DRUGS TO CONTROL INFECTION POST TEST

Question 1

All of the following are true about salicylates, except:

A. It can be purchased without prescription.
B. Taking salicylates can significantly improve nonspecific signs and symptoms and help pinpoint the exact diagnosis.
C. Salicylates block the release of chemicals released by active white blood cells that cause increase in temperature.
D. Aspirin inhibits synthesis of thromboxane A2 to reduce platelet aggregation.

Answer 1

B. Taking salicylates can significantly improve nonspecific signs and symptoms and help pinpoint the exact diagnosis.

Question 2

In a medical mission, student nurse Patricia was asked which salicylates are safe for children. After careful assessment of the patient, she would be right to name which drug(s) as safe to recommend for children?

A. aspirin
B. mesalamine
C. choline magnesium trisalicylate
D. A and C only

Answer 2

D. A and C only

Question 3

Which of the following patient statements will alert the nurse of possible contraindication to aspirin?

A. “I have a bad case of asthma. My last attack was four weeks ago.”
B. “My doctor advised me to lessen my consumption of red meat but I can’t seem to follow that.”
C. “As a child, I never get to enjoy fruit loops and colored chips because I develop rashes when I eat them.”
D. “I had a piece of my intestines last year.”

Answer 3

C. “As a child, I never get to enjoy fruit loops and colored chips because I develop rashes when I eat them.”

Question 4

Which enzyme is found in active sites of trauma or injury?

A. Streptokinase
B. COX-1
C. alpha-ketoglutarate
D. COX-2

Answer 4

D. COX-2

Question 5

A 60 year old male patient on fourth day of his antibiotic therapy complains of dizziness and nausea. Which is the most appropriate nursing action?

A. Institute safety precaution and raise side rails.
B. Collaborate with the doctor about antibiotic therapy’s dosage and duration.
C. Provide comfort measures.
D. Instruct client to inform you if symptoms get worse.

Answer 5

B. Collaborate with the doctor about antibiotic therapy’s dosage and duration.

Question 6

When an anti-infective agent is said to be no longer effective for a patient, the patient has developed:

A. Immunity
B. Tolerance
C. Non-responsiveness
D. Resistance

Answer 6

D. Resistance

Question 7

The following are second-generation cephalosporins, except:

A. Cefuroxime
B. Cefoxitin
C. Ciprofloxacin
D. Cefaclor

Answer 7

C. Ciprofloxacin

Question 8

A 24 y/o woman was admitted for Shigellosis and is currently receiving tetracycline. Upon history taking, she admitted to be taking OCPs and is having multiple sexual partners. What should be included in the nurse’s health teaching?

A. Patient should use condoms.
B. Patient should stop taking OCPs and abstain from any sexual activity for at least a
C. Patient should increase the dose of her OCPs to maximize its effectivity.
D. Patient should see a psychiatrist.

Answer 8

A. Patient should use condoms.

Question 9

Which group of antibiotics is not recommended for growing children because they are associated with damage to developing cartilage?

A. Macrolides
B. Sulfonamides
C. Tetracyclines
D. Fluoroquinolones

Answer 9

D. Fluoroquinolones

Question 10

Which of the following antiviral agents is effective as treatment for H1N1?

A. zidovudine
B. acyclovir
C. oseltamivir
D. Selzentry

Answer 10

C. oseltamivir

Question 11

A student nurse administering acyclovir was asked by the clinical instructor on how the drug works. The student nurse would be correct by stating that this drug works in which way?

A. unknown; but it is believed to be shedding the protein coat of the virus.
B. it competes with viral receptors found in the host cells
C. it takes away the necessary substances needed by viruses to form DNA chains
D. trapping the viruses and disintegrating them directly

Answer 11

C. it takes away the necessary substances needed by viruses to form DNA chains

Question 12

A senior nurse would be correct to advise her colleague to monitor which parameter in patients receiving cyclosporine and zidovudine at the same time?

A. skin lesion, temperature, and color
B. flu-like symptoms
C. level of consciousness
D. CBC with differential count

Answer 12

C. level of consciousness

Question 13

Which of these antifungals can be used in pregnant women?

A. Fluconazole
B. Nystatin
C. Ketoconazole
D. Amphotericin B

Answer 13

D. Amphotericin B

Question 14

Which drug is indicated for threadworm infections?

A. albendazole
B. ivermectin
C. pyrantel
D. mebendazole

Answer 14

B. ivermectin

Question 15

The order for a child reads: “Give cefoxitin (Mefoxin) 160 mg/kg/day, IVPB, divided into doses given every 6 hours.” The child weighs 55 lb. How much will the patient receive each day? For each dose?

6000mg/day; 1,000mg/dose
4000mg/day;1000mg/dose
40.00mg/day;10.00mg/dose
8000mg/day;2,000mg/dose

Answer 15

4000mg/day;1000mg/dose

Question 16

The nurse is reviewing the orders for wound care, which
include use of an antiseptic. Which statements best describe the use of antiseptics? (Select all that apply.)

a Antiseptics are appropriate for use on living tissue.
b Antiseptics work by sterilizing the surface of the wound.
c Antiseptics are applied to nonliving objects to kill microorganisms.
d The patient’s allergies must be assessed before using the antiseptic.
e Antiseptics are used to inhibit the growth of microorganisms on the wound surface.

Answer 16

a Antiseptics are appropriate for use on living tissue.
d The patient’s allergies must be assessed before using the antiseptic.
e Antiseptics are used to inhibit the growth of microorganisms on the wound surface.

Question 17

The order reads: “Give vancomycin, 1250 mg in 250 mL NS, IVPB, every 12 hours. Infuse over 90 minutes.” The nurse will set the infusion pump to what setting for mL/hour?
176 ml/hr
167 ml/hr
157 ml/hl
147 ml/hl

Answer 17

167 ml/hr