Ch. 45 Questions

While talking with a patient, the nurse noticed that the patient frequently asked the nurse to repeat what was said. After reviewing the chart, the nurse found there was no prior mention of hearing loss. The nurse became concerned about possible ototoxicity when the patient was also receiving this drug:

neomycin (Neo-Fradin)

Ertapenem (Invanz) was prescribed for a patient who came in to the hospital with cellulitis. The nurse performs the following assessments before administration.

-Assess for any allergies -Record the patient's temperature, pulse, respirations, and blood pressure -Obtain baseline assessments of presenting symptoms

A patient is admitted with typhoid fever. Which medication does the nurse anticipate will be ordered for this patient?

Chloramphenicol

Which adverse effects does the nurse assess for when monitoring a patient for a toxic reaction to an aminoglycoside?

Dizziness, tinnitus, hearing loss

Which parameters must the nurse assess before IV administration of acyclovir (Zovirax)?

Hydration status and renal function

Which is a major risk associated with intravenous (IV) administration of many potent antimicrobial drugs?

Thrombophlebitis

The nurse was instructing a patient who was diagnosed with tuberculosis on the medications that were used to treat the disease. After the patient made the following statement, the nurse knew that further education was needed:

"My urine and tears may turn bright yellow with these drugs."

A patient was complaining of nausea and vomiting after taking ampicillin. After reassuring the patient, the nurse responded with the following statement:

"Since the symptoms of nausea and vomiting are common responses to antibiotics, it may be helpful to take ampicillin with food."

A nurse knows that patients receiving amphotericin B may develop nephrotoxicity. The nurse knows that the following laboratory values need to be monitored for this adverse effect. s

-Increased BUN levels -Elevated serum creatinine level

The antiviral agent ribavirin (Virazole) is used for treatment of which of the following infections?

-Influenza -Chronic hepatitis -RSV

The nurse is administering tobramycin, an aminoglycoside, to a patient with a wound infected with Klebsiella and is alert for these adverse effects. (Select all that apply.)

-Ototoxicity -Nephrotoxicity -Dizziness

Prophylactic antibiotics are prescribed prior to dental procedures for patients at risk for developing infective endocarditis with the following medical conditions.

-Previous heart transplantation -History of infective endocarditis -Congenital heart defects

A woman is using oral contraceptives for birth control. The nurse instructs her to use an additional form of birth control when which medication is ordered?

Cefoxitin (Mefoxin)

Which of the following antibiotics may be prescribed for a patient with a working diagnosis of septicemia as a preliminary antibiotic for use before culture and sensitivity results are available?

Daptomycin (Cubicin)

The nurse is instructing a patient about the use of alcohol with certain cephalosporins. This combination must be avoided because it may cause which adverse effects?

Dyspnea, tachycardia, and hypotension

What does the nurse monitor in patients taking quinupristin/dalfopristin (Synercid)?

Liver function

The nurse instructs the patient to avoid which medication while taking a quinolone because it decreases the absorption of the quinolone?

Milk of Magnesia (MOM)

A patient on gemifloxacin (Factive) therapy for acute bacterial sinusitis develops itching and redness. Which action is appropriate in this condition?

Reporting it to the primary healthcare provider

A patient is prescribed ciprofloxacin (Cipro). Which instruction does the nurse include in the patient's teaching plan?

Wear sunglasses when exposed to sunlight

A patient presented with the symptoms of white patches over the tongue while taking ceftriaxone (Rocephin) for pneumonia. The nurse recognized this as

a secondary infection.