Chapter 47 Nursing School Test Banks
1. |
When administering chloroquine (Aralen), the nurse would be most concerned about which of the following patients experiencing an exacerbation of their underlying disease? |
|
A) |
A 39-year-old man who smokes and drinks alcohol and has mild hepatic disease |
|
B) |
A 27-year-old woman who has psoriasis |
|
C) |
A 54-year-old woman with a blood dyscrasia |
|
D) |
A 21-year-old man with gastrointestinal distress |
2. |
A 43-year-old man is traveling to an area where malaria is endemic. The nurse will explain which of the following regimens of chloroquine prescribed by the physician? |
|
A) |
Take the medication for a total of 2 weeks after the trip. |
|
B) |
Take the medication for 2 weeks before the trip and for 4 to 6 weeks after the trip. |
|
C) |
Take the medication for 2 weeks before the trip and continue for 2 months if affected by malaria. |
|
D) |
Take the medication for 4 to 6 weeks before the trip and continue for 2 weeks after the trip. |
3. |
A patient is taking chloroquine and complains of the itching sensation that the drug causes. The nurse will instruct the patient to do which of the following to relieve this sensation? |
|
A) |
Drink liquids and eat light meals. |
|
B) |
Take an oatmeal bath. |
|
C) |
Take acetaminophen. |
|
D) |
Switch to another malaria medication. |
4. |
A nurse would question an order for permethrin in which of the following patients? |
|
A) |
A patient with gastrointestinal distress |
|
B) |
A patient with respiratory problems |
|
C) |
A patient who is hypersensitive to antibiotics |
|
D) |
A patient who is hypersensitive to household insecticides |
5. |
A nurse is taking care of a missionary who has spent a year in Asia. He is being treated with iodoquinol (Yodoxin) for intestinal amebiasis. Which of the following statements by the patient would the nurse attribute to being a possible adverse reaction to the medication? |
|
A) |
Im not sure where I am. |
|
B) |
Ive been having intense muscle pain. |
|
C) |
Im having periods of dizziness. |
|
D) |
Ive been seeing double for the past week. |
6. |
A 37-year-old man has been diagnosed with PCP and has been prescribed pentamidine isethionate (Pentam 300). In order to enhance the therapeutic effects of the drug, the nurse will: |
|
A) |
Administer the drug by itself. |
|
B) |
Administer it with saline solutions. |
|
C) |
Place the patient in an upright position for administration. |
|
D) |
Give the drug at bedtime to ensure faster absorption. |
7. |
Which of the following would be most important for the nurse to include in a teaching plan for a patient who takes pentamidine as prophylaxis? |
|
A) |
Instruct the patient to contact the prescriber only when serious adverse effects occur. |
|
B) |
Advise the patient to take the drug with frequent, light meals. |
|
C) |
Explain that if the patient has hemophilia, IM injections would be contraindicated. |
|
D) |
Explain that Pneumocystis carinii pneumonia (PCP) infection is possible despite pentamidine prophylaxis. |
8. |
A nurse is assigned to a female patient who is to receive an anthelmintic. Before mebendazole (Vermox) is started, the nurse will coordinate which of the following laboratory tests? |
|
A) |
Urinalysis |
|
B) |
Occult fecal test |
|
C) |
Complete blood count |
|
D) |
Blood glucose level |
9. |
A female patient with giardiasis is taking oral metronidazole. After 3 weeks of therapy, she comes to the clinic for a checkup. Which of the following would be the most important nursing action? |
|
A) |
Test three stool specimens. |
|
B) |
Tell the patient to stop taking the drug if her urine is discolored. |
|
C) |
Test for visual acuity. |
|
D) |
Monitor for thrombophlebitis. |
10. |
A female patient is taking permethrin for head lice. The nurse will instruct her to: |
|
A) |
Wash her hair daily with a good shampoo. |
|
B) |
Increase her daily intake of milk. |
|
C) |
Avoid drinking alcohol. |
|
D) |
Stop using creams, ointments, and oils. |
Answer Key
1. |
B |
2. |
B |
3. |
B |
4. |
D |
5. |
C |
6. |
A |
7. |
D |
8. |
C |
9. |
A |
10. |
D |
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