ATI Pharmacology Infection

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 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?

- Cefotetan - Metronidazole

Intravenous vancomycin has been prescribed to treat the meningitis. When administering this drug IV, which of the following actions should the health care professional take?

- Do not mix it with other drugs. - Monitor the IV insertion site for phlebitis - Monitor vital signs during infusion - Dilute the drug before administering it.

A client is prescribed oral tetracycline for treatment of acne vulgarisms. When instructing the client about the tetracycline, which of the following information should the provider include?

- Report mouth pain - Take 1 hr before meals - Wear sunscreen and protective clothing.

A client is prescribed itraconazole for treatment of systemic mycoses. The provider should include which information when instructing the client about the administration of itraconazole?

- Take with food to reduce gastric distress - Take with 8 oz of acidic liquid, like cola or orange juice to increase absorption

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 of minimize adverse reactions?

-Acetaminophen -Diphenhydramine

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?

-Jaundice -Numbness of the hands -Dizziness

Viral infections

Acyclovir

Systemic candidiasis

Amphotericin B

A nursing 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 the client?

Azithromycin

A nurse is caring for a client who has new prescription for 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 is taking warfarin and has a new prescription for trimethoprim/sulfamethoxazole to treat a urinary tract infection. The nurse should clarify the prescriptions 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

When administering oral erythromycin to a client who has acute diphtheria, a nurse should monitor for which of the following adverse effects?

Cardiac dysrhythmias

Gram-positive infections

Cephalexin

Malaria

Chloroquine

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

Clostridium difficile-associated diarrhea

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

Dehydration

Because the client is allergic to penicillin, which of the following drugs should be available in case the client has a severe allergic reaction to the antibiotic that has been prescribed?

Epinephrine

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

Clients receiving vancomycin should be closely monitored for which of the following?

Hearing Loss

While receiving vancomycin, the client becomes flushed and warm. Which of the following additional adverse reactions to vancomycin should be expected?

Hypotension

Which of the following interventions may prevent a serious adverse reaction to acyclovir?

Increase fluid intake

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

Isoniazid

Tuberculosis highly specific for Mycobacterium tuberculosis

Isoniazid

A client is prescribed rifampin for treatment of tuberculosis. The health care provider should instruct the client to monitor and report which of the following, which may indicate a serious adverse effect of rifampin?

Jaundice

Cutaneous fungal infections

Ketoconazole

Trichomoniasis

Metronidazole

A client is prescribed amoxicillin to treat an ear infection. The health care provider instructs the client to monitor and report which of the following?

Rash

A nurse is caring for a client who has a new prescription for aztreonam to treat a respiratory tract 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

Imipenem should be used with caution is which of the following clients? A client with:

Seizure disorder

A client is prescribed trimethoprim/sulfamethoxazole for treatment of urinary tract infection. The health care provider should instruct the client to monitor and report which of the following, which may indicate serious adverse effect of trimethoprim/sulfamethoxazole?

Sore throat

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

Stop the cefotetan infusion

A nurse in a provider's office receives a call from a client who was recently hospitalized and treated with imipenem IV for 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 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

A nurse in a provider's office receives a call from a client who is taking ciprofloxacin to 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 after taking the drug

A nurse is caring for a client who is taking ciprofloxacin to treat a urinary tract infection. The client also takes prednisolone 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

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 client is prescribed gentamicin for treatment of a respiratory tract infection. The provider instructs the client to monitor and report which of the following adverse effects of gentamicin?

Tinnitus

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 in which of the following?

Urine output

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 who 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

Because the client is allergic to penicillin, which of the following antibiotics is appropriate to prescribe for the meningitis?

Vancomycin

MRSA

Vancomycin