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Pharm Final- Test Bank Exam Practice Questions and Answers |100% Pass

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Pharm Final- Test Bank Exam Practice Questions and Answers |100% Pass A 28-year-old patient has been prescribed penicillin for the first time. What nursing diagnosis would be most appropriate for this patient? A. Acute pain related to gastrointestinal (GI) effects of the drug B. Deficient know...

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  • October 6, 2024
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EmillyCharlotte
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Pharm Final- Test Bank Exam Practice
Questions and Answers |100% Pass

A 28-year-old patient has been prescribed penicillin for the first time. What nursing diagnosis would be

most appropriate for this patient?


A. Acute pain related to gastrointestinal (GI) effects of the drug


B. Deficient knowledge regarding drug therapy


C. Imbalance nutrition: less than body requirements related to multiple GI effects of the drug


D. Constipation - Answer✔✔-B.


Because this is the first time the patient has taken penicillin, she is likely to have limited knowledge

about the drug. She may not understand the importance of taking the medication as ordered to increase

effectiveness of the drug or to report adverse effects. because the patient has not started the drug yet,

there is no way to know what adverse effects, if any, she will experience. Only if she develops acute pain

related to GI effects of the drug would this be appropriate. If GI symptoms develop it may lead to

imbalanced nutrition, but that remains to be seen. No indication about constipation exists.


he mother of a 5-year-old asks the nurse why it seems amoxicillin is always prescribed when her child

needs an antibiotic. What is the priority rationale the nurse should give the mother?


A) It is better absorbed.


B) It is less costly.



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C) It has a less frequent dosing schedule.


D) It tastes better in oral form. - Answer✔✔-Ans: A


Feedback:


Most penicillins are rapidly absorbed from the GI tract, reaching peak levels in 1 hour. Although

amoxicillin is less expensive, that fact has far less impact on choosing the proper antibiotic than the

effectiveness of the drug. Most oral antibiotics for children are available in pleasant tasting syrups so

taste would not be a factor. Ampicillin is often given up to 4 times a day so it actually has a frequent

dosing schedule.


25. The nurse is teaching the patient about amoxicillin prior to discharge and includes what important

teaching point?


A) Blackening of the tongue may occur but will subside when the drug is discontinued.


B) Even if it seems like the infection is not improving, the drug is still working.


C) Yeast infections are unlikely to occur with this medication because it is narrow spectrum.


D) Appearance of a rash is common and does not indicate an allergic reaction. - Answer✔✔-Ans: A


Feedback:


One of the adverse effects of ampicillin is blackening of the tongue but the discoloration goes away after

stopping the drug. If it is accompanied by swelling, the patient should be instructed to call the

prescribing health care provider immediately. Many penicillin-resistant pathogens exist, so if the

infection does not seem to be responding to the drug, the patient should notify the health care provider

because a different antibiotic may be required. Yeast infections are very likely after taking ampicillin


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because it is a broad-spectrum antibiotic. Appearance of a rash should be evaluated by a health care

professional because allergic reactions to this class of antibiotic are very common.


A local bioterrorism medical team is learning about germ warfare. The team is instructed that a

fluoroquinolone may be used to prevent an outbreak of anthrax infection. What fluoroquinolone would

the nurse be most likely to administer for this purpose?


A) Ciprofloxacin (Cipro)


B) Gemifloxacin (Factive)


C) Norfloxacin (Noroxin)


D) Sparfloxacin (Zagam) - Answer✔✔-Ans: A


Feedback:


Ciprofloxacin (Cipro) is the most widely used fluoroquinolone and is indicated for the prevention of

anthrax infection. Gemifloxacin and sparfloxacin are most useful in treating acute episodes of chronic

bronchitis and community-acquired pneumonia. Norfloxacin is recommended only for certain types of

urinary tract infections.


The nurse is providing patient teaching before discharging a patient home. The patient is taking

ciprofloxacin (Cipro). What would the nurse teach this patient is the best way to prevent crystalluria

caused by ciprofloxacin (Cipro)?


A. Eliminate red meat and seafood from the diet.


B. Encourage at least 2 liters of fluid per day.


C. Avoid caffeine and alcohol.

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FIRST PUBLISH SEPTEMBER 2024


D. Spend time in the sun each day to optimize vitamin D levels. - Answer✔✔-B. Encourage at least 2L of

fluid per day


Provide the following patient teaching: Avoid driving or operating dangerous machinery because

dizziness, lethargy, and ataxia may occur; try to drink a lot of fluids and maintain nutrition (very

important), even though nausea, vomiting, and diarrhea may occur. There is no need to eliminate red

meat, seafood, caffeine, or alcohol from the diet, although alcohol may increase the risk of GI irritation.

Patients should be taught to avoid the sun due to possible photosensitivity.


What is the priority reason for the nurse to consider questioning an order for tetracycline in a child

younger than 8 years of age?


A. Children younger than 8 years of age cannot take tetracyclines.


B. Weight-bearing joints have been impaired in young animals given the drugs.


C. Tetracyclines can damage developing teeth and bone in children younger than 8 years of age.


D. Liver and kidney function may be damaged when it is given to children under 8 years of age. -

Answer✔✔-ANS: C




Use tetracyclines with caution in children younger than 8 years of age because they can potentially

damage developing bones and teeth. Although the drug does not cause damage to liver and kidneys, it

may be contraindicated in patients with hepatic or renal dysfunction because it is concentrated in the

bile and excreted in the urine. Fluoroquinolones, not tetracyclines, are generally contraindicated for use

in children (i.e., those younger than 18 years of age) because weight-bearing joints have been impaired

in young animals given the drugs. Clindamycin (Dalacin C) warrants monitoring hepatic and renal

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