pharm prep u chapters 8 and 9

The nurse educates a client about using the prescribed otic 0.5% hydrocortisone, 10,000 units polymyxin B, 4 drops QID in right ear x 10 days. Which client statements determine the need for further clarification?

"I will place the bottle tip into the ear and instill the 4 drops."

A client asks a nurse why the health care provider has prescribed two anti-infective agents. Which response by the nurse would be most appropriate?

"Your infection, like many infections, is caused by more than one organism."

Compared with penicillins, cephalosporins more appropriate for treating infection by what type of microorganism?

Gram-negative bacteria

An older adult client has been brought to the emergency department by her daughter, who states that the client may have a urinary tract infection. What principle should guide the care team's plan of treatment?

Older adults' signs and symptoms of infection may differ from those of younger people

Which client would be at risk of developing an infection? Select all that apply.

a client with an impaired immune system a client experiencing diarrhea chronically an elderly client who has one chronic disease

What are classified as anti-infectives? (Select all that apply.)

anthelmintics antifungals antiprotozoals

A client is febrile and is suspected of having a respiratory infection. A sputum culture has been collected and the results of sensitivity testing are expected within 48 hours. The nurse should anticipate that the client may:

be immediately prescribed a broad-spectrum antibiotic.

A nurse is assessing a client for possible adverse reactions associated with fluoroquinolone therapy. Which possible reactions would the nurse attribute to this therapy? Select all that apply.

nausea diarrhea abdominal discomfort

A nurse monitors a client closely for anaphylactic reactions secondary to penicillin therapy. The nurse understands that this occurs more commonly after which route of administration?

parenteral

A client with a deep wound producing large amounts of purulent drainage is prescribed an antibiotic. The nurse should express concern about the potential effectiveness of the treatment if which medication is prescribed?

trimethoprim-sulfamethoxazole