QUESTION 1

1.      A 30-year-old woman who is in the first trimester of pregnancy has presented to her primary care provider with a 4-day history of a reddened, itchy left eye that is crusted with purulent exudate. The clinician suspects a bacterial, rather than viral, etiology. How will the patient's pregnancy affect the potential use of ciprofloxacin to treat her conjunctivitis?

1 points   

QUESTION 2

1.      An immunocompromised cancer patient has developed cryptococcal meningitis and been admitted to the intensive care unit for treatment with amphotericin B. How should the nurse most safely administer this drug?

1 points   

QUESTION 3

1.      A nurse is explaining the use of acyclovir therapy to a 72-year-old man. Nephrotoxicity is discussed as a major adverse effect in older patients. To minimize the risk of the patient developing this adverse effect, the nurse will advise him to

1 points   

QUESTION 4

1.      A patient has been prescribed oral tetracycline. The nurse will instruct the patient to take the drug

1 points   

QUESTION 5

1.      A patient is prescribed ganciclovir to treat a CMV infection. An oral dosage is prescribed. To help increase bioavailability of the drug, the nurse will encourage the patient to take the medication

1 points   

QUESTION 6

1.      A patient has endocarditis and is taking gentamicin. The nurse will be sure to monitor which of the following?

1 points   

QUESTION 7

1.      A 15-year-old boy is being carefully monitored for a skin infection and is being given ciprofloxacin. The nurse will observe for which of the following?

1 points   

QUESTION 8

1.      A 9-year-old boy was bought to his primary care provider by his mother with signs and symptoms of hookworm infection and will be sent home with a prescription for mebendazole. When provided patient and family education, the nurse should teach the mother with which of the following measures to avoid reinfection following treatment?

1 points   

QUESTION 9

1.      A 49-year-old farmer who normally enjoys good health has become seriously ill in recent days and the results of an extensive diagnostic work up have resulted in a diagnosis of histoplasmosis. The patient has been admitted to the hospital and has begun treatment with amphotericin B. The nurse who is providing care for the patient should prioritize which of the following diagnostic results during his course of treatment?

1 points   

QUESTION 10

1.      A nurse has questioned why a patient's physician has prescribed a narrow-spectrum antibiotic rather than a broad-spectrum drug in the treatment of a patient's infection. Which of the following facts provides the best rationale for the use of narrow-spectrum antibiotics whenever possible?

1 points   

QUESTION 11

1.      Which of the following is critical to helping prevent development of resistant strains of microbes in patients?

1 points   

QUESTION 12

1.      A nurse is instructing a colleague on how an antimicrobial produces a therapeutic effect. Which of the following should be included in the nurse's teaching?

1 points   

QUESTION 13

1.      A 30-year-old African-American woman tested positive for TB and is prescribed isoniazid. The nurse will plan the patient's care to include close monitoring of the drug therapy because

1 points   

QUESTION 14

1.      An immunocompromised patient in a critical care setting has developed a respiratory infection that has been attributed to methicillin-resistant Staphylococcus aureus(MRSA). The nurse should anticipate that the patient will require treatment with

1 points   

QUESTION 15

1.      A 34-year-old male has been diagnosed with TB and will be started on INH therapy. The medication history reveals that he currently takes antacids on a regular basis. The nurse will instruct the patient to take

1 points   

QUESTION 16

1.      Mr. Laird is a 49-year-old electrician who experienced severe burns on his trunk, arms, and hands in a workplace accident 2 weeks ago. Part of his current wound care regimen involves the daily application of silver sulfadiazine to his wounds. The nurses who are providing care for Mr. Laird in the burns and plastics unit of the hospital should perform what action when administering this medication?

1 points   

QUESTION 17

1.      A 15-year-old patient has meningitis caused by Haemophilusinfluenzae. She is being treated with chloramphenicol. The most important nursing action for this patient would be to monitor

1 points   

QUESTION 18

1.      A patient has been admitted to the critical care unit with a diagnosis of peritonitis that has necessitated treatment with gentamicin. As a result, the care team should be cautious when concurrently administering other medications that may cause

1 points   

QUESTION 19

1.      An immunocompromised patient with a diagnosis of candidiasis has failed to respond to conservative therapy and has consequently begun treatment with amphotericin B. The nurse is aware that this drug achieves a therapeutic effect by way of its influence on

1 points   

QUESTION 20

1.      Which of the following nursing actions is most important in achieving successful antimicrobial therapy with vancomycin?

1 points   

QUESTION 21

1.      Which of the following would a nurse assess for in a patient who is taking polymyxin B systemically?

1 points   

QUESTION 22

1.      A patient has been prescribed daptomycin for a complicated skin infection. Which of the following will the nurse advise the patient to report immediately?

1 points   

QUESTION 23

1.      The nurse notices a cold sore on a patient's upper lip and requests medication; docosanol (Abreva) is ordered. Before applying the medication, the nurse would first

1 points   

QUESTION 24

1.      A 7-year-old child has tonsillitis and is prescribed penicillin V, which is to be administered at home. The nurse will instruct the parents to administer the drug

1 points   

QUESTION 25

1.      A patient is to begin taking tobramycin (Nebcin) for a nosocomial infection. Which of the following assessments should the nurse prioritize?

1 points   

QUESTION 26

1.      A 43-year-old man has been diagnosed with active TB. He is prescribed a multiple drug therapy, including INH and rifampin. A priority assessment by the nurse will be to monitor which combination of laboratory test results?

1 points   

QUESTION 27

1.      A nurse is providing education to a patient who is taking INH. The nurse will advise the patient to avoid which of the following foods?

1 points   

QUESTION 28

1.      A nurse is aware that the concept of selective toxicity is foundational to antimicrobial therapy. Which of the following statements most accurately describes selective toxicity?

1 points   

QUESTION 29

1.      Sulconazole has been prescribed for a patient with tinea pedis. The nurse will instruct the patient to use the topical agent

1 points   

QUESTION 30

1.      A 46-year-old man is receiving a quinupristin/dalfopristin IV infusion for a life-threatening infection. Which of the following would be most important for the nurse to monitor?

1 points   

QUESTION 31

1.      A nurse is caring for a patient who is on amphotericin B. On morning rounds the patient reports weakness, numbness, and a tingling sensation in his feet. What would be a priority action by the nurse?

1 points   

QUESTION 32

1.      A patient with AIDS has developed a number of secondary infections in recent weeks, including Kaposi's sarcoma. As a result of this most recent diagnosis, his care team has opted to begin treatment with interferon alfa-2a. The nurse is aware that this drug will address the etiology of Kaposi sarcoma by

1 points   

QUESTION 33

1.      A 72-year-old patient is prescribed ophthalmic ciprofloxacin for a bacterial infection in her right eye. The nurse will teach her to observe for which of the following adverse effects of the drug?

1 points   

QUESTION 34

1.      A patient is receiving long-term clindamycin therapy for a life-threatening infection. The nurse will begin by monitoring this drug therapy by obtaining

1 points   

QUESTION 35

1.      A patient is being treated for Mycoplasma pneumoniae pneumonia. She is allergic to penicillin and is being given azithromycin (Zithromax) in capsule form. The nurse will inform the patient that she will need to take the capsule

1 points