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    Exam Review

    1. A nurse is caring for a client recently prescribed doxycycline (Doryx) for the treatment of a urinary tract infection. Which of the following statements below applies to doxycycline (Doryx)? (Select All that Apply.)(SATA)
      A)This medication may cause discoloration of the teeth
      B)This medication should not be taken if you are lactating
      C)This medication should not be taken with antacids
      D)This medication can cause hyperglycemia
      E)This medication should not be administered to anyone under the age of 20 years old.
      F)This medication may cause photosensitivity
    2. A client exposed to anthrax has presented to the healthcare setting. Which of the following medications below is the treatment for this biological exposure?
      A)nystatin (Mycostatin)
      B)ciprofloxacin (Cipro)
      C)metronidazole (Flagyl)
      D)amoxicillin/clavulanate (Augmentin)
    3. A client recently diagnosed with Iron deficiency Anemia is prescribed Ferrous Sulfate daily. Which of the following statements below is true regarding iron therapy?
      A)This medication should be taken with antacids to prevent gastrointestinal distress
      B)This medication should be taken with a straw to avoid discoloration of the teeth
      C)This medication is to be taken with milk to enhance absorption
      D)This medication is to be taken at night to prevent constipation from occurring
    4. A client presents to the clinic with intense itching at night and diagnosed with Pinworms. The nurse anticipates the client would be placed on which medication to treat this condition?
      A)zudovudine (Retrovir)
      B)Oketoconazole (Nizoral)
      C)metronidazole (Flagyl)
      D)mebendazole (Vermox)
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    Exam Review

    1. A client with a organ transplant has been placed on methotrexate (Rheumatrex). Which of the following mechanism of actions below describes this medication?
      A)Inhibits helper T Cells
      B)Inhibits replication by blocking folic acid synthesis
      C)Prevents DNA and RNA synthesis
      D)Estrogen blocker
    2. The nurse is caring for a client with a fungal infection and prescribed fluconazole (Diflucan). Which of the following side effects should the nurse caution the client regarding?
      A)Increase in the client's liver panel.
      B)Increase in the client's creatinine clearance.
      C)Change of color to the clients' secretions.
      D)Red Man syndrome
    3. The charge nurse is performing an Inservice regarding the adverse effects of antibiotic therapy. Which of the following antibiotics should the nurse include regarding the potential to cause QT prolongation? (Select All that Apply.)
      A)Fluoroquinolones
      B)Macrolides
      C)Cephalosporins
      D)Penicillin's
      E)Tetracyclines
      F)Beta-Lactam's
    4. A nurse is caring for a client who has active pulmonary tuberculosis (TB) and a new prescription for rifampin (Rifadin). The nurse should instruct the client that they should expect which of the following clinical manifestations while taking this medication?
      A)Black-colored stools
      B)Orange-colored secretions
      C)Staining of teeth
      D)Constipation
      E)Tetracyclines
    Page 2 of 5

    Exam Review

    1. A nurse is instructing a client who is newly diagnosed with pulmonary tuberculosis (TB) about the use of antitubercular medications. Which of the following information should the nurse include in the teaching?
      A)Medications will need to be taken for the rest of the client's life, even if the client feels better.
      B)The client's family will also need to take medications to prevent infection.
      C)A typical course of treatment involves 6 to 12 months of consistent medication use.
      D)Medications will need to be taken until the Mantoux test is negative.
    2. A client diagnosed with a urinary tract infection (UTI) is prescribed sulfamethoxazole/trimethoprim (Bactrim). Which of the following conditions below would be a contraindication for this medication?
      A)Multiple Sclerosis
      B)Chronic kidney disease (CKD)
      C)megeloblastic anemia
      D)Helicobacter Pylori
    3. A nurse is caring for a client who recently traveled to a malaria-stricken country. The client is diagnosed with malaria and is prescribed chloroquine (Aralen). Which of the following adverse effects should the nurse educate the client regarding this medication?
      A)Retinal toxicity
      B)Nephrotoxicity
      C)Hepatoxicity
      D)Pancytopenia
    4. The nurse is caring for a client who has been diagnosed with frequent infections with Strep throat. Which of the following principles contributes to further bacterial resistance to antibiotics? (Select All that Apply.)(SATA)
      A)Receiving excessive sunlight while on antibiotics
      B)Discontinuing antibiotics once symptoms subside
      C)Performing frequent handwashing while taking antibiotics
      D)Skipping dosages
      E)Treating viral infections with antibiotics
      F)Frequent use of antibiotics
    Page 3 of 5

    Exam Review

    1. The nurse is administering an estrogen blocker to a client diagnosed with advanced breast cancer. Which of the following side effects will the nurse caution the client regarding?
      A)Tendon Rupture
      B)Increase risk of lymphomas
      C)Thromboembolic events
      D)Photosensitivity
    2. The nurse is caring for a client receiving ciprofloxacin (Cipro) for treatment of a urinary tract infection (UTI). The nurse will include which black box warning (BBW) in the discharge education?
      A)This drug has a black box warning for causing tendon rupture
      B)This medication can cause thrombocytopenia
      C)This medication can cause thromboembolic events
      D)This medication can cause endometrial cancers
    3. A client diagnosed with trichomoniasis is prescribed metronidazole (Flagyl). The nurse should instruct the client to avoid which contraindication associated with this medication?
      A)Grapefruit Juice
      B)Alcohol
      C)Tyramine based foods
      D)Dairy
    4. A client who is newly diagnosed with metastatic breast cancer is being prepared for chemotherapy. Which of the following adverse effects below should the nurse educate the client regarding chemotherapy? (Select All that Apply.)(SATA)
      A)Nausea
      B)Bleeding
      C)Urinary Frequency
      D)Bone marrow suppression
      E)Extrapyramidal symptoms
      F)Alopecia
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    Exam Review

    1. The nurse is caring for an immunosuppressed pediatric client who reports soreness in his mouth and refuses to eat. Inspection of his mouth reveals a white, milky plaque that do not come off with rubbing. The nurse should anticipate which drug to be administered to this client?
      A)amoxicillin (Amoxil)
      B)acyclovir (Zovirax)
      C)metronidazole (Flagyl)
      D)nystatin (Mycostatin)
    2. A nurse is teaching a client who is beginning highly active antiretroviral therapy (HAART) for HIV which includes zidovudine (Retrovir). The nurse should include teaching regarding which black box warning associated with this medication?
      A)tendonitis rupture
      B)lactic acidosis
      C)nephrotoxicity
      D)thromboembolic events
    3. A client diagnosed with strep throat requires antibiotics for treatment. With an allergy to penicillin, the nurse understands which medication should be avoided due to cross-sensitivity with penicillin medications?
      A)Macrolides
      B)Cephalosporins
      C)Tetracyclines
      D)Sulfonamides
    4. A nurse is caring for a client who has chronic renal disease and is receiving therapy with epoetin alfa (Epogen). Which of the following laboratory results would the nurse assess for to determine therapeutic effectiveness?
      A)ALT & AST
      B)leukocyte count
      C)hemoglobin & hematocrit
      D)Clotting Factors
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