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Chapter 60: Cephalosporins Test Bank

Chapter 60: Cephalosporins Test Bank

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Chapter 60: Cephalosporins
Test Bank
MULTIPLE CHOICE
1.   An adult patient has cellulitis. The patient is a single parent with health insurance who works and is attending classes at a local university. To treat this infection, the primary care nurse practitioner (NP) should prescribe:
a.

cefdinir (Omnicef).

b.

cephalexin (Keflex).

c.

cefadroxil (Duricef).

d.

ceftriaxone (Rocephin).

2.   A primary care NP sees a patient who has dysuria, fever, and urinary frequency. The NP orders a urine dipstick, which is positive for nitrates and leukocyte esterase, and sends the urine to the laboratory for a culture. The patient is allergic to sulfa drugs. The NP should:
a.

order cefaclor (Ceclor).

b.

prescribe cefixime (Suprax).

c.

administer intramuscular ceftriaxone (Rocephin).

d.

wait for culture results before ordering an antibiotic.

3.   A patient is taking cefadroxil (Duricef) and comes to the clinic complaining of loose stools for several days. The primary care NP notes normal vital signs; warm, pink skin with elastic turgor; and moist mucous membranes. The NP should:
a.

order tests for Clostridium difficile–associated disease (CDAD).

b.

discontinue the cefadroxil.

c.

reassure the patient that loose stools are common with antibiotics.

d.

recommend consuming lactobacillus-containing foods to minimize diarrhea.

4.   A primary care NP provides teaching to a patient who will begin taking cefadroxil (Duricef). Which statement by the patient indicates a need for further teaching?
a.

“I should report any rash that occurs.”

b.

“I will take this medication twice daily.”

c.

“I should take this medication with food.”

d.

“Gastrointestinal (GI) symptoms are common but not worrisome.”

5.   A 70-year-old patient will begin taking cefdinir (Omnicef) for an acute exacerbation of COPD. Before initiating therapy, the primary care NP should order:
a.

liver function tests (LFTs).

b.

coagulation studies.

c.

an electrocardiogram (ECG).

d.

a creatinine clearance test.


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