Nursing Pharmacology Chapter 29

The client has been ordered Cefazolin. The nurse anticipates an increase in the client's _____from this medication?

BUN and serum creatinine

Drug concentration is important for the eradication of bacterial infection. It is desired to keep the drug dose:

above minimum effective concentration

The client has been ordered to be treated with amoxicillin. The highest priority instruction that the nurse should give the client related to diet while on the medication is to avoid:

acidic fruits and juices

A client who reports an allergy to penicillin is ordered to receive cephalexin (Keflex). The correct action for the nurse is to:

administer the medication and carefully observe for allergic reaction

The client has been ordered treatment with Wycillin. The nurse notes that the solution is milky in color. What is the highest priority action on the part of the nurse?

administer the medication as ordered by the physician

Most beta-lactam antibiotics are excreted through the kidneys. The nurse should assess the client's renal function by monitoring which levels?

blood urea nitrogen and serum creatinine

The client has been ordered treatment with Cefaclor as well as erythromycin. The nurse anticipates what effect from the interaction of the medications?

decreased action of the Cefaclor

A client's medication warrants peak and trough levels to be drawn. The nurse is aware that if the peak level of the drug is too high, what could occur?

drug toxicity

The client has been ordered treatment with Amoxil. The client reports to the nurse that she has developed symptoms of vaginitis. The highest priority action on the part of the nurse is to recognize this as:

evidence of development of a superinfection

A client at an outpatient clinic is ordered to receive ampicillin (Omnipen) for an infection. Which nursing intervention related to penicillin's would the nurse question?

instruct client to discontinue penicillin when temperature is normal

With continuous use of antibiotics, antibiotic resistance result because:

mutant bacteria are surviving antibiotic use

A nurse is ordered to draw blood levels for a person receiving an antibiotic. The nurse is aware that peaks and troughs of serum antibiotic levels are monitored for drugs with a:

narrow therapeutic range

A client is ordered to receive a cephalosporin to treat a bacterial infection. Regarding monitoring of the client, the highest priority action on the part of the nurse includes assessing the client for which side effects?

nausea, vomiting, and diarrhea

A client with otitis media is ordered to receive amoxicillin (Amoxil). The client discloses to the nurse that she is allergic to penicillin. What is the highest priority action on the part of the nurse?

notify the HCP that the client is allergic to penicillin

A client has been receiving a cephalosporin for 20 days to treat a severe bacterial infection. The client complains of mouth pain, and the nurse assesses white patches in the client's mouth. What is the highest priority action on the part of the nurse?

notify the physician and describe symptoms

A client has relayed instructions from a physician regarding an allergy to a type of antibiotic therapy. The nurse would question which instruction?

restrict fluids when taking the antibiotic

When antibacterials are prescribed for the treatment of an infection and a culture is ordered, what should happen next?

the culture should be taken before the initial dose of the antibiotic is given