Extract:

Question 1 of 5

A nurse is caring for the patient post colonoscopy. The nurse reviews the medication administration record and notes a one time dose of cefazolin was given prior to the procedure. The healthcare provider then places a new order for ampicillin/sulbactam. The nurse understands that the antibiotic given prior to surgery is considered CurativeTherapeuticProphylacticDiagnosticAdjunctiveMaintenance therapy. Meanwhile the new antibiotic is used as TherapeuticProphylacticDiagnosticAdjunctiveEmpiricMaintenance therapy.

A. CurativeB. TherapeuticC. ProphylacticD. DiagnosticE. AdjunctiveF. MaintenanceG. Empiric

Correct Answer: C,G

Rationale: Cefazolin was prophylactic to prevent surgical infection; ampicillin/sulbactam is empiric, targeting likely pathogens pending culture results.

Question 2 of 5

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

Correct Answer: A

Rationale: Fluconazole can cause liver toxicity, elevating liver enzymes, requiring monitoring. It does not typically affect creatinine clearance, secretions, or cause Red Man syndrome.

Question 3 of 5

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 distressB. This medication should be taken with a straw to avoid discoloration of the teethC. This medication is to be taken with milk to enhance absorptionD. This medication is to be taken at night to prevent constipation from occurring

Correct Answer: B

Rationale: Ferrous sulfate in liquid form can stain teeth, so using a straw is recommended. Antacids and milk reduce absorption, and timing does not prevent constipation.

Question 4 of 5

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 ruptureB. This medication can cause thrombocytopeniaC. This medication can cause thromboembolic eventsD. This medication can cause endometrial cancers

Correct Answer: A

Rationale: Ciprofloxacin carries a black box warning for tendon rupture, particularly in high-risk groups, unlike thrombocytopenia, thromboembolism, or endometrial cancer.

Question 5 of 5

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.)

A. NauseaB. BleedingC. Urinary FrequencyD. Bone marrow suppressionE. Extrapyramidal symptomsF. Alopecia

Correct Answer: A,B,D,F

Rationale: Chemotherapy commonly causes nausea, bleeding (thrombocytopenia), bone marrow suppression, and alopecia due to targeting rapidly dividing cells, unlike urinary frequency or extrapyramidal symptoms.