Quiz: ATI Infection
You are preparing to administer amphotericin B IV to a patient who has a systemic fungal infection. Which of the following drugs should the healthcare professional administer prior to the infusion to prevent adverse reactions during amphotericin B administration?
Acetaminophen Diphenhydramine
You are caring for a patient who is about to begin taking acyclovir (Zovirax) to treat a herpes simplex infection. You should monitor which of the following lab values for the patient?
BUN (increase fluid intake to hydrate and flush the kidneys)
You are caring for a patient who is taking warfarin (Coumadin) and is about to begin taking trimethoprim/sulfamethoxazole (Bactrim) to treat a UTI. You should question the drug regimen because taking these two drugs concurrently can increase the patient's risk for which of the following?
Bleeding
A patient who is taking amoxicillin (Amoxil) to treat a respiratory infection contacts the healthcare professional to report a rash and wheezing. Which of the following instructions should the healthcare professional provide?
Call emergency services STAT MAN!!!!
When administering erythromycin (a macrolide) to a patient who has pneumococcal pneumonia, the healthcare professional should monitor for which of the following adverse reactions?
Cardiac dysrythmias
A primary care provider is considering the various pharmacologic options for a patient who has a gynecologic infection and a history of alcohol use disorder. Which of the following medications can cause a reaction similar to disulfarim (Antabuse) if the patient drinks alcohol while taking it?
Cefotetan (cephalosporin) Metrondiazole (anti-parasitic)
You are caring for a patient who is about to begin taking nitrofurantoin (Macrodantin) to treat a UTI. You should tell the patient to report which of the following adverse effects of the drug?
Cough (respiratory sx --> allergic rxn)
You are caring for a patient who is about to begin taking cephalexin (Keflex) to treat bacterial meningitis. You should explain to the patient the need to monitor which of the following laboratory tests?
Creatinine
You are caring for a patient who is about to begin receiving acyclovir (Zovirax) IV to treat a viral infection. The healthcare professional should recognize that cautious use of the drug is essential if the patient also has which of the following?
Dehydration (renal toxicity)
Which of the following drugs should a provider prescribe for a patient who has streptococcal pharyngitis and is allergic to penicillin?
Erythromycin (a macrolide; acceptable alternative to penicillin)
You are caring for a patient who is about to receive gentamicin (an aminoglycoside) to treat a systemic infection. You should question the use of the drug for a patient who is also taking which of the following drugs?
Furosemide (Lasix) -- a high-ceiling diuretic
You are caring for a patient who is about to begin taking ketoconazole to treat a fungal infection. You should tell the patient to report which of the following adverse effects of the drug?
Gynecomastia
Which of the following interventions should you implement to prevent a serious adverse reaction in patients receiving IV acyclovir (Zovirax)?
Increase the patient's fluid intake (renal toxicity)
A healthcare professional is caring for a patient who is about to begin taking isoniazid (INH) to treat TB. The healthcare professional should tell the patient to report which of the following adverse effects of the drug?
Jaundice Numbness of the hands Dizziness
When talking to a patient about starting antituberculosis treatment with rifampin (Rifadin), be sure to instruct the patient to report which of the following possible indications of a serious adverse effect of this drug?
Jaundice (liver toxicity)
You are administering gentamicin for treatment of a respiratory tract infection. Instruct the patient to monitor and report which of the following adverse effects of gentamicin?
Ototoxicity
A patient who is taking tetracycline orally to treat a chlamydia infection contacts the healthcare professional to report severe blood-tinged diarrhea. Recognizing the adverse effects of tetracycline, the healthcare provider should suspect which of the following?
Pseudomembranous enterocolitis
A patient is about to start taking amoxicillin (Amoxil) to treat an ear infection. You instruct the patient to monitor and report which of the following?
Rash
A primary care provider should prescribe a lower dose of aztreonam (Azactam) for a patient who has a respiratory tract infection and also has which of the following?
Renal impairment
A patient is prescribed tetracycline for treatment of acne vulgaris. What instructions about this drug should you include?
Report mouth pain (suprainfection) Take it 1hr before meals (empty stomach) Wear sunscreen (photosensitivity)
Be sure to administer impinem-cilastatin cautiously with patients who have which of the following?
Seizure disorder
You are caring for a patient who is about to begin taking metrondiazole (Flagyl), an anti-parasitic, to treat an anaerobic intra-abdominal bacterial infection. You should recognize that cautious use of the drug is indicated if the patient has which of the following?
Seizure disorder
A patient is starting to take trimpethoprim/sulfamethoxazole to treat a UTI. What is a possible indication of a serious adverse effect?
Sore throat
While administering IV cefotetan to a patient to treat bacterial meningitis, the healthcare professional find the IV insertion site warm and reddened. Which of the following actions should the healthcare professional take?
Stop the cefotetan infusion
A patient who is taking imipenem (Primaxin) to treat a bacterial infection contacts the healthcare professional to report an inability to eat because of mouth pain. Recognizing the adverse effects of imipenem, the healthcare professional should suspect which of the following?
Suprainfection
You are caring for a patient who is about to begin using nystatin (Mycostatin) to treat oral Candida albicans that resulted from tetracycline therapy. Which of the following instructions should the healthcare professional include about using the antifungal preparation?
Swish the suspension in the mouth before swallowing it
A patient who is taking ciprofloxacin (Cipro) to treat a respiratory tract infection contacts the healthcare professional to report dyspepsia. The healthcare professional should recommend which of the following insructions?
Take an antacid at least 2 hours after taking the drug
A patient is prescribed ketoconazole to treat systemic mycoses. You should include which of the following when instructing the patient about taking this drug?
Take it with food Take it with 8oz OJ to increase absorption
You are caring for a patient who is taking ciprofloxacin (Cipro), a fluoroquinolone, to treat a UTI and has rheumatoid arthritis, for which he takes prednisolone (Prelone) a glucocorticoid. Recognizing the adverse effects of ciprofloxacin, the healthcare professional should tell the patient to report which of the following?
Tendon pain (can cause achilles tendon rupture)
You are caring for a patient who is about to begin gentamicin therapy to treat an infection. You should monitor the patient for which of the following?
Urine output (nephrotoxicity)
You are caring for a patient who takes an oral contraceptive and is about to begin rifampin (Rifadin) therapy to treat TB. You should include which of the following instructions?
Use additional contraception
If a patient is allergic to penicillin, which of the following antibiotics should you prescribe for meningitis?
Vancomycin
A primary care privider is prescribing drug therapy for a patient whose sputum culture results indicate methicillin-resistant Staphylococcus aureus (MRSA). Which of the following drugs should be administered?
Vancomycin (Vancocin)
You are caring for a patient who is about to begin taking chloroquine (Aralen) to prevent malaria. When talking with the patient about taking the drug, you should include which of the following instructions?
Wear sunglasses outdoors (photophobia) Avoid driving (blurred vision) Take the drug with food (nausea & diarrhea)