Online Nursing Practice Test about Pharmacology (26-30)

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26. Which of the following signs and symptoms indicates toxicity of gentamycin sulfate (garamycin)?

a) nausea and vomiting
b) hypotension
c) numbness of fingers and toes
d) ringing in the ears

27. The client has history of allergy to sulfonamides and penicillin. Which of the following drugs may safely be given to the client?

a) ampicillin
b) cloxacillin
c) ciprofloxacin
d) co-trimoxazole

28. The client is receiving Floricef. Which of the following types of diet should the nurse advise the client to have?

a) low sodium, high potassium, high protein
b) low sodium, low potassium, low protein
c) high sodium, high potassium, high protein
d) high sodium, high potassium, low protein

29. The client is receiving Questran. Which of the following should be included in the client teaching?

a) limit fluid intake
b) take fat-soluble vitamins
c) include potassium-rich foods in the diet
d) provide low-fiber diet

30. Which of the following health teachings should be included by the nurse for a client on prolonged Dilantin treatment?

a) wear long-sleeved clothing
b) use soft-bristled toothbrush
c) notify physician if urine becomes reddish brown
d) take the medication one hour before meals


ANSWERS AND RATIONALE

26) D
- gentamycin sulfate is an aminoglycoside. Common side effects are ototoxicity, nephrotoxicity and hepatotoxicity. Ringing in the ears indicates ototoxicity.

27) C
- ciprofloxacin is a quinolone. It can safely be given if a client has allergy to sulfonamides and penicillin. Ampicillin and cloxacillin are penicillins. Co-trimoxazole is a sulfonamide. If a client has allergy to penicillin, more likely he also, has allergy to cephalosphorin.

28) A
- floricef is a steroid. It causes retention of sodium ion, excretion of potassium ion and protein breakdown. The diet should be low sodium, high in potassium, high protein.

29) B
- questran is antihyperlipidemic. It may inhibit absorption of fat-soluble vitamins, or may enhance excretion of fat-soluble vitamins. Therefore, the client needs to take fat-soluble vitamins.

30) B
- dilantin may cause gum hyperplasia. Prevention of this adverse effect includes good oral care, massaging the gums, and using soft-bristled toothbrush.


Related Topics:

• Online Nursing Practice Test about Pharmacology (31-35)
• Go back to Online Nursing Practice Test about Pharmacology (1-5) to start the test from the beginning.