Ch 91

The nurse identifies rifampin as useful in the treatment of which disorders? (Select all that apply.) A Tuberculosis B Active meningococcal infection C Leprosy D Prophylaxis of meningitis caused by Haemophilus influenzae C. difficile infection

ACD

A patient is taking daptomycin [Cubicin]. The nurse should obtain a creatine phosphokinase (CPK) level when the patient shows what? A Increased urination and urinary urgency B Muscle pain and weakness C Abdominal bloating and diarrhea D Headache and visual disturbances

B

A patient taking gemifloxacin develops a rash. The nurse anticipates the healthcare provider to take which action? A No action is needed, because this is a temporary but expected side effect. B Continue the antibiotic with an anti-inflammatory medication. C Cut the dose of medication in half. D Discontinue the medication.

D

After completing a course of ciprofloxacin [Cipro] for a skin infection, the patient says, "I took the whole bottle of pills, but my infection hasn't gotten any better." Which additional information should the nurse recognize as most significant? A The patient takes antacids on a daily basis. B The medication was stored in a cool, dry area. C The patient did not use sunscreen while taking the ciprofloxacin [Cipro]. D The patient took two doses of diphenhydramine [Benadryl] while on ciprofloxacin [Cipro] therapy.

A

Which approach should a nurse take when administering an oral dose of levofloxacin [Levaquin]? A Give the medication with or without food. B Administer the drug with an oral dose of a magnesium-based antacid. C Premedicate the patient with diphenhydramine [Benadryl]. D Administer the drug with milk products.

A

A patient who takes multiple antibiotics starts to experience diarrheal stools. The nurse anticipates administration of which antibiotic if a stool sample tests positive for Clostridium difficile? A Rifaximin [Xifaxan] BMetronidazole [Flagyl] C Daptomycin [Cubicin] D Gemifloxacin [Factive]

B

The nurse identifies which medication as posing a significant risk of causing confusion, somnolence, psychosis, and visual disturbances in elderly patients? A Metronidazole [Flagyl] B Rifampin [Rifadin] C Ciprofloxacin [Cipro] D Daptomycin [Cubicin]

C

The nurse notices tan lines around the arms of a female patient who is taking levofloxacin [Levaquin]. Which action should the nurse take? A No action is needed, because this is a temporary but expected side effect. B Continue the antibiotic with an anti-inflammatory medication. C Advise the patient to avoid sun exposure and wear sun screen when outside. D Discontinue the medication.

C

A patient who takes ciprofloxacin [Cipro] and runs 6 miles daily tells a nurse about heel and calf tenderness. The nurse anticipates the healthcare provider to take which action? A No action is needed, because this is a temporary but expected side effect. B Continue the antibiotic with an anti-inflammatory medication. C Slow the running pace and walk more. D Discontinue the medication, because severe damage can result.

D

The healthcare provider orders levofloxacin [Levaquin] 500 mg PO every day for 7 days. The available medication is levofloxacin 250-mg tablets. How many tablets should the patient take each day? A 0.5 tablet B 1 tablet C 1.5 tablets D 2 tablets

D