Holland/Adams/Brice, Core Concepts in Pharmacology 5th Edition Test Bank
Chapter 28

Question 1

Type: MCSA

The nurse is admitting a client to the acute care unit with Trichomonas vaginalis. What medication does the nurse anticipate will be prescribed for this client?

1. Zidovudine (AZT)
2. Nystatin (Mycostatin)
3. Ketoconazole (Nizoral)
4. Metronidazole (Flagyl)

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 461

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 28-7 Identify drugs used to treat protozoan and helminthic infections.

Question 2

Type: MCSA

A client is admitted with a systemic fungal infection. How does the nurse anticipate this infection will affect the client?

1. It affects the skin.
2. It affects the oral mucosa.
3. It affects internal organs.
4. It affects the scalp.

Cognitive Level: Understanding

Client Need: Physiological Integrity

Page Number: 447

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 28-1 Describe how fungal infections are classified.

Question 3

Type: MCSA

The nurse is providing care for a group of clients on a medical-surgical unit. Which client does the nurse anticipate as being at greatest risk for a serious fungal infection?

1. 35-year-old client with a urinary tract infection
2. 76-year-old client with hypertension
3. 12-year-old client with a renal transplant
4. 18-year-old client with asthma

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 448

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 28-1 Describe how fungal infections are classified.

Question 4

Type: MCSA

The nurse is caring for a client who has been diagnosed with mycoses. The client states that the healthcare provider referred to the illness by a different name. What term does the nurse anticipate that the healthcare provider used?

1. Parasitic infection
2. Fungal infection
3. Superficial infection
4. Influenza infection

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 447

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 28-1 Describe how fungal infections are classified.

Question 5

Type: MCSA

The nurse is preparing to teach a client how to prevent influenza. What is the best approach for individuals to take to prevent influenza?

1. Annual vaccination
2. Take vitamin C daily.
3. Weekly lab testing
4. Annual physical examination

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 459

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 28-6 Identify antiviral drugs used in the pharmacotherapy of herpes simplex, influenza, and viral hepatitis.

Question 6

Type: MCMA

The nurse is preparing to discharge a client on an antiretroviral agent. The client’s spouse asks the nurse how she can best practice infection-control techniques. What techniques should the nurse discuss with the client’s spouse? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

1. Take the client’s temperature daily.
2. Avoid the affected area.
3. Take your temperature daily.
4. Practice good handwashing.
5. Weekly laboratory blood draws.

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 456

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 28-6 Identify antiviral drugs used in the pharmacotherapy of herpes simplex, influenza, and viral hepatitis.

Question 7

Type: MCSA

The nurse is caring for a client with herpes simplex virus. Which medication would the nurse expect the physician to order for this client?

1. Metronidazole (Flagyl)
2. Zidovudine (Retrovir)
3. Acyclovir (Zovirax)
4. Nystatin (Fungizone)

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 458

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 28-6 Identify antiviral drugs used in the pharmacotherapy of herpes simplex, influenza, and viral hepatitis.

Question 8

Type: MCSA

The nurse is planning care for a client receiving an antiretroviral agent. Which nursing diagnosis is the priority?

1. Fear
2. Risk for infection
3. Self-care deficit
4. Deficient knowledge

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 456

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 28-5 Explain the outcomes expected for the pharmacotherapy of HIV-AIDS.

Question 9

Type: MCSA

During the latent phase of HIV infection, why are antiviral medications prescribed?

1. To prevent the spread of HIV
2. To cure HIV
3. To relieve symptoms that occur during the latent phase
4. To delay onset of acute symptoms and the development of AIDS

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 453

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 28-5 Explain the outcomes expected for the pharmacotherapy of HIV-AIDS.

Question 10

Type: MCMA

What are the therapeutic goals for the pharmacotherapy of HIV/AIDS? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

1. Increase HIV-related morbidity, and prolong survival.
2. Maximum suppression of viral load.
3. Improve the quality of life.
4. Prevent the transmission from mother to child in HIV-infected pregnant patients.
5. Prevent the spread of HIV/AIDS.

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 453

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 28-5 Explain the outcomes expected for the pharmacotherapy of HIV-AIDS.

Question 11

Type: MCSA

A client with HIV has been prescribed HAART. What is the best description that the nurse can provide to the client regarding the goal of this therapy?

1. Reduce the amount of HIV in the plasma to its lowest possible level.
2. Increase the viral amount in the blood.
3. Decrease adverse effects from HAART therapy.
4. Cure HIV.

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 453

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 28-5 Explain the outcomes expected for the pharmacotherapy of HIV-AIDS.

Question 12

Type: MCSA

The Centers for Disease Control and Prevention (CDC) recommends that travelers to malaria-infested areas receive prophylactic antimalarial drugs prior to and during their visit, and for 1 week after leaving. The client asks the nurse which medication will be prescribed for this. What is the best reply by the nurse?

1. “Paromomycin (Humatin).”
2. “Mebendazole (Vermox).”
3. “Chloroquine (Aralen).”
4. “Praziquantel (Biltricide).”

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 460

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 28-7 Identify drugs used to treat protozoan and helminthic infections.

Question 13

Type: MCMA

The nurse is educating a group of parents regarding helminths. Which topics should the nurse include in the teaching session? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

1. Hookworms
2. Tapeworms
3. Flukes
4. Inchworms
5. Pinworms

Cognitive Level: Understanding

Client Need: Physiological Integrity

Page Number: 460

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 28-7 Identify drugs used to treat protozoan and helminthic infections.

Question 14

Type: MCMA

Zidovudine (Retrovir) has been prescribed to a client with HIV. The client asks why it is given in combination with other medications to treat HIV. What should the nurse include in the teaching session for this client? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

1. The combination will cure HIV.
2. The combination allows HIV to be attacked by several different mechanisms.
3. Strains of HIV resistant to zidovudine are common.
4. The combination slows the development of resistance.
5. The combination is more cost effective.

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 455

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 28-5 Explain the outcomes expected for the pharmacotherapy of HIV-AIDS.

Question 15

Type: MCSA

Zidovudine (Retrovir) has been prescribed to a client with HIV. The client asks why blood needs to be drawn on a regular basis. What is the most appropriate response by the nurse?

1. “This medication can cause an increase in red and white blood cells, and needs to be monitored.”
2. “This medication can cause a secondary infection, so your blood needs to be monitored for this.”
3. “Serum creatinine must be monitored for clients taking zidovudine.”
4. “Reduced numbers of red and white blood cells are common, and need to be monitored.”

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 455

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 28-5 Explain the outcomes expected for the pharmacotherapy of HIV-AIDS.

Question 16

Type: MCSA

A client with herpes lesions on the face asks the nurse which medication has been prescribed. Which topical creams would be prescribed for this client?

1. Docosanol (Abreva)
2. Cidofovir (Vistide)
3. Famciclovir (Famvir)
4. Amantadine (Symmetrel)

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 458

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 28-6 Identify antiviral drugs used in the pharmacotherapy of herpes simplex, influenza, and viral hepatitis.

Question 17

Type: MCMA

The client asks the nurse what are possible treatments for influenza. Which treatments should the nurse include in client teaching? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

1. Oseltamivir (Tamiflu)
2. Valacyclovir (Valtrex)
3. Amantadine (Symmetrel)
4. Zanamivir (Relenza)
5. Nystatin (Fungicidin)

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 458

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 28-6 Identify antiviral drugs used in the pharmacotherapy of herpes simplex, influenza, and viral hepatitis.

Question 18

Type: MCMA

A client is prescribed metronidazole (Flagyl). The nurse educates the client that this medication is prescribed to treat which disorders? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

1. CNS infections
2. Rosacea
3. Trichomoniasis
4. Amebiasis
5. HIV/AIDS

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 461

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 28-7 Identify drugs used to treat protozoan and helminthic infections.

Question 19

Type: MCMA

A client has been prescribed amphotericin B (AmBisome). Which side effects will the nurse monitor this client for while receiving this medication? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

1. Hepatotoxicity
2. Phlebitis
3. Creatinine
4. Fever and chill
5. Cardiac irregularities

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 450

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 28-2 Identify drugs used in the pharmacotherapy of systemic fungal infections.

Question 20

Type: MCMA

The nurse is preparing to discharge a client who will be taking an antiviral agent. Which symptoms will the nurse educate the client to discontinue the medication and inform the healthcare provider? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

1. Sore throat
2. Rash
3. Shortness of breath
4. Wheezing
5. Diarrhea

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 462

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 28-6 Identify antiviral drugs used in the pharmacotherapy of herpes simplex, influenza, and viral hepatitis.

Question 21

Type: MCMA

The nurse is preparing to discharge a client with a prescription for zidovudine (Retrovir). Which drugs should the client avoid while taking this medication? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

1. Aspirin
2. Herbal supplements
3. Penicillin (PCN)
4. Acetaminophen (Tylenol)
5. Oral multivitamin

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 455

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 28-5 Explain the outcomes expected for the pharmacotherapy of HIV-AIDS.

Question 22

Type: MCSA

The nurse is preparing to administer the antifungal medication nystatin by mouth to an adult client. The nurse also has other PO medications to give to this client. How should the nurse administer the medications?

1. Give the PO medications first.
2. Give them at the same time.
3. Give the nystatin first.
4. Call the prescriber for clarification.

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 450

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 28-3 Identify drugs used in the pharmacotherapy of superficial fungal infections.

Question 23

Type: MCSA

The nurse is preparing to administer ketoconazole (Nizoral) to a client. What liquid can safely be administered with this medication?

1. Diet soda
2. Apple juice
3. Milk
4. Regular soda

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 451

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 28-3 Identify drugs used in the pharmacotherapy of superficial fungal infections.

Question 24

Type: MCSA

Nystatin (Mycostatin) has been prescribed for a client topically. What is the most common side effect the nurse will monitor for when administering this medication?

1. Diarrhea
2. Nausea
3. Skin irritation
4. Vomiting

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 450

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 28-3 Identify drugs used in the pharmacotherapy of superficial fungal infections.

Question 25

Type: MCSA

A client has been prescribed amphotericin B (AmBisome). The medication was administered and the client experienced an adverse drug reaction. Which classification of drugs does the nurse anticipate the prescriber to prescribe?

1. Azoles

2. Antibiotics

3. Antivirals

4. HAART

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 448

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 28-2 Identify drugs used in the pharmacotherapy of systemic fungal infections.

Question 26

Type: MCSA

Which is true regarding viruses?

1. Viruses are treated with antibiotics.

2. Viruses are self-limiting.

3. Viruses contain a few hundred genes.

4. Viruses are surrounded by a permeable membrane.

Cognitive Level: Understanding

Client Need: Physiological Integrity

Page Number: 452

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 28-4 Describe the characteristics of viruses.

Question 27

Type: MCSA

Viruses are called intracellular parasites. Which best describes this term?

1. Viruses must be inside a host cell to cause infection.

2. Viruses are comprised of nonliving agents that infect bacteria, plants, and animals.

3. Viruses infect the environment and are often uncontrollable.

4. Viruses are treated with antiparasitic medications.

Cognitive Level: Understanding

Client Need: Physiological Integrity

Page Number: 452

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 28-4 Describe the characteristics of viruses.