ATI Infection Test

A patient who is taking amoxicillin to treat a respiratory infection contacts the health care professional to report a rash and wheezing. Which of the following instructions should the nurse provide? A.Wait 1 hr and contact the provider if there is no improvement. B.Skip today's dose of amoxicillin and resume taking the drug tomorrow. C .Call emergency services immediately. D. Take an NSAID to reduce skin and airway inflammation.

C .Call emergency services immediately.

A nurse is preparing to administer amphotericin B IV to a patient who has a systemic fungal infection. Which of the following drugs should the health care professional administer prior to the infusion to prevent or minimize adverse reactions during amphotericin B administration? (Select all that apply.) A. Aspirin B. Hydrocortisone C. Acetaminophen D. Diphenhydramine E. Ibuprofen

C. Acetaminophen D. Diphenhydramine

A nurse is caring for a client who has a new rx for acyclovir to treat a herpes simplex infection. Which of the following lab values should the nurse monitor for this client? A. Prothrombin time B. Hct C. BUN D. Aspartate aminotransferase

C. BUN

A nurse in a provider's office receives a call from a client who was recently hospitalized and treated with imipenem IV for a bacterial infection and reports an inability to eat due to mouth pain. The nurse should identify that the client might be experiencing which of the following as an adverse effect of this drug? A.Dental Cariers B. Anorexia C. Superinfection D.Malabsorption

C. Superinfection

A nurse is caring for a client who is about to begin gentamicin therapy to treat an infection. The nurse should monitor the client for an alteration in which of the following:? A. Bowel function B. Peripheral pulses C. Urine output D. Level of consciousness

C. Urine output

A nurse is caring for a client who has a gynecologic infection and a hx of alcohol use disorder. The nurse should identify that which of the following drugs can cause a rxn similar to disulfiram if the client drinks alcohol while taking it? Nitrofurantoin Amoxicillin Aztreonam Cefotetan Metronidazole

Cefotetan Metronidazole

When administering oral erythromycin to a client who has acute diphtheria, a nurse should monitor for which of the following adverse effects? A. Hypothermia B. Blurred vision C. Constipation D. Cardiac dysrhythmias

D. Cardiac dysrhythmias

A nurse is caring for a client who has a new prescription for aztreonam to treat a respiratory tract infection. Which of the following findings in the client's medical record should the nurse recognize as requiring cautious use for this rx and report to the provider? A.Glaucoma B. head injury C.Heart failure D. Renal impairment

D. Renal impairment

A nurse is caring for a client who has a prescription for rifampin to treat TB. The nurse should expect the provider to prescribe which of the following drugs to the client to prevent possible resistance to rifampin? Gentamicin Vancomycin Isoniazid Metronidazole

Isoniazid

A health care professional is caring for a patient who is about to begin taking metronidazole (Flagyl) to treat an anaerobic intra-abdominal bacterial infection. The health care professional should recognize that cautious use of the drug is indicated if the patient also has which of the following? a. seizure disorder b. hearing loss c. asthma d. anemia

a. seizure disorder

A nurse is caring for a client who is about to begin receiving acyclovir IV to treat a viral infection. The nurse should recognize that cautious use of the drug is essential if the client also has which of the following conditions? A. Dehydration B.Heart Failure C.Asthma D.Tinnitus

A. Dehydration

A nurse is caring for a client who is taking warfarin and has a new rx for trimethoprim/sulfamethoxazole to treat a UTI. The nurse should clarify the prescriptions w/the provider b/c taking these two drugs concurrently can increase the client's risk for which of the following? A.Bleeding B.Thrombosis C.ECG changes D. Ototoxicity

A.Bleeding

A nurse in a provider's office receives a call from a client who has been taking penicillin V 3x daily and reports abdominal cramping w/bloody diarrhea for several days. Which of the following instructions should the nurse give the client? A.Bring in a stool sample for testing B. Take the drug only twice a day C. Use an over the counter anti-diarrhea medication D. Return to the clinic for blood work

A.Bring in a stool sample for testing

A nurse in a provider's office receives a call from a client who is taking ciprofloxacin to treat a respiratory tract infection and reports dyspepsia. Which of the following instructions should the nurse give the client? A.Take an antacid at least 2 hr after taking the drug. B.Take the drug with a cup of coffee. C.Take an iron supplement with the drug. D.Take the drug with 240 mL (8 oz) of milk.

A.Take an antacid at least 2 hr after taking the drug.

A nurse in a provider's office receives a call from a patient who is taking tetracycline orally to treat a chlamydia infection and reports severe blood-tinged diarrhea. The nurse should suspect the client is experiencing which of the following? A. Hemorrhoids B. C. diff-associated diarrhea C. Diverticular disease D. Small bowel obstruction

B. C. diff-associated diarrhea

A nurse is caring for a patient who has a new dx of bacterial meningitis. The nurse should expect the provider to prescribe a drug from which of the following classifications of antibiotics? A. First gen cephalosporins B. Third gen cephalosporins C. Monobactams D. Macrolides

B. Third gen cephalosporins

A nurse is caring for a client who has streptococcal pharyngitis and an allergy to penicillin. The nurse should recognize that which of the following drugs can be safely administered to this client? A.Nafcillin B.Azithromycin C.Cephalexin D,Amoxicillin/clavulanic acid

B.Azithromycin

A health care professional is caring for a patient who is about to begin taking nitrofurantoin (Macrodantin) to treat a urinary tract infection. The health care professional should tell the patient to report which of the following adverse effects of the drug? A. Constipation B. Dark brown urine C. Cough D. Tremors

C. Cough

A nurse is caring for a client who is about to begin taking isoniazid to treat TB. The nurse should instruct the client to report which of the following adverse effects of the drug? A.Hearing Loss B.Ulcers C.Dizziness D.Numbness E.Jaundice

C.Dizziness D.Numbness E.Jaundice

A nurse is caring for a client who is about to begin taking itraconazole to treat a fungal infection. The nurse should instruct the client to report which of the following adverse effects of the drug? A.Tingling in the hands and feet B. Joint pain C.Swelling of hands or feet D. Excessive sweating

C.Swelling of hands or feet

A nurse is administering cefotetan IV to a client to treat an intra-abdominal infection. The nurse notes that the IV insertion site is warm, edematous, and painful to the touch. Which of the following actions should the nurse take? A.Decrease the rate of the cefotetan infusion. B.Administer diphenhydramine to the client. C.Request a prescription for another antibiotic. D. Stop the cefotetan infusion.

D. Stop the cefotetan infusion.

A nurse is caring for a patient who is taking ciprofloxacin (Cipro) to treat a urinary tract infection and has rheumatoid arthritis, for which he takes prednisolone (Prelone). Recognizing the adverse effects of ciprofloxacin, the health care professional should tell the patient to report which of the following? A. Tachycardia B. Hair loss C. Insomnia D. Tendon pain

D. Tendon pain

A nurse is caring for a client whose sputum culture results indicate methicillin-resistant MRSA. The nurse should recognize that which of the following medications will likely be administered to this client? A.Trimethoprim/sulfamethoxazole B.Tetracycline C.Cephalexin D.Vancomycin

D. Vancomycin Vancomycin, a potentially toxic antibiotic, is used primarily to treat serious infections in clients who are allergic to penicillin or whose infecting bacteria are resistant to penicillin, such as MRSA. The term methicillin-resistant refers generally to a lack of susceptibility to methicillin (no longer prescribed), all penicillins, cephalosporins, tetracyclines, beta-lactams, and many other antimicrobial drugs.

A nurse is providing teaching for a client who takes an oral contraceptive and is about to begin rifampin therapy to treat TB. Which of the following instructions should the nurse include? A.Increase the rifampin therapy B.Increase the oral contraceptive dose C.Allow 2 hours between taking the two drugs D.Use a non-hormonal form of contraception

D.Use a non-hormonal form of contraception

A nurse is reviewing a client's prescriptions prior to administering gentamicin to the client to treat a systemic infection. The nurse should clarify the use of gentamicin with the provider if the client is taking which of the following drugs? Ethacrynic acid Diphenhydramine Acetaminophen Levothyroxine

Ethacrynic acid