Professional Documents
Culture Documents
Chapter 9
1. b 2. c 3. c 4. c 5. b 6. d 7. b 8. c 9. d 10. c 11. b 12. a
1. If culture and sensitivity testing cannot be performed on a patient, a drug chosen to treat
the infection will have
a. a narrow spectrum of activity
b. a broad spectrum of activity
c. few toxic effects
d. a prolonged duration of action
9. A patient going home on tetracycline therapy should be advised not to take his pill with
a. water
b. ginger ale
c. apple sauce
d. milk
12. New drugs have been developed to specifically treat certain resistant strains of bacteria.
It is important to
a. limit their use to situations when a culture has shown that they are the drug of
choice
b. use them as frequently as possible to get rid of these resistant strains of bacteria
c. include these drugs as a first line of treatment for severe infections with no known
cause to eradicate resistant strains
d. stock them for ready access so they may be used quickly
3. A patient with a serious systemic fungal infection who is expected to recover well and
progress from intravenous to oral antifungal treatment would best be treated with
a. ketoconazole
b. fluconazole
c. itraconazole
d. amphotericin B
8. A patient using a topical antifungal agent should be taught to call the health care
provider and stop using the drug if
a. a red rash appears in the area
b. the area appears to be oozing
c. local irritation, burning, and pain occurs when the drug is used
d. the area being treated starts to flake skin
9. A patient receiving itraconazole must be monitored for possible liver toxicity. Early
signs for which to watch include
a. elevated blood, urea, nitrogen levels
b. hypertension
c. edema and swelling of the extremities
d. changes in the color of urine or stools
2. The most common worm infection that will be encountered in American school-age
children is infection by
a. whip worms
b. threadworms
c. roundworms
d. pinworms
3. A patient went on a dream vacation to see the pyramids and took a tour that included
swimming in the Nile. A few weeks after returning home, the patient was complaining
of fever, chills, abdominal pain, and nausea. After ruling out the flu or other common
problems, it may be appropriate to consider
a. tapeworm
b. schistosomiasis
c. ringworm
d. African sleeping sickness
4. In trying to decide whether to treat the student with a pinworm infection with pyrantel
or mebendazole, a key consideration may be
a. pyrantel is given as a single dose and the patient will not need to remember to take
it
b. mebendazole has no adverse effects and thus would be safer
c. the pinworm is not infectious if the patient is treated with mebendazole
d. pyrantel can be taken safely during pregnancy, which could be an issue
6. Ascaris infections are the most prevalent, worldwide helminthic infections and may
cause
a. cough, fever, and signs of pulmonary infestation
b. cardiac arrhythmias
c. seizures and disorientation
d. bloody diarrhea
8. Parents of a child who has been diagnosed with pinworm disease may feel very anxious
and stressed. Teaching should include
a. criticism of their personal hygiene practices
b. evaluation of their kitchen and cooking area
c. an explanation of what they may see and experience as the worms are passed from
the body
d. a description of the proper isolation techniques for the child
9. The parents of the child with a pinworm infection would also be told that effective
treatment of pinworm infections would involve all of the following except
a. keeping nails cut short and hands well scrubbed
b. laundering undergarments, bed linens, and pajamas every day
c. boiling all drinking water
d. disinfecting toilet seats and bathroom floors daily
10. Superinfections may occur when anti-infective agents destroy the normal flora of the
body. Candida infections are associated commonly with antibiotic use. A patient with
this type of superinfection would exhibit
a. difficulty breathing
b. vaginal discharge or white patches in the mouth
c. elevated blood, urea, nitrogen levels
d. dark, circular lesions on the skin
2. Cell properties that are not specific characteristics of cancer cells would include
a. mitosis
b. anaplasia
c. metastasis
d. autonomy
3. Alkylating agents disrupt cellular DNA and cause cell death. This will also affect
noncancer cells and has most effect on those cells
a. with a long dormant phase
b. with membrane abnormalities
c. that are turning over rapidly
d. with a good oxygen supply
5. Patients who are receiving antineoplastic drugs need to have regular blood tests to
a. evaluate drug serum levels
b. monitor bone marrow activity and determine the next appropriate dose
c. screen for neoplastic cells
d. monitor blood glucose levels
7. A patient is receiving a combination of antineoplastic agents and will most likely lose
her hair. Pretreatment education may include the suggestion to get a wig or other
appropriate head cover because
a. other people may be uncomfortable seeing her bald head
b. the hair is most likely to grow back if the head is covered at all times
c. her self-esteem will be better if the head is covered
d. most of the heat is lost through the head and it is important to cover it during
extremes in temperature
9. A patient has been prescribed Gleevec for treatment of leukemia. When the patient goes
to pick up the drug at the pharmacy, he is shocked by the price. The patient
a. would benefit from a support group
b. could petition the drug company for special funding benefits to cover the cost of the
drug
c. should refuse to take the drug because of cost
d. should ask the health care provider for another drug just like this one that might be
cheaper
10. Nausea and vomiting are frequent adverse effects associated with antineoplastic
therapy. Patients who are experiencing this unpleasant effect should be advised
a. to avoid eating any food during chemotherapy
b. that there is nothing that can be done for this effect and it will pass with time
c. to try to maintain hydration and nutrition, which are very important during
treatment
d. to use antacids to relieve the irritation to the stomach, which should stop the nausea
3. Relenza is designed to affect the influenza virus to lessen the length of time a person
has the flu. This drug must be administered by
a. intramuscular injection
b. crushed oral tablets
c. inhalation
d. intradermal injection
4. A college student taking valacyclovir to treat recurrent genital herpes should be taught
a. to avoid sexual intercourse because these drugs do not cure the disease
b. to monitor and limit daily fluid intake to prevent fluid retention
c. that sexual intercourse is fine; as long as you are on the drug, you are not
contagious
d. to stop taking the drug as soon as the lesions disappear
5. A patient being treated for human immunodeficiency virus (HIV) comes in for a blood
pressure check. When taking her history, she reports that she is only taking retinovir for
the treatment of her HIV. This causes you to check further because
a. retinovir is not used to treat HIV states
b. the antivirals used to treat HIV are used only in combination with other antiviral
drugs
c. retinovir is contraindicated in people with hypertension
d. retinovir has been discontinued and she should not have access to it
6. Nursing interventions for the patient receiving antiviral drugs for the treatment of HIV
probably would not include
a. monitoring renal and hepatic function periodically during therapy
b. administering the drugs around the clock to increase drug effectiveness
c. encouraging the patient to avoid eating if gastrointestinal upset is severe
d. stopping the drugs and notifying the prescriber if a severe rash occurs
10. A patient with cold sores may benefit from the topical application of
a. valacyclovir
b. penciclovir
c. fomivirsen
d. imiquimod