Final Exam Practice Questions Flashcards
Before administering Naltrexone, the nurse should check the patient’s chart and ensure that:
A. The patient is pregnant
B. The patient has taken naloxone for 7-10 days
C. The patient has diabetes
D. The patient has cardiovascular disease
B
Before naltrexone, patients should have undergone a naloxone challenge to make sure that they are opioid free.
The nurse is preparing to administer a Naloxone challenge to a patient with opioid overdose. During administration, she should do the following: SATA
A. Maintain an open airway B. Monitor ECG C. Provide artificial ventilation D. Feel comfortable leaving the patient for several hours at a time E. Continuously monitor the patient
A, B, C, E
The nurse is preparing discharge paperwork for his patient on naltrexone therapy. He will anticipate teaching his patient what about therapy?
A. You can take hydrocodone for pain.
B. Wear or carry a Medic Alert bracelet
C. You will need to be continuously monitored
D. It’s perfectly normal for your heart to start racing, so you don’t need to call your doctor about that.
B, C
A - Hydrocodone is a narcotic agonist, so we should never tell our patients to take this with naltrexone.
D - While tachycardia is a usual ADE, it is also a dangerous one, so the patient should definitely call the doctor
Narcotic Agonists-Antagonists Memory Trick “BaBies aNd Pain”
Buprenophine
Butorphanol
Nalbuphine
Pentazocine
So for treating Moderate to Severe Pain and Labor Pain
The nurse is preparing to administer nalbuphine. She will hold the drug for what on the patient’s chart? SATA
A. Sulfite Allergy B. Physical dependence on a narcotic C. COPD D. Acute MI E. Renal/Hepatic Dysfxn F. Pain Level 7/10 G. PG and Lactation
A, B, C, D, E, G
During the administration of a narcotic agonist-antagonist, the nurse should make sure to perform the following interventions: SATA
A. Monitor injection sites for irritation and extravasation
B. Make sure to administer the patient’s normal barbiturate during therapy
C. Monitor timing of the dose so the patient doesn’t get behind the pain
D. Avoid injecting the drugs into any body area that is chilled or has poor perfusion
A, B, D
The nurse is checking the client’s chart before administering oxycodone. She will call the doctor if she finds which of the following? SATA
A. HTN B. Allergy C. Diarrhea d/t ingested poison D. Patient recovering from ORIF E. Patient recovering from intestinal surgery F. Hx of sleep apnea G. Hx of CVA H. Current breastfeeding I. Liver/Renal Dysfxn J. DM II
B, C, E, F, G, H, I
Oxycodone is a narcotic agonist.
No-Gos are allergy and diarrhea d/t poisoning
Cautions include: respiratory depression, PG, labor, lactation, GI or GU surgery, Acute abdomen or ulcerative colitis, head injuries, alcoholism, CVA, renal/hepatic dysfxn
What memory trick do we use to remember the ADEs of narcotic agOnists?
lOw and slOw for narcOtic agOnists
Meaning low respiratory, low hr, low BP, slow bowels leading to constipation, and low cns (dizziness)
The nurse is caring for a patient that has received morphine. She assesses VS and discovers that her patient’s HR is 48 bpm and his RR is 10 bpm. She knows that her patient is experiencing:
A. The blocking effects of metoprolol
B. The Respiratory and Cardiac depressive effects of narcotic agonists.
C. The effects of narcotic antagonists
B
Before administering any antibiotic, the nurse will assess and check for the following: SATA
A. Allergy
B. Perform any culture and sensitivity tests
C. Mood and Orientation
D. WBC and Renal fxn
A, B, D
The client states, “Ever since the doctor started me on that antibiotic, my mouth has just gotten more dry. It’s even hard to swallow sometimes”. The correct from the nurse is…
A. “That is a normal effect of antibiotic use and eventually your body will get used it”
B. “I’ll call the doctor and ask him to come talk to you”
C. “We need to stop this drug immediately”
D. “That is a normal effect of the drug, but there are ways to help you. Make sure to brush your teeth regularly, you can suck on ice chips, and sugarless candy will also help”
D
During the administration of an antibiotic, the nurse should do the following: SATA
A. Check culture and sensitivity reports
B. Ensure the pt receives the full course of the drug
C. Monitor the infection site and presenting s/sx
D. Monitor for any ADEs
E. Provide frequent, small meals for GI upset
A, B, C, D, E
Which of the antibiotic classes are bactericidal? SATA
A. Aminoglycosides B. Carbapenems C. Cephalosporins D. Fluoroquinolones E. Penicillins and Penicillinase-resistant F. Sulfonamides G. Tetracyclines
A, B, C, E
Which of the antibiotic classes are bacteriostatic? SATA
A. Aminoglycosides B. Carbapenems C. Cephalosporins D. Fluoroquinolones E. Penicillins and Penicillinase-resistant F. Sulfonamides G. Tetracyclines
C, D, F, G
Which antibiotic class is the one safest for use with children?
A. Aminoglycosides B. Carbapenems C. Cephalosporins D. Fluoroquinolones E. Penicillins and Penicillinase-resistant F. Sulfonamides G. Tetracyclines
E
The patient has a serious infection and has been started on Streptomycin therapy. The nurse will monitor for which adverse effects of the drug?
A. HA B. Ototoxicity C. super infection D. Nephrotoxicity E. Bone Marrow Suppression
B, D, E
Streptomycin is an aminoglycoside. These are the ADEs.
Which antibiotic class has a nursing intervention of ensuring adequate fluid intake to prevent nephrotoxicity?
A. Aminoglycosides B. Carbapenems C. Cephalosporins D. Fluoroquinolones E. Penicillins and Penicillinase-resistant F. Sulfonamides G. Tetracyclines
A
What is the suffix for Carbapenems?
“-PENEM”
The nurse has an order for doripenem. She will hold admin and call the doctor for what in the patient’s chart? SATA
A. myasthenia gravis B. seizure disorder C. parkinsonism D. inflammatory bowel disorders E. Pregnancy
B, D, E
Doripenem is a carbapenem. The No Gos include seizure or inflammatory bowel disorders
The patient has a serious infection and has been given ertapenem. The nurse knows to watch for which serious adverse effects of the drug?
A. HA
B. Insomnia
C. Pseudomembranous colitis
D. C-Diff
C, D
ertapenem is a carbapenem.
What are the suffixes for Cephalosporins?
“CEF-“
“CEPH-“
The doctor has ordered cephalexin for a patient with an infection. Before administration the nurse will look for which other drugs that the patient is taking that would hold the admin of cephalexin? SATA
A. Gentamicin B. Warfarin C. Drank alcohol yesterday D. antacids E. Quinidine
A, B, C
A - Aminoglycosides taken with cephalosporins increase the risk of nephrotoxicity
B - Oral Anticoagulants taken with cephalosporins increase the risk of bleeding
C - MUST wait 72 hours before drinking alcohol after taking this drug
What is the suffix for Fluoroquinolones?
“-FLOXACIN”
Which of the antibiotics has a black box warning for risk of tendinitis and tendon rupture?
A. Aminoglycosides B. Carbapenems C. Cephalosporins D. Fluoroquinolones E. Penicillins and Penicillinase-resistant F. Sulfonamides G. Tetracyclines
D
The nurse is preparing discharge paperwork for a patient taking ciprofloxacin. She will teach the patient to call the doctor before he takes which of the following drugs? SATA
A. Tetracycline B. Antacids C. Warfarin D. Quinidine E. Theophylline F. Any NSAIDs
B, D, E, F
Ciprofloxacin is a fluoroquinolone.
B - Antacids decrease the effects of ciprofloxacin
D - Quinidine decreases the QT interval
E, F - increase hallucinations
Which of the antibiotics is broad spectrum?
A. Aminoglycosides B. Carbapenems C. Cephalosporins D. Fluoroquinolones E. Penicillins and Penicillinase-resistant F. Sulfonamides G. Tetracyclines
E
What is the suffix for Penicillins and penicillinase-resistant antibiotics?
“-ICILLIN”
The patient is allergic to penicillin. Which other antibiotic should we avoid administering to the patient because of this allergy?
A. Aminoglycosides B. Carbapenems C. Cephalosporins D. Fluoroquinolones E. Penicillins and Penicillinase-resistant F. Sulfonamides G. Tetracyclines
C
Cephalosporins and Penicillins are similar in structure so if a patient is allergic to one, they will have a hypersensitivity reaction to the other
The nurse is providing education to the parent of a child with an ear infection. The doctor has ordered amoxicillin. What care instruction should the nurse give to the mother?
A. Keep the drug in a room temperature, dry area away from children
B. Refrigerate the liquid form of this drug and follow the directions for shaking before your administer
C. It is ok to warm up the medicine for your child so they like to take it
D. You can use a regular spoon to measure out the dosage amount
B
Penicillins should be refrigerated if needed, and the liquid form of amoxicillin needs to be refrigerated
What is the suffix for sulfonamides?
“-SULFA”
Which of the antibiotics is for treating G+ and G- infections?
A. Aminoglycosides B. Carbapenems C. Cephalosporins D. Fluoroquinolones E. Penicillins and Penicillinase-resistant F. Sulfonamides G. Tetracyclines
F
Before administering sulfadiazine, the nurse knows to check for what absolute contraindications of the drug? SATA
A. Allergy to sulfas
B. Renal Dysfxn
C. Allergy to thiazides
D. PG
A, C, D
Sulfonamides are teratogenic
The nurse is preparing discharge education for a patient taking sulfasalazine. She will teach the patient what about the PO form of the drug?
A. Take on an empty stomach 1 hr or 2 hrs after meals with a full glass of water
B. Take every morning with breakfast
C. Take before bed on an empty stomach
D. Make sure you chew the capsule and dissolve it in water
A
What is the suffix for Tetracyclines?
“-CYCLINE”
Which of the antibiotics is a substitute for penicillin when it can’t be given?
A. Aminoglycosides B. Carbapenems C. Cephalosporins D. Fluoroquinolones E. Penicillins and Penicillinase-resistant F. Sulfonamides G. Tetracyclines
G
The nurse is caring for an elementary age child with an ear infection. Although he has a confirmed allergy to penicillin, the nurse knows he should not receive what drug and why?
A. Amphotericin B b/c it causes renal toxicity
B. Tetracycline b/c it causes damage to teeth and bones
C. Hydromorphone b/c it causes constipation
D. Ciprofloxacin b/c it causes liver failure
B
A - This is an antifungal, not an antibiotic
C - This is an opioid, not an antibiotic
D - This is a fluoroquinolone, which is an antibiotic, but children should NEVER be given this drug no matter what
The nurse is preparing to administer tetracycline to her patient. She will teach the patient about the drug, but especially these important things: SATA
A. Take the drug on an empty stomach
B. Report yellowing of the skin, difficulty urinating, and discoloring of your teeth to your doctor
C. Refrigerate this medication
D. Wear sunscreen and cover up in the sun
A, B, D
B - The drug has the potential to cause renal/hepatic dysfxn and teeth and bone damage, so the patient should report these changes to the doctor immediately
What is the memory trick for Anti-TB Antimycobacterials?
"RIPES" Rifampin Isoniazid Pyrazinamide Ethambutol Streptomycin
What is the leprostatic drug?
Dapsone