
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?
Correct Answer -"The bacteria have synthesized penicillinase."
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?
Correct Answer -Contact the provider and prepare to administer
epinephrine.
,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:
Correct Answer -reducing the dose of piperacillin.
A nurse is preparing to administer intramuscular penicillin to a patient who
is infected with Treponema pallidum and notes that the order is for sodium
penicillin G. Which action is correct?
Correct Answer -Contact the provider to discuss changing the drug to
benzathine penicillin G.
A nurse is discussing methicillin-resistant Staphylococcus aureus (MRSA)
with a group of nursing students. Which statement by a student correctly
identifies the basis for MRSA resistance?
Correct Answer -"MRSA bacteria have developed PBPs with a low affinity for
penicillins."
A patient with second-degree burns is treated with silver sulfadiazine
[Silvadene]. A nursing student asks the nurse about the differences between
silver sulfadiazine and mafenide [Sulfamylon], because the two are similar
products, and both contain sulfonamides. What does the nurse tell the
student about silver sulfadiazine?
Correct Answer -It has antibacterial effects related to release of free silver.
A nurse teaches a patient about sulfonamides. Which statement by the
patient indicates a need for further teaching?
, Correct Answer -"I should stop taking this drug when my symptoms are
gone."
A patient will be discharged from the hospital with a prescription for
TMP/SMZ [Bactrim]. When providing teaching for this patient, the nurse will
tell the patient that it will be important to:
Correct Answer -drink 8 to 10 glasses of water every day.
A nurse is caring for an African-American patient who has been admitted to
the unit for long- term antibiotic therapy with sulfonamides. The patient
develops fever, pallor, and jaundice. The nurse would be correct to suspect
that the patient has developed:
Correct Answer -hemolytic anemia.
A pregnant patient is treated with trimethoprim/sulfamethoxazole
(TMP/SMZ) [Bactrim] for a urinary tract infection at 32 weeks' gestation. A
week later, the woman delivers her infant prematurely. The nurse will expect
to monitor the infant for:
Correct Answer -kernicterus.
A nurse is caring for a patient who takes an ACE inhibitor and an ARB
medication who will begin taking TMP/SMZ to treat a urinary tract infection.
Which serum electrolyte will the nurse expect to monitor closely?
Correct Answer -Potassium
A nurse is obtaining a drug history from a patient about to receive
sulfadiazine. The nurse learns that the patient takes warfarin, glipizide, and
a thiazide diuretic. Based on this assessment, the nurse will expect the
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