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FA Davis Test Bank questions - Pharm Exam 2

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  • August 4, 2024
  • 17
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • FA Davis
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FA Davis Test Bank questions - Pharm
Exam 2
1. A client is being treated for tuberculosis. Which medications are used to treat this condition?
(Select all that apply.)

a. Streptomycin sulfate

b. Amoxicillin (Amoxil)

c. Ethambutol (Myambutol)

d. Gentamicin (Garamycin)

e. Rifabutin (Mycobutin)

f. Ethionamide (Trecator-SC)

g. Pyrazinamide - ANSWER-ACEFG

1. Factors that place a patient at risk of developing an antimicrobial-resistant organism include:

1. Age over 50 years

2. School attendance

3. Travel within the U.S.

4. Inappropriate use of antimicrobials - ANSWER-4

1. Sarah, a 42-year-old female, requests a prescription for an anorexiant to treat her obesity. A trial of
phentermine is prescribed. Prescribing precautions include:

1. Understanding that obesity is a contraindication to prescribing phentermine

2. Anorexiants may cause tolerance and should only be prescribed for 6 months

3. Patients should be monitored for postural hypotension

4. Renal function should be monitored closely while on anorexiants - ANSWER-2

1. Which person should be treated with prophylactic antitubercular medication?

a. A child who attends the same school with a child who has tuberculosis

b. A nurse who is working in a hospital

c. An individual who is HIV-positive with a negative TB skin test

d. A patient who has close contact with someone who has tuberculosis - ANSWER-D

10. Selma, who is overweight, recently started taking topiramate for seizures and at her follow-up
visit you note she has lost 3 kg. The appropriate action would be:

1. Tell her to increase her caloric intake to counter the effects of the topiramate.

2. Consult with a neurologist, as this is not a common adverse effect of topiramate.

3. Decrease her dose of topiramate.

,FA Davis Test Bank questions - Pharm
Exam 2
4. Reassure her that this is a normal side effect of topiramate and continue to monitor her weight. -
ANSWER-4

10. The nurse is teaching a nursing student about the antifungal drug amphotericin B. Which
statement by the student indicates a need for further teaching?

a. Amphotericin B may be given intravenously or by mouth.

b. Patients who take this drug should have potassium and magnesium levels assessed.

c. Patients with renal disease should not take amphotericin B.

d. This drug is used for severe systemic infections. - ANSWER-A

10. To prevent further development of antibacterial resistance it is recommended that
fluoroquinolones be reserved for treatment of:

1. Urinary tract infections in young women

2. Upper respiratory infections in adults

3. Skin and soft tissue infections in adults

4. Community-acquired pneumonia in patients with comorbidities - ANSWER-4

11. A patient who has oral candidiasis will begin using nystatin suspension to treat the infection.
What information will the nurse include when teaching this patient?

a. Coat the buccal mucosa with the drug and then rinse your mouth.

b. Gargle with the nystatin and then spit it out without swallowing.

c. Mix the suspension with 4 ounces of water and then drink it.

d. Swish the liquid in your mouth and then swallow after a few minutes. - ANSWER-D

11. Fluoroquinolones have a Black Box Warning regarding even months after treatment.

1. Renal dysfunction

2. Hepatic toxicity

3. Tendon rupture

4. Development of glaucoma - ANSWER-3

11. Monitoring of a patient on gabapentin to treat seizures includes:

1. Routine therapeutic drug levels every 3 to 4 months

2. Assessing for dermatologic reactions, including Steven's Johnson

3. Routine serum electrolytes, especially in hot weather

4. Recording seizure frequency, duration, and severity - ANSWER-4

, FA Davis Test Bank questions - Pharm
Exam 2
12. A patient will begin taking streptomycin as part of the medication regimen to treat tuberculosis.
Before administering this medication, the nurse will review which laboratory values in the patients
medical record?

a. Complete blood count (CBC) with differential white cell count

b. Blood urea nitrogen (BUN) and creatinine

c. Potassium and magnesium levels

d. Serum fasting glucose - ANSWER-B

12. Janet was recently treated with clindamycin for an infection. She calls the advice nurse because
she is having frequent diarrhea that she thinks may have blood in it. What would be the appropriate
care for her?

1. Encourage increased fluids and fiber.

2. Assess her for pseudomembranous colitis.

3. Advise her to eat yogurt daily to help restore her gut bacteria.

4. Start her on an antidiarrheal medication. - ANSWER-2

12. Scott's seizures are well controlled on topiramate and he wants to start playing baseball.
Education for Scott regarding his topiramate includes:

1. He should not play sports due to the risk of increased seizures

2. He should monitor his temperature and ability to sweat in the heat while playing

3. Reminding him that he may need higher dosages of topiramate when exercising

4. Encouraging him to use sunscreen due to photosensitivity from topiramate - ANSWER-2

13. Keng has chronic hepatitis that has led to mildly impaired liver function. He has an infection that
would be best treated by a macrolide. Which would be the best choice for a patient with liver
dysfunction?

1. Azithromycin (Zithromax)

2. Clarithromycin (Biaxin)

3. Erythromycin (E-mycin)

4. None of the above - ANSWER-3

13. The nurse is preparing to administer an intravenous polymyxin antibiotic. The patient reports
dizziness along with numbness and tingling of the hands and feet. The nurse will perform which
action?

a. Administer the drug since these are harmless side effects.

b. Hold the drug and notify the provider of these adverse reactions.

c. Obtain an order for an oral form of this medication.

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