Questions 21

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ATI RN Test Bank

ATI Nurs 180 Pharmacology Quiz II Questions

Extract:


Question 1 of 5

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?

Correct Answer: B

Rationale: TB treatment typically requires 6 months of consistent medication use to eradicate the bacteria and prevent resistance. The Mantoux test is for diagnosis, not treatment monitoring. TB treatment is not lifelong, and prophylactic treatment for family is not standard unless exposure is confirmed.

Extract:

Physical examination
Vital signs
1400:
Client reports a recent episode of painful sores on the perineum, and muscle aches and chills for about 2 weeks. Client reports having unprotected sexual encounters. Client denies dysuria and reports mild vaginal itching.


Question 2 of 5

A nurse is providing an Inservice to newly graduated nurses. Which of the following vaccines would the nurse label as 'live vaccines' and should be avoided by immunocompromised clients?

Measles
Inactivated Polio
Mumps
Varicella
Rubella

Correct Answer: A,C,D,E

Rationale: Live-attenuated vaccines (measles, mumps, rubella, varicella) contain weakened viruses and are contraindicated in immunocompromised clients due to infection risk. Inactivated polio vaccine uses killed virus, making it safe for immunocompromised individuals.

Extract:


Question 3 of 5

A nurse is caring for a client who has active pulmonary tuberculosis (TB) and a new prescription for rifampin. The nurse should instruct the client that they should expect which of the following clinical manifestations while taking this medication?

Correct Answer: B

Rationale: Rifampin causes orange discoloration of body fluids (urine, tears, sweat), which is harmless but should be explained to avoid alarm. It does not stain teeth, cause constipation, or result in white-colored stools.

Question 4 of 5

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)?

Correct Answer: A,C,D,E

Rationale: Doxycycline is contraindicated in breastfeeding women as it can affect bone and teeth development in infants. It causes photosensitivity, increasing sunburn risk. Antacids (containing calcium, magnesium, or aluminum) interfere with its absorption. It can cause teeth discoloration, especially in children or during pregnancy. Hyperglycemia is not a known side effect.

Question 5 of 5

A client diagnosed with a urinary tract infection (UTI) is prescribed sulfamethoxazole/trimethoprim. Which of the following conditions below would be a contraindication for this medication?

Correct Answer: B

Rationale: Sulfamethoxazole/trimethoprim can increase potassium levels, and captopril, an ACE inhibitor, also raises potassium, increasing the risk of hyperkalemia. Uterine cancer, osteoporosis, and multiple sclerosis do not contraindicate its use.

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