Ch 86

A patient who has a vancomycin-resistant enterococci (VRE) infection is receiving linezolid [Zyvox]. Which laboratory result indicates that the patient is having an adverse effect? A White blood cell (WBC) count of 1200 units/L B Hemoglobin (Hgb) level of 18 g/dL C Potassium level of 3.0 mEq/dL D Glucose level of 200 mg/dL

A

The nurse identifies which drug as a short-acting tetracycline? A Tetracycline (generic) B Declomycin C Vibramycin D Minocin

A

The nurse should include which instructions when teaching a patient about tigecycline therapy? (Select all that apply.) A "Use sunscreen when you are outside." B "If you have diarrhea more than five times a day, notify your healthcare provider." C "Avoid using this drug if you are pregnant." D "Stop taking the drug if you experience nausea." E "Stop taking the drug if you experience vomiting."

ABC

What does the nurse identify as an adverse effect of clindamycin [Cleocin] therapy? A Cyanosis and gray discoloration of the skin. B Frequent loose, watery stools with mucus and blood. C Reduction in all blood cells produced in the bone marrow. D Elevated bilirubin, with dark urine and jaundice.

B

Which cardiovascular finding does the nurse identify as a possible adverse effect of erythromycin [Ery-Tab] therapy? A Heart rate of 52 beats/min B Prolonged QT interval C Jugular vein distention D Grade III diastolic murmur

B

Which instruction should a nurse include in the discharge teaching for a patient who is to start taking tetracycline? A "You may stop taking the pills when you begin to feel better." B "Use sunscreen and protective clothing when outdoors." C "You'll have to come back to the clinic for a weekly blood work." D "Take the medication with yogurt or milk so you won't have nausea."

B

Which statements about CDAD associated with clindamycin therapy does the nurse identify as true? (Select all that apply.) A Leukopenia commonly occurs. B It is a potentially fatal condition. C Patients usually experience abdominal pain. D Anticholinergics are effective in treating the diarrhea. E Clindamycin therapy should be discontinued and vancomycin started.

BCE

The nurse identifies tigecycline [Tygacil] as a derivative of what? A Penicillins B Cephalosporins C Tetracyclines D Macrolides

C

A nurse assessing a patient who is 12 years old should associate which complication with the patient's receiving tetracycline as a younger child? A Delay in long bone growth B Early onset of puberty C Severe face and body acne D Discoloration of the teeth

D

Which laboratory result should a nurse monitor more frequently when a patient is receiving clarithromycin [Biaxin] and warfarin [Coumadin]? A Activated partial thromboplastin time (aPTT) B Platelet count C Erythrocyte sedimentation rate (ESR) D International normalized ratio (INR)

D