PrepU- Ch. 9

The clinic nurse is responsible for teaching a client about a new prescription for doxycycline. The nurse should increase which instruction in the teaching?

"Limit your exposure to the sun."

What route of administration is most commonly used for the administration of ciprofloxacin when prescribed to an older adult client?

oral (PO)

What event triggers the development of a superinfection?

proliferation of antibiotic-resistant microorganisms

Which of the following should be included in the nurse's pre-administration assessment prior to a client receiving penicillin?

1. medical history, 2. allergy history, 3. medication history, 4. current symptoms

A client prescribed rifaximin for diarrhea has developed frank bleeding in the stool. what intervention should the nurse anticipate being implemented to best ensure client safety?

changing to a different antibiotic

A female client is admitted to the critical care unit with sepsis related to a contaminated central line. The health care provider orders intravenous beta-lactam antimicrobials. The client's current laboratory report reflects renal impairment. What would the nurse expect the provider to do?

decrease the drug dose

What potential adverse reaction is most likely to develop during cefazolin therapy?

gastrointestinal upset

A client taking isoniazid is worried about the side effects/adverse reactions. The nurse tells the client that a common adverse reaction of isoniazid is what?

jaundice

In which condition present in the client should macrolides be used with caution?

liver dysfunction

The nurse is aware that sulfonamide therapy is used cautiously in older adults because of decreased function of what organ system?

renal

A client in the critical care unit is receiving aminoglycosides for an infectious process. What does the nurse need to monitor?

renal function tests

A 7-yr old child has been taking tetracycline for a bacterial infection. The nurse will be sure to inform the parents that this drug could cause:

staining of permanent teeth

A young adult client's acne has responded well to treatment with tetracycline. However, the client has now returned to the clinic 6 weeks later with signs and symptoms of oral candidiasis. The nurse should recognize that this client's current health problem is likely attributable to which occurrence?

superinfection following the eradication of the normal oral flora

A client is prescribed ciprofloxacin for a UTI. The nurse is preparing to teach the client about the medication. What must the nurse include in the education plan?

take precautions to prevent photosensitivity

The client has been taking her antibiotic for 5 days. She tells the nurse that she is now experiencing vaginal itching and discharge. The nurse suspects what has occurred?

the client has developed a superinfection

A 30 year old woman who is in the first trimester of pregnancy has presented to her primary care provider with a 4-day history of a reddened, itchy left eye that is crusted with purulent exudate. The clinician suspects a bacterial, rather than viral, etiology. How will the client's pregnancy affect the potential use of ciprofloxacin to treat her conjuctivitis?

the use of ciprofloxacin is contraindicated in pregnancy

A patient has been prescribed a tetracycline drug for Rocky Mountain spotted fever. The patient also takes antacids. Which of the following effects is likely to occur due to an interaction between the two drugs?

decreased absorption of tetracycline

The nurse is assessing a client who has been prescribed treatment with isoniazid. What assessment finding would most likely necessitate contacting the health care provider to recommend discontinuing treatment?

jaundice

A 72 year old patient with TB is undergoing standard treatment in a health care facility. Which of the following nursing interventions should the nurse perform during ongoing assessment of the treatment?

monitor for appearance of adverse reactions

A 25 yr old woman is being treated with penicillin G as prophylaxis to prevent bacterial endocarditis prior to a dental procedure. The nurse should question the client concerning her the use of:

oral contraceptives