Module 5 EAQs

A new mother asks the nurse administering erythromycin ophthalmic ointment to her newborn why her baby must be subjected to this procedure. What is the best response by the nurse?

"This antibiotic helps keep babies from contracting eye infections."

Which information would the nurse provide to a client diagnosed with chlamydia & prescribed doxycycline?

1) Report worsening symptoms 2) refrain from sexual relations 3) use barrier protection devices 4) contact partners to be tested 5) take the entire course of antibiotics

A client with adrenal insufficiency reports feeling weak & dizzy especially in the morning. Which physiological response would the nurse suspect is the probable cause of these symptoms?

A hypoglycemic reaction

Which medication does the nurse expect in the prescription of a client suffering from this?

Acyclovir

Which intervention would the nurse include in the plan of care for a client admitted with herpes zoster?

Acyclovir, silvadene, gabapentin, wet compress, contact isolation

Which prescribed medication will the nurse probably prepare educational materials for when caring for a pregnant woman with a body temperature of 103°f & clinical manifestations of coccidioidomycosis?

Amphotericin B. The medicine will not affect the fetus

Which medication increases the risk for upper GI bleeding?

Aspirin, ibuprofen, methylprednisolone

The nurse teaches the parent of an infant prescribed hystatin for oral thrush how to prevent aggravation of the condition. What statement by the parent indicates the need for further teaching?

B, C, E Nystatin is used to treat oral thrush in infants. Boiling the pacifier for 20 on alternate days is insufficient.

Which of these 4 clients with a mouth infection would the nurse anticipate administering nystatin?

B-Monilias: fungal infection caused by Candida albicans. Nystatin is used to treat fungal infections.

The nurse notes an older adult admission orders include gentamicin for the treatment of osteomyelitis. Which laboratory report would the nurse review before beginning the medicine?

Blood urea nitrogen (bun), & creative; electrolytes & electrolytes

Which hormone is responsible for altered serum calcium concentrations?

Calcitonin & parathyroid hormone

Which client receiving antibiotic therapy would the nurse Identify as being at risk for Achilles' tendon rupture?

Client B: ciprofloxacin has an adverse effect of tendon rupture

For which client would the nurse need to contact the primary care provider based upon the clients condition & treatment after reviewing the medication reconciliation documents of four clients?

Client a: enterococcus faecalis can cause a urinary tract infection. It is resistant to streptomycin.

Which medication would the nurse anticipate being prescribed for a client reporting inflammatory lesions on the face diagnosed with an inflammatory disorder of the sebaceous glands?

Clindamycin & Erythromycin. Both are topical antibiotics used in treatment of ache vulgaris,which occurs due to inflammation of sebaceous glands.

Which assessment would the nurse preform before administering a dose of vancomycin to a client?

Creatinine, trough level, hearing ability, iv site, bun

A prescription for 6 mg of intramuscular dexmethasone, twice a day for 2 days is issued to a client who is 32 weeks pregnant and having regular labor contractions. The client asks why she needs this medicine. Which reason would the nurse give the client regarding the reason the medication was prescribed?

Dexamethasone is a glucocorticoid that aids in neonate post-natal lung expansion

Which treatment strategy would benefit a client diagnosed with chlamydia?

Doxycycline & azithromycin

Which instruction would the nurse include when providing medication teaching to a client prescribed trimethoprim-sulfamethoxazole for cystitis?

Drink eight to ten glasses of water a day

The nurse should seek clarification for which order?

Erythromycin 250mg TIW

Which medication would the nurse anticipate administering to a client who reports fever, cough, muscle aches, night sweats, and chest pain with a laboratory report indicating the presence of coccidioides organisms in the respiratory tract?

Fluconazole

Use of which medication would the nurse identify as a potential risk for hearing impairment in a child?

Gentamicin

Which anti-infective agent can lead to blindness it not used correctly by the client in prescribed amounts?

Gentamicin

Which medication would cause the nurse to monitor the serum creatinine & blood urea nitrogen levels, when administering to a client receiving therapy for extensive burn wounds?

Gentamicin sulfate

Which class of medication would a nurse expect to be prescribed to prevent the development of cerebral edema after Craniotomy to remove a brain tumor?

Glucocorticoids: used for their anti-inflammatory action

Which assessment finding during the administration of intravenous penicillin would prompt the nurse to stop the infusion?

Hives, itching, skin rash, SOB

Which client statement provides evidence that the client understands medication teaching for high dose penicillin?

I must increase my fluid intake while taking this medication.

Which client statement indicates to the nurse effective teaching regarding the administration of ciprofloxacin therapy for treatment of osteomyelitis?

I should contact my primary care physician if white patches appear in my mouth

Which statement by the client indicates that the nurse's teaching was effective regarding intravenous gentamicin therapy?

I should report any hearing loss to the primary healthcare provider.

Which action would the nurse take to avoid red man syndrome when preparing to administer a vancomycin infusion?

Infuse slowly.

Which mechanism of action applies to penicillins?

Inhibits cell wall synthesis of the pathogen

Which hormones are involved in building & maintaining healthy bone tissue?

Insulin, Gluccocorticoids & Growth hormone

A pregnant client with an infection tells the nurse that they have taken tetracycline for infections in the past & prefer to take it now. Which response would the nurse give regarding the avoidance oftetracycline administration during pregnancy?

It alters the development of fetal teeth buds.

The nurse is teaching the parent of a child prescribed a high dose of oral prednisone for asthma. Which information is critical for the nurse to include when teaching about this medication?

It should be stopped gradually

Which adverse effect would the nurse monitor for in an infant receiving a sulfonamide?

Kernicterus: a form of jaundice

Which is the first-line medication used to treat a pt with mild diarrhea who is diagnosed with a clostridium difficile infection?

Metronidazole

Which medication used to treat bacterial vaginosis may be responsible for a clients report of an unpleasant metallic taste nausea, & vomiting?

Metronidazole

Which prescription would the nurse anticipate for a client experiencing vaginal discharge with a fishy odor who was diagnosed with bacterial vaginosis?

Metronidazole

Which medication would be prescribed when a pt reports vaginal itching & the primary health provider confirms the client has candidiasis? Select all that apply

Miconazole, Fluconazole, Clotrimazole. All are used to treat candidiasis.

Which substance history of a severe allergic reaction results in avoidance of the cephalosporins such as cefazolin, cefotetan, & ceftriaxone?

Milk, Asprin, calcium, & penicillin.

Which action would the nurse take after receiving aurineculture & sensitivity report that reveals a client has vancomycin-resistant enterococcus & after notifying the primary health provider?

Move the client to a private room

Which action would the nurse take when a client receiving an infusion of penicillin reports having an anaphylactic reaction to penicillin in the past?

Notify rapid response, measure oxygen level, administer epinephrine, insert an indwelling catheter, assess the rr

A child is prescribed an intravenous antibiotic. Within 10 minutes of the initial infusion, the child's face and neck are flushed but the remainder of the body is unchanged. The nurse reviews the child's record. What action should the nurse take next?

Notify the PCP after stopping the infusion.

After completing a week of antibiotic therapy, an infant develops oral thrush. Which medication in indicated for treatment of this condition?

Nystatin

The nurse identifies which antimicrobial medications as safe during breast feeding?

Penicillins, macrolides, & cephalosporins

Which effect has resulted in the avoidance of tetracycline use in children under 8 years old?

Permanent tooth discoloration

What information would the nurse provide when administering the first dose of prednisone prescribed to a client with an exacerbation of colitis?

Prednisone is not curative but does cause a suppression of the inflammatory process.

Which medication may contribute to development of a peptic ulcer in a client receiving immunosuppressive therapy?

Prednisone: corticosteroid that suppresses inflammatory responses

A child recovering from a severe asthma attack is given oral prednisone 15 mg twice daily. What is the priority nursing intervention?

Preventing exposure of the child to infection

Which instruction would the nurse provide a client prescribed oral extended-release ciprofloxacin therapy for a urinary tract infection.

Refrain from taking the tablet immediately after an antacid

Which action will the nurse take when it is time to administer vancomycin to a client with a continuous iv heparin drip?

Start a second IV line for the Vancomycin & continue heparin as prescribed.

Which initial action would the nurse take when caring for a client receiving intravenous vancomycin who reports ringing in both ears?

Stop the infusion

A 5-year old is given flouroquinolones. Which potential adverse effect unique to pediatric clients would the nurse anticipate?

Tendon rupture

A 12-year old child recently sustained several tick bites while camping and may have Lyme disease. What is the most appropriate response when he asks what Lyme disease is?

The tick bites gave you an infection. There is medicine that will make you feel better

How would the nurse reply when a client prescribed a tetracycline class medication asks why milk & antacids should be avoided before & after dosing?

This can lead to decreased absorption of the medication you need.

Which explanation would the nurse provide to a client with gastric ulcer disease who asks the nurse why the healthcare provider has prescribed metronidazole?

To treat Helicobacter pylori infection