Pharmacology Nursing Education Quiz
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Questions and Answers

Why should patients be instructed not to crush or chew enteric coated aspirin?

  • To prevent esophageal irritation.
  • To reduce the risk of systemic toxicity.
  • To enhance the drug's absorption rate.
  • To maintain the protective coating and ensure the drug dissolves in the intestines. (correct)

    • Which of the following is a common adverse effect associated with zidovudine?

  • Thyroid dysfunction
  • Anemia (correct)
  • Hypertension
  • Hyperglycemia

    • What key teaching point should a nurse emphasize when educating a patient starting metronidazole therapy?

  • The medication may cause photosensitivity.
  • The medication should be taken on an empty stomach.
  • The medication may cause a metallic taste and dark urine. (correct)
  • The medication interacts with grapefruit juice.

    • A patient is prescribed rifampin. What key information should the nurse emphasize during patient education?

    <p>Adherence to the prescribed regimen and awareness of potential orange-red discoloration of bodily fluids. (D)</p> Signup and view all the answers

    When treating a patient with rifampin and pyrazinamide for tuberculosis (TB), which laboratory tests are most crucial to monitor regularly?

    <p>Liver function tests and uric acid levels (C)</p> Signup and view all the answers

    What is the primary nursing intervention to prevent Red Man Syndrome when administering IV vancomycin?

    <p>Infuse the drug slowly over at least 60 minutes. (D)</p> Signup and view all the answers

    Which of the following manifestations indicates a potential penicillin allergy?

    <p>Rash, hives, and itching (D)</p> Signup and view all the answers

    A patient is prescribed ciprofloxacin. Which potential side effect requires the nurse to educate the patient about avoiding excessive sunlight?

    <p>Photosensitivity (C)</p> Signup and view all the answers

    Which of the following conditions is a contraindication for amphotericin B?

    <p>Electrolyte imbalances (B)</p> Signup and view all the answers

    A patient with a known penicillin allergy should typically avoid which class of antibiotics due to the risk of cross-reactivity?

    <p>Cephalosporins (A)</p> Signup and view all the answers

    Which potential adverse effect is a common concern with erythromycin administration?

    <p>Gastrointestinal upset and QT prolongation (B)</p> Signup and view all the answers

    When should a nurse collect trough levels for gentamicin to ensure therapeutic dosing and minimize toxicity?

    <p>Just before the next dose. (B)</p> Signup and view all the answers

    A patient experiences an anaphylactic reaction to penicillin. After discontinuing the drug, what is the next priority nursing action?

    <p>Administer epinephrine (A)</p> Signup and view all the answers

    When a patient experiences an allergic reaction to oxacillin, what are the priority actions a nurse should take?

    <p>Discontinue the medication and provide appropriate treatment. (A)</p> Signup and view all the answers

    What laboratory value should be monitored in patients taking lactulose to assess effectiveness in treating hepatic encephalopathy?

    <p>Ammonia levels (B)</p> Signup and view all the answers

    Which of the following factors contributes to an increased risk of urinary tract infections (UTIs) in females?

    <p>Shorter urethra and proximity to the anus (D)</p> Signup and view all the answers

    Flashcards

    Enteric Coated Aspirin

    Aspirin designed to dissolve in the intestines to reduce stomach irritation.

    Rifampin Adherence

    Important to take rifampin on an empty stomach to prevent resistance.

    Adverse Effects of Rifampin

    Can cause hepatotoxicity, GI disturbances, and hypersensitivity reactions.

    Red Man Syndrome

    Flushing and rash due to rapid vancomycin infusion; prevent by infusing slowly.

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    Ciprofloxacin Side Effects

    Can cause tendonitis, photosensitivity, and GI upset; stay hydrated.

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    Gentamycin Monitoring

    Collect trough levels before the next dose and peak levels after infusion.

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    Gentamycin Toxicity Symptoms

    Signs include hearing loss, vertigo, and kidney dysfunction; report promptly.

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    Lactulose Monitoring

    Monitor ammonia levels to gauge effectiveness in hepatic encephalopathy treatment.

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    Adverse effects of Zidovudine

    Common effects include anemia, neutropenia, and gastrointestinal discomfort. Regular blood count monitoring is essential.

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    Nursing Education for Metronidazole

    Advise patients of possible metallic taste, dark urine, and alcohol reactions. Encourage therapy adherence.

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    Lab Tests for TB Treatment

    Monitor liver function and uric acid levels when using rifampin and pyrazinamide for TB.

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    Manifestations of Penicillin Allergy

    Symptoms can include rash, hives, itching, and potentially anaphylaxis. Seek immediate medical help for severe reactions.

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    Contraindications for Cephalosporins

    Avoid use in patients with known penicillin allergy due to cross-reactivity risk.

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    Adverse Effects of Erythromycin

    Common effects include gastrointestinal upset, QT prolongation, and risk of drug interactions.

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    Increased UTI Risk in Females

    Females have a higher UTI risk due to a shorter urethra and proximity to the anus.

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    Risk Factors for Osteoporosis

    Key factors include age, gender, family history, low calcium intake, and sedentary lifestyle.

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    Study Notes

    Understanding Enteric Coated Aspirin

    • Enteric coated aspirin dissolves in the intestines, not the stomach.
    • Patients should not crush or chew these tablets.

    Nursing Education for Rifampin

    • Educate patients to take rifampin on an empty stomach.
    • Advise patients that bodily fluids may turn orange-red.
    • Emphasize adherence to the prescribed regimen to prevent resistance.

    Adverse Effects of Rifampin

    • Common side effects include hepatotoxicity, gastrointestinal issues, and hypersensitivity reactions.
    • Monitor liver function tests regularly.

    Administering IV Vancomycin and Red Man Syndrome

    • Red Man Syndrome is a flushing and rash reaction from rapid vancomycin infusion.
    • Infuse the drug slowly over at least 60 minutes.

    Client Teaching about Ciprofloxacin

    • Advise patients about potential side effects like tendonitis, photosensitivity, and gastrointestinal upset.
    • Encourage hydration and limit sun exposure.

    Contraindications and Adverse Effects of Amphotericin B

    • Contraindications include renal impairment and electrolyte imbalances.
    • Adverse effects include nephrotoxicity and hypokalemia. Monitor kidney function and electrolytes.

    Peak and Trough Levels for Gentamycin

    • Collect trough levels just before the next dose.
    • Collect peak levels 30 minutes after an IV infusion.

    Priority Actions for Penicillin Anaphylactic Reaction

    • Stop the medication immediately.
    • Administer epinephrine.
    • Provide supportive care including oxygen and intravenous fluids.

    Preventing Gentamycin Toxicity

    • Regularly monitor renal function and auditory assessments.
    • Adjust doses based on kidney function.
    • Ensure proper hydration.

    Manifestations of Gentamycin Toxicity

    • Signs include hearing loss, vertigo, and kidney dysfunction.
    • Report all symptoms to healthcare providers immediately.

    Nursing Education for Gentamycin Topical Application

    • Apply a thin layer to the affected area.
    • Avoid contact with eyes and mucous membranes.

    Monitoring Lab Levels with Lactulose

    • Monitor ammonia levels in patients taking lactulose to assess effectiveness in treating hepatic encephalopathy.

    Evaluation and Storage of Nystatin

    • Store nystatin at room temperature away from moisture and light.
    • Evaluate effectiveness by assessing symptom resolution.

    Adverse Effects of Zidovudine

    • Common side effects include anemia, neutropenia, and gastrointestinal discomfort.
    • Monitor blood counts regularly.

    Nursing Education for Metronidazole

    • Warn patients of a possible metallic taste, dark urine, and disulfiram-like reaction with alcohol.
    • Encourage adherence to treatment.

    Laboratory Tests for TB Treatment

    • Regular liver function tests and uric acid levels are required when treating TB with rifampin and pyrazinamide.

    Manifestations of Penicillin Allergy

    • Symptoms include rash, hives, itching, and anaphylaxis.
    • Immediate medical attention is crucial for severe reactions.

    Contraindications for Cephalosporins

    • Avoid cephalosporins in patients with a known penicillin allergy due to cross-reactivity.

    Adverse Effects of Erythromycin

    • Common side effects include gastrointestinal upset, QT prolongation, and potential drug interactions.

    Resources for Medication Compatibility

    • Consult pharmacists, drug reference guides, and electronic health records for compatibility information.

    Allergic Reaction to Oxacillin

    • Possible reactions include rash, fever, and anaphylaxis.
    • Discontinue use and provide appropriate treatment.

    Contraindicated Medications for Penicillin Allergy

    • Cephalosporins and carbapenems are generally contraindicated due to potential cross-reactivity.

    Teaching about Amoxicillin-Clavulanate

    • Inform patients about potential allergic reactions like rash and anaphylaxis.
    • Advise patients to seek immediate help if symptoms occur.

    Increased UTI Risk in Females

    • Shorter urethra and proximity to the anus increase risk of bacterial entry into the urinary tract.

    Risk Factors for Pyelonephritis

    • Recurrent UTIs, anatomical abnormalities, and diabetes mellitus.
    • Prostate enlargement, neurological disorders, and certain medications can contribute to retention.

    Benefits of Passive Range of Motion

    • Maintains joint flexibility and muscle strength, preventing contractures.

    Risk Factors for Osteoporosis

    • Age, gender, family history, low calcium intake, and sedentary lifestyle.

    Adverse Effects of IV Medication Administration

    • Phlebitis (vein inflammation) and infiltration (fluid leakage).
    • Prompt intervention is required for both.

    Action After Medication Error

    • Report the error immediately.
    • Assess the patient for adverse effects.
    • Document the incident accurately.

    Adverse Effects of Colchicine

    • Gastrointestinal upset, myopathy, and bone marrow suppression.

    Medications for Gout Treatment

    • Medications include colchicine, allopurinol, and NSAIDs to manage symptoms and prevent attacks.

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    Related Documents

    Medication Review PDF

    Description

    Test your knowledge on essential nursing education related to medications like enteric coated aspirin, rifampin, vancomycin, and ciprofloxacin. This quiz covers proper administration, potential side effects, and important patient education to ensure safety and efficacy in pharmacological care. Ideal for nursing students and healthcare professionals.

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