Pharm Chapter 30
A patient is prescribed demeclocycline (Declomycin) for the treatment of a respiratory infection. What instruction does the nurse give to the patient to ensure safe administration of the drug?
"Avoid the consumption of dairy products."
The nurse is teaching precautions to a patient who is prescribed trimethoprim-sulfamethoxazole (Bactrim). Which statement of the patient indicates the need for additional teaching?
"I should take antacid to avoid gastrointestinal discomfort."
Which instruction will the nurse include in the discharge teaching for a patient receiving tetracycline?
"Take the antacid 2 hours before the drug."
The patient has been prescribed sulfamethoxazole/trimethoprim (Bactrim). The nurse notes that the patient has a history of kidney stones. What is the highest priority instruction for the nurse to give to the patient?
"Take the medication with a full glass of fluid."
The patient has been prescribed trimethoprim-sulfamethoxazole (Bactrim, Septra). The nurse notes that the patient has a history of kidney stones. What is the highest priority instruction for the nurse to give to the patient?
"Take the medication with a full glass of fluid."
The nurse is reviewing a patient's laboratory reports and finds the serum concentration of amikacin (Amikin) to be normal. What value did the nurse observe?
26 mcg/mL
The nurse should question the prescription of tetracycline for which patient?
A 6-year-old patient with Haemophilus influenzae
Which patient is a potential candidate for antibiotic therapy involving aminoglycoside?
A patient with Pseudomonas aeruginosa pneumonia
The nurse is assessing a patient with pneumonia who is prescribed amikacin (Amikin). After reviewing the medication history, the nurse finds that the patient is taking anticoagulants. What should the nurse primarily monitor in the patient?
Abnormal bleeding
Which antibiotic medication is most beneficial to a patient who has an anthrax infection?
Ciprofloxacin (Cipro)
Which sulfonamide is effective in the treatment of Streptococcus pneumoniae infection?
Cotrimoxazole (Septra)
The nurse is caring for a patient with a bacterial infection who has been prescribed sulfadiazine (Microsulfon). Which nursing intervention helps to prevent crystalluria in the patient?
Encouraging the patient to drink several quarts of fluid daily
The patient has been diagnosed with Legionnaires' disease. Which drug does the nurse anticipate the provider will order?
Erythromycin (E-Mycin)
Which class of drug is effective against Shigella?
Fluoroquinolones
What are adverse effects of cotrimoxazole (Bactrim)? Select all that apply.
Hemolytic anemia Pseudomembranous colitis Stevens-Johnson syndrom
A patient has been ordered telithromycin (Ketek) as well as simvastatin (Zocor). What is the nurse's best action?
Hold the medication and call the health care provider.
The patient taking intravenous gentamicin (Garamycin) has elevated blood urea nitrogen (BUN). What is the nurse's best course of action?
Hold the medication.
The registered nurse is evaluating a nursing student who is caring for a patient on levofloxacin (Levaquin) for a urinary tract infection. Which action of the student nurse needs correction?
Instructing the patient to have caffeinated products
A patient suffering from an upper respiratory tract infection was prescribed medication to be taken once a day for 5 days. After taking the drug, the patient complains of nausea, diarrhea, and abdominal pain. The patient also develops conjunctivitis before completing the full course. Which is a characteristic of the drug prescribed to the patient?
It can cause hepatotoxicity in high doses.
Which drugs inhibit bacterial growth? Select all that apply.
Lincomycin (Lincocin) Azithromycin (Zithromycin) Chloramphenicol (Chloromycetin)
Which medications are better absorbed from the gastrointestinal tract when taken with food? Select all that apply.
Minocycline (Minocin) Doxycycline (Vibramycin)
Which antibiotic is used in patients who have infections of the eyes, ears, or skin and for suppressing bowel flora before bowel surgery?
Neomycin (Neo-Fradin)
A patient who is scheduled for an appendectomy has been prescribed neomycin (Neo-Fradin) by the primary health care provider. Which nursing action is most suitable in this situation?
Oral administration of neomycin (Neo-Fradin) before the surgery
The registered nurse is teaching a nursing student about the side effects of different antibacterials and the corresponding patient teachings to be provided. Which patient does the nursing student select as receiving the correct teaching?
Patient on Nalidixic acid (NegGram) directed to avoid operating hazardous machinery while taking the drug
Which category of drugs produces toxicity when administered with cotrimoxazole (Bactrim)?
Phenytoin (Dilantin)
The primary health care provider prescribes vancomycin (Vancocin) to a patient who has a streptococcal infection. What will the nurse assess in the patient to ensure safe administration of the drug?
Renal function
The nurse is caring for a patient with infection who is on sulfonamide therapy. The nurse finds that the patient developed skin rashes after taking the medication. Which intervention helps to ensure safety in the patient?
Replacing sulfonamide with other antibiotics
The primary health care provider prescribed daptomycin (Cubicin) to a patient with MRSA (Methicillin-resistant Staphylococcus aureus) infective endocarditis. On reviewing the medical history, the nurse finds that the patient is currently receiving hyperlipidemic drug therapy as well. For which complication should the nurse monitor in the patient?
Rhabdomyolysis
While reviewing the blood reports of a patient who is on amikacin (Amikin) therapy, the nurse finds that the serum drug concentration is 2 mcg/mL. What further laboratory reports will the nurse check to ensure the patient's safety?
Serum creatinine concentration
Which bacterial infection is effectively treated by both tigecycline (Tygacil) and minocycline (Minocin)?
Staphylococcus aureus infection
The primary health care provider instructs a nurse to administer intravenous vancomycin (Vancocin). During infusion, the patient has excessive sweating and reports itching on the face and neck. What is the best nursing intervention in this situation?
Stop the administration of the vancomycin (Vancocin) infusion.
Which infection can be prevented by administering sulfadiazine (Microsulfon)?
Streptococcal infection
Which is a short-acting sulfonamide?
Sulfadiazine (Microsulfon)
The nurse is caring for a patient with systemic infection. The nurse finds that the patient is also taking antacids and instructs the patient to avoid administration of antacids simultaneously with sulfonamides. What is the reason behind this instruction?
Sulfonamide absorption is altered by the antacids.
The nurse is caring for a patient who is being treated for acne. The nurse anticipates that the health care provider is most likely to treat the patient using which medication?
Tetracycline
The nurse is caring for a patient who is on cotrimoxazole (Septra) and reports fatigue and weakness. While reviewing the laboratory reports, the nurse finds a reduction in the complete blood cell count of the patient. What could be the reason behind these findings?
The patient takes cotrimoxazole (Septra) in high doses for long time.
The nurse is caring for multiple patients receiving antibiotics. Which patient will the nurse assess first?
The patient who is taking amikacin with furosemide (Lasix)
During the assessment of a patient with acquired immunodeficiency syndrome, the nurse finds that the primary health care provider has prescribed trimethoprim-sulfamethoxazole (Septra). What is the reason behind the prescription?
To prevent Pneumocystis carinii infection
A patient with a urinary tract infection has been prescribed sulfasalazine (Azulfidine). The nurse administers the medication with a glass of water and instructs the patient to drink more than 2000 mL of fluids per day. What is the reason for this treatment strategy?
To prevent crystalluria
A primary health care provider instructs a nurse to administer vancomycin (Vancocin) to a patient. The nurse administers intravenous vancomycin (Vancocin) to the patient over 1 hour. Why will the nurse do this?
To prevent hypotension
The nurse is caring for a patient with infection and is on cotrimoxazole (Septra). The nurse finds that the patient is on warfarin (Coumadin) therapy. Which intervention ensures safe administration of the drug?
To prevent sepsis
Which sulfonamide has bactericidal activity?
Trimethoprim-sulfamethoxazole (Bactrim)
Which sulfonamide prevents bacteria from developing resistance?
Trimethoprim-sulfamethoxazole (Septra)
What is the principal indication for sulfamethoxazole-trimethoprim (SMX-TMP)?
Urinary tract infection
Which drug may cause cardiac death when used in combination with erythromycin (E-Mycin)?
Verapamil (Calan)
Which bacterium is sensitive to gentamycin (Garamycin)?
Which bacterium is sensitive to gentamycin (Garamycin)?