Quiz 8

Bacampicillin will reduce the effectiveness of birth control pills

A 26-year-old female patient with a skin infection has been prescribed 400 mg bacampicillin to be taken orally. Which of the following instructions should the nurse include in the patient teaching plan?

Monitor blood creatinine levels

A 75-year-old patient with a history of renal impairment is admitted to the primary health care center with a urinary tract infection and has been prescribed a cephalosporin. Which of the following interventions is most important for the nurse to perform when caring for this patient?

75 mL

A doctor prescribes a patient 3.375 g piperacillin sodium and tazobactam (Zosyn) every 6 hours. After reconstitution, the concentration of the drug is 2.25g/50 mL. Which of the following quantities of the reconstituted solution should the nurse administer to the patient?

Urinary tract infections

A health care center is conducting a seminar on cephalosporin drugs. During the question-and-answer period, the audience wants examples of conditions that can be treated by cephalosporins. Which of the following infections should the nurse state as examples?

Risk of toxicity

A middle-aged patient has been prescribed tetracycline as part of his Prevpac for the treatment of H. pylori. The patient has a history of atrial fibrillation which is being treated with digitalis drugs. Given his history and current medications, the patient is at risk for which of the following conditions?

Photosensitivity

A nurse has administered demeclocycline to a patient. Which of the following adverse reactions should the nurse closely monitor the patient for?

Rash, itching, or other allergic reactions

A nurse has been instructed to administer mafenide to a patient. Which of the following adverse reactions should the nurse assess for in this patient?

Stomatitis

A nurse is caring for a patient receiving amoxicillin for the treatment of an acute bacterial urinary tract infection. Which of the following is an adverse reaction to the drug which the nurse should monitor for in the patient?

Inflammation of the tongue and mouth

A nurse is caring for a patient who is being administered penicillin. For what common adverse reactions to penicillin should the nurse assess?

Extremely large dosage of cranberry juice

A nurse is caring for a patient with a urinary tract infection. After administering a sandwich and a large glass of cranberry juice to a patient, the nurse observes that the patient has developed diarrhea. Which of the following is the most likely cause of the patient's condition?

Shake the vial well to distribute the drug evenly

A nurse is required to administer a parenteral form of penicillin to a patient. Which of the following interventions should a nurse perform when preparing penicillin in parenteral form?

Inform the primary health care provider

A nurse needs to administer a cephalosporin to a patient. The patient informs the nurse that he is allergic to penicillin. Which of the following actions is the nurse most likely to take in such a situation?

Decreased absorption of tetracycline

A patient has been prescribed a tetracycline drug for Rocky Mountain Spotted Fever. The patient also takes antacids. Which of the following effects is likely to occur due to an interaction between the two drugs?

Take the drug on an empty stomach

A patient has been prescribed oral tetracycline for the treatment of acne. Which of the following must the nurse include in the patient teaching plan?

Record evaluations on patient's chart

A patient undergoing penicillin therapy shows improvement and states that he is feeling better. Which of the following interventions is the nurse most likely to perform in such a situation?

Inspect mouth and gums regularly

A patient who has been on penicillin therapy for several days has developed inflamed oral mucous membranes and swelling in the tongue and the gums. The primary health care provider has diagnosed it as a fungal superinfection of the oral cavity resulting in impaired oral mucous membranes. Which of the following interventions should the nurse perform?

Wear protective clothing and sunscreen when outside

A patient who is on sulfonamide therapy is about to be discharged. Which of the following precautions should the nurse instruct the patient to take to reduce the effects of photosensitivity?

Obtain patient's general health history

A patient with a throat infection has been recommended penicillin therapy by the primary health care provider. Before administering the first dose of penicillin to the patient, which of the following interventions should the nurse perform as part of the preadministration assessment?

Toxic effects to the developing fetus

A young pregnant patient with intestinal amebiasis is prescribed a tetracycline. Which of the following can be an adverse effect of the drug?

Stevens-Johnson syndrome (SJS)

After administering sulfonamides to a patient, the nurse observes that the patient has developed fever, cough, and muscular aches. The nurse also observes that the patient has developed lesions in the form of red wheals on the neck and the mouth. The nurse recognizes that these are symptoms of

Contact primary health provider immediately

After having penicillin administered as prescribed, a patient shows signs of diarrhea and informs the nurse that there is blood in his stool. Which of the following interventions should the nurse perform?

Patients taking cisapride

In which of the following patients is lincosamide therapy contraindicated?

Administer the drug with food

The nurse administers cefuroxime to a patient at least 1 hour before meals, as prescribed. However, the patient experiences a GI upset. Which of the following is an appropriate nursing intervention in this case?

Increased action of the anticoagulant

The primary health care provider has recommended sulfonamide therapy for a patient. While obtaining the patient's medical history, the nurse discovers that the patient is taking oral anticoagulants. Which of the following are the possible effects of combining sulfonamide therapy with oral anticoagulants?

Nephrotoxicity

Which of the following should a nurse carefully monitor in a patient who has been administered cephalosporin along with aminoglycosides for a wound infection?