Pharm ATI infection

Creatinine levels

0.6-1.2 mg/dL " over 1.3 bad kidney"

Normal WBC count

4,500-11,000/mm3

BUN count

8-20, over 20 "aint good honey"

A nurse is caring for a client who is taking warfarin and has a new prescription for trimethoprim/sulfamethoxazole ( Sulfonamides and Trimethoprim) to treat a UTI. 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 ? A. Bleeding B. Thrombosis C. ECG changes D.Ototoxicity

A. Bleeding

A nurse is reviewing a client's prescription prior to administering gentamicin (Aminoglycosides) 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 ? A. Ethacrynic acid B. Diphenhydramine C. Acetaminophen D. Levothyroxine

A. Ethacrynic acid Rationale: Aminoglycosides interact with ototoxic meds, ethacrynic is a loop diuretic that is an ototoxic med

A nurse is caring for a client who is about to begin taking metronidazole (Antiprotozoal) 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? A. Seizure disorder B. Hearing loss C. Asthma D. Anemia

A. Seizure disorder

A nurse in a providers office receives a call from a client who is taking ciprofloxacin (fluoroquinolone) to treat a respiratory tract infection and reports dyspepsia. Which of the following instructions should the nurse give the client? A. Take an antacid at least 2 hr after taking the drug. B. Take the drug with a cup of coffee. C. Take an iron supplement with the drug. D. Take the drug with 240 mL (8 oz) of milk.

A. Take an antacid at least 2 hr after taking the drug.

A nurse in a provider's office receives a call from a client who is taking tetracycline (Tetracycline-antibiotics) orally to treat a chlamydia infection and reports severe blood-tinged diarrhea. The nurse should suspect the client is experiencing which of the following? A. Hemorrhoids B. Clostridium difficile-associated diarrhea C. Diverticular disease D. Small bowel obstruction

B. Clostridium difficile-associated diarrhea

A nurse is caring for a client who is about to begin receiving acyclovir (Antivirals) 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? A. Heart failure B. Dehydration C. Asthma D. Tinnitus

B. Dehydration

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? A. First generation cephalosporins B. Third generation cephalosporins C. Monobactams D. Macrolides

B. Third generation cephalosporins

A nurse is preparing to administer Amphotericin B (Antifungals) 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 effects? Select all that apply A. Aspirin B. Hydrocortisone C. Acetaminophen D. Diphenhydramine E. Ibuprofen

C. Acetaminophen D. Diphenhydramine

A nurse is caring for a client who has a new prescription for acyclovir (Anti-virals) to treat a herpes simplex infection. Which of the following laboratory values should the nurse monitor for this client ? A. Prothrombin time B. Hct C. BUN D. Aspartate aminotransferas

C. BUN

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? A. Tingling in the hands and feet B. Joint pain C. Swelling of hands or feet D. Excessive sweating

C. Swelling of hands or feet

A nurse is caring for a client who is about to begin gentamicin (amino glycoside) therapy to treat an infection. The nurse should monitor the client for an alteration in which of the following? A. Bowel function B. Peripheral pulses C. Urine Output D. Level of consciousness

C. Urine Output

When administering oral erythromycin (Macrolides) to a client who has acute diphtheria, a nurse should monitor for which of the following adverse effects? A. Hypothermia B. Blurred vision C. Constipation D. Cardiac dysrhythmias

D. Cardiac dysrhythmias

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? (select all that apply) A. Nitrofurantoin B. Amoxicillin C. Aztreonam D. Cefotetan E. Metronidazole

D. Cefotetan E. Metronidazole

A nurse is administering cefotetan (2nd gen Cephalosporins) 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? A. Decrease the rate of the cefotetan infusion. B. Administer diphenhydramine to the client. C. Request a prescription for another antibiotic. D. Stop the cefotetan infusion.

D. Stop the cefotetan infusion.

A nurse is caring for a client who is taking ciprofloxacin (fluoroquinolone) 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? A. Tachycardia B. Hair loss C. Insomnia D. Tendon pain

D. Tendon pain

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 the client? A. Trimethoprim/sulfamethoxazole B. Tetracycline C. Cephalexin D. Vancomycin

D. Vancomycin ( other cell wall synthesis inhibitor antibiotics )