Lagniappe
When calculating the dose of a drug to be given to a child, Clark’s rule is used. What measure is Clark’s rule based upon?
Child weight
When giving a drug through a nasogastric (NG) tube, which will you do first?
Check placement
Which of the following is a sign or symptom of an allergic or anaphylactic response to an antiviral drug?
Swelling of the mouth or throat
Which term refers to an antibiotic with a high degree of activity against many different organisms, including gram-negative bacteria and gram-positive bacteria?
Broad Spectrum
A sulfonamide, Bactrim, is ordered for a patient with a urinary tract infection. What should you include in the teaching plan for the patient who is taking this drug?
drink large volume of water
A patient newly diagnosed with tuberculosis (TB) asks how this infection is transmitted. What is your best response?
Droplets from coughing and sneezing
Which is done after giving drug through a nasogastric tube that is connected to suction?
Clamp for 30 minutes
A 2-year-old patient with respiratory syncytial virus is prescribed aerosolized ribavirin (Virazole). Which visitor should you ensure is not in the patient’s room during the aerosol treatments?
32-year-old pregnant mother
Which of the following methods is the correct procedure for giving IM penicillin?
Z track
Which class of antifungal drugs works by altering the cell wall of the fungus, by depleting a lipid-like substance (ergosterol)?
Azoles
In which situation should drugs for malaria be given?
Prophylactically when people travel to areas in which malaria is common
Which principle of drug administration will you include in the teaching plan of a patient who will be administering his own subcutaneous injections?
Rotate sites- Upper arm, abdomen, anterior thigh
A patient presents to the clinic with flu symptoms that began 3 days ago. The patient is wondering why the flu cannot be treated with an antiviral. What is your best response?
Antiviral drugs work best when given within 48 hours of the start of symptoms.
You are teaching a patient about possible side effects when taking penicillin, a broad-spectrum antibiotic. What is the most common side effect you would stress in teaching the patient about this drug?
Loose stools
A patient with candida infection in the mouth has been prescribed nystatin suspension. Which instruction should be included in the teaching plan for this patient?
Keep the suspension in your mouth several minutes before swallowing
You are caring for an elderly patient who is newly admitted with a suspected urinary tract infection requiring antimicrobial therapy. Which of the following tests would you expect the healthcare provider to order before initiating treatment?
Culture and sensitivity
Metered-dose inhalers are used to deliver specific amounts of drug. The nurse gives the patient which instructions?
Sit upright, exhale, then activate the inhaler as the next inhalation begins, inhale deeply
You are caring for a hospitalized patient receiving gentamycin IV, an aminoglycoside, for the treatment of Pseudomonas pneumonia. Which laboratory values would be important to monitor to avoid adverse effects from drugs of this classification?
kidney- BUN and Creatinine
You are caring for an elderly patient in a long-term care facility who has been prescribed a cephalosporin. Which adverse effect should you monitor the patient for while taking this drug?
Nephrotoxicity
For the infection of Malaria, which is spread through the infected mosquito bite, the following drug may be a recommended treatment?
Primaquine, Chloroquine, Hydroxychloroquine
You are caring for a patient with an upper respiratory infection from group A beta-hemolytic streptococci. The patient asks you what antimicrobial drug is effective for this infection. What is your best response?
Penicillin
You are counseling a patient who is to begin a course of tetracycline for the treatment of Lyme disease. What instructions would be important to provide to this patient?
Protect from sun exposure
The only drug approved for RSV treatment is __________. ribavirin (Virazole).
Ribavirin (Virazole)
Which cell wall synthesis inhibitor drug is given in an oral form to treat Clostridium difficile?
Vancomycin
A patient is being treated for pinworms with anthelmintics. In addition to taking the drug, what else should be included in the patient’s teaching plan?
You may have vomiting and abdominal pain while taking this drug