front 1 The nurse is working with a patient who has been diagnosed with tapeworms. The nurse anticipates that the health care provider is most likely to place the patient on which medication? | back 1 Praziquantel |
front 2 Which instruction should be included in the education of a patient beginning therapy with metronidazole for diarrhea due to a clostridium infection? | back 2 Avoid alcohol and products containing alcohol. |
front 3 Which instruction should be included in the education of a patient beginning therapy with ivermectin for a helminth infection? | back 3 Take on an empty stomach. |
front 4 A patient who will be traveling to a malaria-infested country is receiving instructions on the prophylactic use of chloroquine. What instruction will the nurse give the patient? | back 4 Start the medication 2 weeks before the trip. |
front 5 The nurse is working with a patient who will be traveling to a country where the incidence of malaria is high. The nurse anticipates that the health care provider is most likely to place the patient on which medication? | back 5 Atovaquone/proguanil |
front 6 The nurse is caring for a patient taking a polymyxin. What should the nurse monitor to identify potential side effects of this medication? | back 6 Blood urea nitrogen and creatinine |
front 7 Which is the most appropriate nursing intervention for a patient who is taking mefloquine and hydroxychloroquine? | back 7 Assess the patient's hearing |
front 8 The nurse is aware that most patients receiving metronidazole are being treated for infections of the | back 8 Gastrointestinal system |
front 9 A patient calls the clinic in November to report a temperature of 103° F, headache, a nonproductive cough, and muscle aches. The patient reports feeling well earlier that day. The nurse will schedule the patient to see the provider and will expect the provider to order which medication? | back 9 Rimantadine HCl (Flumadine) |
front 10 A nurse whose last flu vaccine was 1 year prior is exposed to the influenza A virus. The occupational health nurse will administer which medication? | back 10 Amantadine HCl (Symmetrel) |
front 11 The nurse receives an order to administer a purine nucleoside antiviral medication. The nurse understands that this medication treats which type of virus? | back 11 Herpes virus |
front 12 The nurse is caring for an infant who has respiratory syncytial virus (RSV) and who will receive ribavirin. The nurse expects to administer this drug by which route? | back 12 Inhalation |
front 13 The nurse is teaching a patient who will receive acyclovir for a herpes virus infection. What information will the nurse include when teaching this patient? | back 13 Increase fluid intake while taking this medication. |
front 14 A patient is taking chloroquine (Aralen) to treat acute malaria. Which statement by the patient indicates understanding of this medication? | back 14 "I should report visual changes immediately." |
front 15 A child is diagnosed with pinworms. Which anthelmintic drug will the provider order for this child? | back 15 Mebendazole (Vermox) |
front 16 The nurse is working with a patient who has been diagnosed with tapeworms. The nurse anticipates that the health care provider is most likely to place the patient on which medication? | back 16 Praziquantel |
front 17 Which instruction should be included in the education of a patient beginning therapy with metronidazole for diarrhea due to a clostridium infection? | back 17 Avoid alcohol and products containing alcohol. |
front 18 Which instruction should be included in the education of a patient beginning therapy with ivermectin for a helminth infection? | back 18 Take on an empty stomach. |
front 19 A patient who will be traveling to a malaria-infested country is receiving instructions on the prophylactic use of chloroquine. What instruction will the nurse give the patient? | back 19 Start the medication 2 weeks before the trip. |
front 20 The nurse is working with a patient who will be traveling to a country where the incidence of malaria is high. The nurse anticipates that the health care provider is most likely to place the patient on which medication? | back 20 Atovaquone/proguanil |
front 21 The nurse is caring for a patient taking a polymyxin. What should the nurse monitor to identify potential side effects of this medication? | back 21 Blood urea nitrogen and creatinine |
front 22 Which is the most appropriate nursing intervention for a patient who is taking mefloquine and hydroxychloroquine? | back 22 Assess the patient's hearing |
front 23 Which information will the nurse include when teaching a patient about anthelmintic therapy? | back 23 Be aware that drowsiness may occur |
front 24 The nurse is aware that most patients receiving metronidazole are being treated for infections of the | back 24 Gastrointestinal system |
front 25 A patient calls the clinic in November to report a temperature of 103° F, headache, a nonproductive cough, and muscle aches. The patient reports feeling well earlier that day. The nurse will schedule the patient to see the provider and will expect the provider to order which medication? | back 25 Rimantadine HCl (Flumadine) |
front 26 A nurse whose last flu vaccine was 1 year prior is exposed to the influenza A virus. The occupational health nurse will administer which medication? | back 26 Amantadine HCl (Symmetrel) |
front 27 A patient is diagnosed with influenza and will begin taking a neuraminidase inhibitor. The nurse knows that this drug is effective when taken within how many hours of onset of flu symptoms? | back 27 48 hours |
front 28 The nurse receives an order to administer a purine nucleoside antiviral medication. The nurse understands that this medication treats which type of virus? | back 28 Herpes virus |
front 29 The nurse is caring for an infant who has respiratory syncytial virus (RSV) and who will receive ribavirin. The nurse expects to administer this drug by which route? | back 29 Inhalation |
front 30 The nurse receives the following order for a patient who is diagnosed with herpes zoster virus: PO acyclovir (Zovirax) 400 mg TID for 7 to 10 days. The nurse will contact the provider to clarify which part of the order? | back 30 Dose and frequency |
front 31 The nurse is teaching a patient who will receive acyclovir for a herpes virus infection. What information will the nurse include when teaching this patient? | back 31 Increase fluid intake while taking this medication. |
front 32 A patient who has travelled to an area with prevalent malaria has chills, fever, and diaphoresis. The nurse recognizes this as which phase of malarial infection? | back 32 Erythrocytic phase |
front 33 A patient is preparing to travel to a country with prevalent malaria. To prevent contracting the disease, the provider has ordered chloroquine HCl (Aralen). The nurse will instruct the patient to take this drug according to which schedule? | back 33 500 mg weekly beginning 2 weeks prior to travel and continuing for 6
to 8 weeks after travel |
front 34 A patient is taking chloroquine (Aralen) to treat acute malaria. Which statement by the patient indicates understanding of this medication? | back 34 "I should report visual changes immediately." |
front 35 A patient will take an anthelmintic medication and asks the nurse about side effects. The nurse will tell the patient that anthelmintic drugs | back 35 Commonly have GI side effects |
front 36 A child is being treated for pinworms, and the parent asks the nurse how to prevent spreading this to other family members. What will the nurse tell the parent? | back 36 "Your child should wash hands well after using the
toilet." |
front 37 A patient who is taking acyclovir (Zovirax) to treat an oral HSV-1 infection asks the nurse why oral care is so important. The nurse will tell the patient that meticulous oral care helps to | back 37 prevent gingival hyperplasia. |
front 38 A child is diagnosed with pinworms. Which anthelmintic drug will the provider order for this child? | back 38 Mebendazole (Vermox) |
front 39 The patient has been ordered treatment with rimantadine (Flumadine). The patient has renal impairment. The nurse anticipates what change to the dose of medication? | back 39 Decreased |
front 40 The nurse is teaching a patient who is receiving chloroquine (Aralen) for malaria prophylaxis. Which statement by the patient indicates a need for further teaching? | back 40 If I have gastrointestinal upset, I should take an antacid. |
front 41 Which diseases are caused by herpes viruses? (Select all that apply.) | back 41 Chicken pox |
front 42 The nurse is caring for a patient who is taking rifampin. The patient
has a heart rate of 90 beats/min, blood pressure of 100/89 mm Hg, and
red-orange urine. What is the nurse's best action? | back 42 A) document the findings and teach the patient |
front 43 A patient enters the emergency department with suspected influenza.
Prior to starting the patient on the prescribed oseltamivir phosphate,
what should the nurse determine? | back 43 D) length of time since onset of symptoms |
front 44 Before administration of intravenous amphotericin B, what will the
nurse do? | back 44 B) premedicate the patient with an antipyretic, antihistamine, and
antiemetic as prescribed |
front 45 The patient has been diagnosed with candidiasis. The nurse recognizes
that the patient is most likely to be ordered which drug? | back 45 C) miconazole nitrate |
front 46 A patient with Mycobacterium tuberculosis is prescribed ethambutol
for long-term use. Which statement by the patient indicates
understanding of the instructions? | back 46 C) "I will need to have my eyes checked regularly while I am
taking this drug) |
front 47 A patient is diagnosed with an oral candidal infection. Which
intervention is best? | back 47 C) teach the patient how to take nystatin |
front 48 Which statement indicates to the nurse that the patient understands
the medication instructions regarding ketoconazole for treatment of
candidiasis? | back 48 B) I need to take this drug with food to minimize gastrointestinal
distress |
front 49 The patient has been diagnosed with tinea pedis. The nurse recognizes
that the patient is most likely to be ordered which drug? | back 49 D) griseofulvin |
front 50 What will the nurse teach a patient who is taking isoniazid
(INH)? | back 50 C) pyridoxine (vitamin B6) will prevent numbness and tingling that
can occur when taking isoniazid |
front 51 The health care provider has ordered amphotericin B for the patient.
The nurse recognizes that which is the most effective way to
administer this medication to the patient? | back 51 D) intravenously over 2 to 6 hours |
front 52 What is the primary assessment the nurse should make for a patient
who is taking ganciclovir sodium? | back 52 C) complete blood count |
front 53 The nurse is caring for a patient who has been diagnosed with genital
herpes. Which medication is the drug of choice for this patient? | back 53 A) acyclovir |
front 54 A patient taking amantadine complains of depression and dizziness.
What intervention will the nurse perform first? | back 54 C) take the patient's blood pressure sitting and standing |
front 55 The patient is being treated with intravenous amphotericin B. What is
the nurse's primary intervention? | back 55 D) assess blood urea nitrogen and creatinine |
front 56 The health care provider has ordered ribavirin for the patient with
respiratory syncytial virus (RSV). The nurse recognizes that which
route is the most effective way to administer this medication to the
patient? | back 56 D) aerosol inhalation |
front 57 What will the nurse monitor to evaluate the effectiveness of
antiviral agents administered to treat human immunodeficiency virus
infection? | back 57 D) viral load |
front 58 The patient states that she has been prescribed prophylactic
medication for tuberculosis for a period of 4 weeks. What is the
nurse's best response? | back 58 C) "you should be on the drugs for at least 6 months" |
front 59 Which teaching for the patient who is taking fluconazole is a
priority for the nurse? | back 59 C) advise that hypoglycemia may occur with concurrent oral
sulfonylureas |
front 60 A patient has developed active tuberculosis and is prescribed
isoniazid and rifampin. Which information will the nurse include in
teaching the patient about taking this drug? (Select all that
apply) | back 60 A) isoniazid should be given 1 hour before or 2 hours after
meals |
front 61 A middle-aged adult is diagnosed with tuberculosis. Which is true of
treatment for this diagnosis? | back 61 B) usually two to three agents are needed |
front 62 When teaching a patient about isoniazid (INH) and rifampin drug
therapy, which statement will the nurse include? | back 62 D) "avoid exposure to direct sunlight" |
front 63 A patient is diagnosed with a Candida infection in the mouth. The
nurse anticipates that the patient will be treated with: | back 63 D) nystatin |
front 64 A patient is beginning isoniazid and rifampin treatment for
tuberculosis. The nurse gives the patient which instruction? | back 64 A) do not skip doses |
front 65 The nurse teaches a patient taking amphotericin B to report which
signs and symptoms to the health care provider? | back 65 C) decrease in urine |
front 66 A patient has been diagnosed with tuberculosis and is to begin
antitubercular therapy with isoniazid, rifampin, and ethambutol. What
should the nurse do? (Select all that apply) F) teach the patient to avoid direct sunlight and to use sunblock | back 66 A) encourage periodic eye examinations |
front 67 Zanamivir is ordered for a patient. What does the nurse know about
the use of this drug? | back 67 D) administration must be within 48 hours of onset of symptoms to be
effective |
front 68 Acyclovir has been ordered for a patient with genital herpes. Which
nursing interventions are appropriate for this patient? (Select all
that apply) | back 68 A) monitor the patient's blood urea nitrogen (BUN) and
creatinine |
front 69 A mother of two children was just diagnosed with hepatitis C virus.
Which of the following is incorrect about hepatitis C virus? | back 69 A) a vaccine is available |
front 70 Which statement indicates to the nurse that the patient understands
the medication instructions regarding ketoconazole for treatment of
candidiasis? | back 70 B) I need to take this drug with food to minimize gastrointestinal
distress |
front 71 The patient has been diagnosed with tinea pedis. The nurse recognizes
that the patient is most likely to be ordered which drug? | back 71 D) griseofulvin |
front 72 What will the nurse teach a patient who is taking isoniazid
(INH)? | back 72 C) pyridoxine (vitamin B6) will prevent numbness and tingling that
can occur when taking isoniazid |
front 73 The health care provider has ordered amphotericin B for the patient.
The nurse recognizes that which is the most effective way to
administer this medication to the patient? | back 73 D) intravenously over 2 to 6 hours |
front 74 What is the primary assessment the nurse should make for a patient
who is taking ganciclovir sodium? | back 74 C) complete blood count |
front 75 The nurse is caring for a patient who has been diagnosed with genital
herpes. Which medication is the drug of choice for this patient? | back 75 A) acyclovir |
front 76 A patient taking amantadine complains of depression and dizziness.
What intervention will the nurse perform first? | back 76 C) take the patient's blood pressure sitting and standing |
front 77 The patient is being treated with intravenous amphotericin B. What is
the nurse's primary intervention? | back 77 D) assess blood urea nitrogen and creatinine |
front 78 A patient with type 1 diabetes mellitus has been ordered insulin aspart (Novolog) 10 units at 7:00 AM. What nursing intervention will the nurse perform after administering this medication? | back 78 Make sure the patient eats breakfast immediately. |
front 79 The patient newly diagnosed with type 2 diabetes mellitus has been ordered insulin glargine (Lantus). What information is essential for the nurse to teach this patient? | back 79 "This medication has a duration of action of 24 hours." |
front 80 The nurse is teaching the patient how to administer insulin. What information is essential to include in the plan? | back 80 "For the most consistent absorption, inject the insulin into the abdomen." |
front 81 The nurse administers NPH insulin at 8 AM. What intervention is essential for the nurse to perform? | back 81 Make sure patient eats by 5 PM. |
front 82 Which statement indicates to the nurse that the patient needs additional teaching on oral hypoglycemic agents? | back 82 "I will take the medication only when I need it." |
front 83 What information will the nurse teach the patient who has been prescribed an alpha glucosidase inhibitor? | back 83 "This medication will delay the absorption of carbohydrates from the intestines." |
front 84 The patient with type 1 diabetes mellitus asks, "Why can't I take a sulfonylurea like my friend who has diabetes?" What is the nurse's best response? | back 84 "Sulfonylurea increases beta-cell stimulation to secrete insulin, and with your type of diabetes, the beta cells do not contain insulin. This medication will not work for you." |
front 85 The nurse is teaching a patient who has been prescribed repaglinide (Prandin). Which information will the nurse include in the teaching plan? | back 85 "You will need to be sure you eat as soon as you take this medication." |
front 86 Which technique is most appropriate regarding mixing insulin when the patient must administer 30 units regular insulin and 70 units NPH insulin in the morning? | back 86 Draw up the regular insulin into the syringe first, followed by the cloudy NPH insulin. |
front 87 The nurse would include which statement when teaching a patient about insulin glargine (Lantus)? | back 87 "You cannot mix this insulin with any other insulin in the same syringe." |
front 88 Which is the most appropriate action for the nurse who is told that a patient typically takes his glipizide (Glucotrol) with food? | back 88 Inform the patient that it is better to take the medication 30 minutes before a meal. |
front 89 What is the nurse's best action when finding a patient with type 1 diabetes mellitus unresponsive, cold, and clammy? | back 89 Administer glucagon. |