Ch 91 EVOLVE
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.
ANS: A
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 tablet d. 2 tablets
ANS: D
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 e. C. difficile infection
ANS: A C D
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
ANS: B
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] b. Metronidazole [Flagyl] c. Daptomycin [Cubicin] d. Gemifloxacin [Factive]
ANS: 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]
ANS: 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.
ANS: C
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.
ANS: D
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.
ANS: D
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.
ANS: A
