ATI: Infection

A nurse is cairn for a client who has a new prescription for a acyclovir to treat a herpes simplex infection. Which of the following laboratory values should the nurse monitor for this client?

BUN

A nurse is caring for a client who has a new diagnosis of bacterial meningitis. The nurse should expect the provider to prescribe a drug from which of the following classifications of antibiotics?

Third generation cephalosporins

A nurse Is caring for a client who is taking warfarin and has a new prescription for trimethoprim/sulfamethoxazole to treat a urinary tract infection. The nurse should clarify the prescription with the provider because taking these two drugs concurrently can increase the client's risk for which of the following?

Bleeding

A nurse in a provider's office receives a call from a client who is taking amoxicillin to treat a respiratory infection and reports a rash and wheezing. Which of the following instructions should the nurse give the client?

Call emergency services immediately. Explanation: The client is experiencing an allergic reaction to amoxicillin. Calling emergency services is the best option because the client is having difficulty breathing.

A nurse in a provider's office receives a call from a client who is taking tetracycline orally treat a chlamydia infections and reports severe blood-tinged diarrhea. The nurse should suspect the client is experiencing which of the following?

Clostridium difficile-associated diarrhea (C.diff)

A nurse is caring for a client who is about to begin receiving acyclovir IV to treat a viral infection. The nurse should recognize the cautious use of the drug is essential if the client also has which of the following conditions?

Dehydration Explanation: Remember acyclovir is used to treat viral infections ( ex: genital herpes)

A nurse is reviewing a client's prescriptions prior to administering gentamicin to the client to treat a systemic infection. The nurse should clarify the use of gentamicin with the provider if the client is taking which of the following drugs?

Ethacrynic acid

A nurse is caring for a client who has a prescription for rifampin to tuberculosis. The nurse should expect the provider to prescribe which of the following drugs to the client to prevent possible resistance to rifampin?

Isoniazid Explanation: Isoniazid is a drug used to treat TB (tuberculosis) and reduces the possibility of resistance to rifampin. Resistance can occur if the client is taking only rifampin.

A nurse is caring for a client who has a new prescription for aztreonam to treat a respiratory infection. Which of the following findings in the client's medical record should the nurse recognize as requiring cautious use for this prescription and report to the provider?

Renal impairment

A nurse is caring for a client who is about to begin taking metronidazole to treat an anaerobic intra-abdominal bacterial infection. The nurse should recognize that cautious use of the drug is indicated if the client also has which of the following conditions?

Seizure disorder

A nurse is administering cefotetan IV to a client to treat bacterial meningitis. The nurse notes that the IV insertion site warm, edematous, and painful to the touch. Which of the following actions should the nurse take?

Stop the cefotetan infusion. Explanation: The client is having a reaction to the cefotetan infusion and it must be stopped immediately.

A nurse in a provider's office receives a call from a client who is taking imipenem to treat a bacterial infection and reports an inability to eat due to mouth pain. The nurse should identify that the client might be experiencing which of the following as an adverse effect of this drug?

Superinfection

A nurse in a provider's office receives a call from a client who is taking ciprofloxacin to treat treat a respiratory tract infection and reports dyspepsia. Which of the following instructions should the nurse give the client?

Take an antacid at least 2 hr before taking the drug Explanation: You want to tell the client to take an antacid 2 hrs before the medication to prevent malabsorption of the drug.

A nurse is caring for a client who is taking ciprofloxacin to treat a urinary tract infection. The client also takes prednisone to treat rheumatoid arthritis. Recognizing the adverse effects of ciprofloxacin, the nurse should instruct the client to report which of the following adverse effects?

Tendon pain Explanation: Ciprofloxacin is a fluoroquinolone and can cause tendon rupture. So it is important to tell the client to report any muscle pain.

A nurse is caring for a client who is about to begin gentamicin therapy to treat an infection. The nurse should monitor the client for an alteration which of the following?

Urine output Explanation: Gentamicin is an aminoglycoside which can cause nephrotoxicity. Anything that involves nephrotoxicity the nurse should monitor the client's BUN and Creatinine levels. Also the should make sure that the drug is reaching therapeutic levels.

A nurse is providing teaching for a client who takes an oral contraceptive and is about to begin rifampin therapy to treat tuberculosis. Which of the following instructions should the nurse include?

Use a non-hormonal form of contraception.

A nurse is caring for a client whose sputum culture results indicate methicillin-resistant Staphylococcus aureus (MRSA). The nurse should recognize that which of the following medications will likely be administered to this client?

Vancomycin Explanation: Vancomycin is usually the drug of choice when it comes to MRSA.

A nurse in a provider's office receives a call from a client who has been taking penicillin V three times daily and reports abdominal cramping with bloody diarrhea for several days. Which of the following instructions should the nurse give the client?

" Bring in a stool sample for testing"

A nurse is preparing to administer amphotericin B IV to a client who has a systemic fungal infection. Which of the following drugs should the nurse prepare to administer prior to the infusion to prevent or minimize adverse reactions? (SAA)

1. Acetaminophen 2. Diphenhydramine (Benadryl)

A nurse is caring for a client who has a gynecologic infection and a history of alcohol use disorder. The nurse should identify that which of the following drugs can cause a reaction similar to disulfiram if the client drinks alcohol while taking it? (SAA)

1. Cefotetan 2. Metroniadazole

A nurse is caring for a client who is about to begin taking isoniazid to treat tuberculosis. The nurse should instruct the client to report which of the following adverse effects of the drug? (SAA)

1. Jaundice 2. Numbness of the hands 3. Dizziness Explanation: 1. This drug can cause liver toxicity therefore with liver damage comes jaundice or yellowing of the skin or eyes. 2. This drug can cause peripheral neuropathy which gives the pain numbness or tingling feelings in the client's hands.3. This drug causes dizziness, ataxia, and seizures. The client should report these CNS effects.

A nurse is caring for a client who has streptococcal pharyngitis and an allergy to penicillin. The nurse should recognize that which of the following drugs can be safely administered to this client?

Azithromycin

When administering erythromycin to a patient who has cystic acne, a nurse should monitor for which of the following adverse effects?

Cardiac dysrhythmias

A nurse is caring for a client who is about to begin taking nitrofurantoin to treat a urinary tract infection. The nurse should tell the client to report which of the following adverse effects of the drug?

Cough

A nurse is caring for a client who is about to begin taking itraconazole to treat a fungal infection. The nurse should instruct the client to report which of the following adverse effects of the drug?

Swelling of hands or feet