Ch 38
A patient is prescribed sulfamethoxazole/trimethoprim (co-trimoxazole) for a urinary tract infection. What instruction does the nurse give to the patient to prevent complications associated with sulfamethoxazole/trimethoprim (co-trimoxazole)?
"Avoid exposure to sunlight."
A patient is prescribed demeclocycline for the treatment of a respiratory infection. What instruction does the nurse give to the patient to ensure safe and effective administration of the drug?
"Avoid the consumption of dairy products."
The patient has been ordered azithromycin and asks the nurse why the medication does not have to be taken as often as other antibiotics that have previously been ordered. What is the nurse's best response?
"This drug has a longer duration of action than some of the other antibiotics."
Which instruction will the nurse include in the discharge teaching for a patient receiving tetracycline?
"Use sunscreen and protective clothing when outdoors."
The nurse should question the prescription of tetracycline for which patient?
A 6-year old patient with Haemophilus influenza
The nurse is caring for a patient who is taking antibiotics. The patient reports flushing, itching, hives, anxiety, and throat and tongue swelling. The nurse finds that the patient has a rapid, irregular pulse. Which condition may the patient have as a result of taking the antibiotic?
An allergic anaphylactic reaction
A patient with type 2 diabetes mellitus is started on sulfamethoxazole/trimethoprim. Which nursing intervention is a priority for this patient?
Assess blood sugar.
A 22-year-old female patient is prescribed amoxicillin. Which is the most important intervention for this patient?
Assess if the patient is on oral contraceptives.
A patient has been on sulfonamides for urinary tract infections. The nurse assesses the patient and finds bruises on the legs and arms. What is the nurse's best action?
Assess the patient's platelet counts.
The nurse anticipates that a patient with which of the following infections would be prescribed meropenem?
Bacterial meningitis
The nurse is assessing a patient who has developed watery diarrhea. After checking the patient's history, the nurse finds that the patient was recently treated with antibiotics. Which further testing might be needed in this patient?
Clostridium difficile test
The patient has been started on a medication regimen that includes sulfamethoxazole/trimethoprim. The nurse notes that the source of the patient's infection has been determined to be viral in origin. What is the nurse's highest priority action?
Contact the health care provider to discuss the medication.
A patient is prescribed amoxicillin for Helicobacter pylori infection. During the follow-up visit, the nurse observes that the patient is wheezing and has difficulty breathing, swelling of the throat, and dizziness. The nurse also notes a drop in blood pressure and a weak pulse. Which medicine does the nurse expect to be included in the patient's treatment plan to manage the patient's current symptoms?
Epinephrine
A patient has been prescribed sulfamethoxazole/trimethoprim (Bactrim). What is the nurse's primary intervention for this patient?
Instruct the patient to increase fluid intake.
Which antibiotics are safest for the nurse to administer to children?
Macrolides
Which class of penicillin antibiotics is known as antistaphylococcal penicillins?
Penicillinase-resistant penicillins
The nurse is caring for a patient who is being treated for acne. The nurse anticipates that the health care provider is most likely to treat the patient using which medication?
Tetracycline
A patient is administered cefotetan for a urinary tract infection. After 2 days, the patient complains of stomach cramps, nausea, vomiting, excessive sweating, itching, and headache. The patient also has decreased blood pressure. What does the nurse interpret from the assessment?
The patient had taken ethanol (alcohol) in addition to the cefotetan.
The nurse is assessing a patient who is prescribed sulfamethoxazole/trimethoprim (SMZ-TMP) for the treatment of shigellosis enteritis. The nurse instructs the patient to increase fluid intake up to 3000 mL per day. What is the reason behind this?
To prevent drug-related crystalluria in the patient
What is the principal indication for sulfamethoxazole-trimethoprim (SMZ-TMP)?
Urinary tract infection
How does superinfection occur in a patient?
When the antibiotic eliminates the normal bacterial flora
A patient is prescribed azithromycin for the treatment of a respiratory tract infection. Which parameters need to be assessed in the patient to ensure safe drug administration? Select all that apply.
liver function, baseline hearing status, baseline cardiac function
What are the adverse effects of sulfonamide antibiotics? Select all that apply.
urticaria, pancreatitis, hepatotoxicity
A patient who enjoys drinking socially has been prescribed cefotetan. The nurse explains to the patient that alcohol should be avoided for how long?
During drug therapy and for 3 days afterward
