chapter 8: antibacterial drugs that interfere with protein synthesis prepu
The health care provider considers prescribing an oral tetracycline for a client suspected of having a urinary tract infection. What action needs to be completed before the medication can be prescribed?
the health care provider should order culture and susceptibility studies
The client is taking spectinomycin for the treatment of gonorrhea. The client called the clinic this morning complaining of insomnia. What is the nurse's best response to this client?
this is a common adverse reaction to the medication and should go away when you finish the prescription
A client with a complex medical history is showing signs and symptoms of sepsis. What aspect of this client's health history would rule out the safe and effective use of an aminoglycoside antibiotic?
the client has chronic renal failure
Extreme caution would be necessary with the use of gentamicin in which client?
a patient who has chronic renal failure secondary to diabetes mellitus
The nurse is reviewing recent laboratory values for an older client prior to administration of tetracycline. Which finding would lead the nurse to hold the dose?
creatinine of 2.8 mg/dL (247.52 µmol/L) (high)
A client newly diagnosed with syphilis is allergic to penicillin. What medication should this client be prescribed
tetracycline
After teaching a client who is receiving doxycycline about the drug, the nurse determines that the teaching was successful when the client makes what statement?
I need to wear protective clothing when I am out in the sun
Which statement is true concerning macrolides?
Macrolides are bacteriocidal or bacteriostatic.
The nurse is giving dietary instructions to a client who is taking linezolid. The nurse instructs the client to avoid eating which foods while taking this medication? Select all that apply.
Red wine (8oz), pepperoni pizza (six slices)
The nurse is reviewing the medication order for a client who has been prescribed gentamicin. The nurse recognizes the inclusion of what administration instruction as a means to maximize the drug's efficacy?
administer once daily
A 9-year-old client has been admitted to the pediatric unit after being diagnosed with pertussis. The pediatric nurse is processing the client's admission orders and notes that IV demeclocycline has been prescribed. After beginning this treatment, the nurse should confirm the results of what laboratory test
blood urea nitrogen (BUN)
A public health nurse interacts with many members of the community who are at risk for sexually transmitted infections (STIs). The nurse should anticipate the use of tetracycline in a client who is diagnosed with what STI
clamydia
A client with an upper respiratory infection has been prescribed macrolides. Which changes during an ongoing assessment would lead the nurse to notify the health care provider? Select all that apply
decrease in blood pressure, increase in respiratory rate, sudden increase in temperature
In the event of a bioterrorism attack with anthrax, the health care team should anticipate the use of which tetracycline?
doxycycline
A 32-year-old female client has been diagnosed with a superinfection and has been prescribed tigecycline. What is a priority nursing action?
educate the client about the need to supplement oral contraception with another form of birth control
A client has an upper respiratory infection and is allergic to penicillin. What medication does the nurse expect will be ordered?
erythromycin
A client is allergic to penicillin and has been diagnosed with a genitourinary infection caused by Chlamydia trachomatis. Which medication will most likely be administered?
erythromycin
The nurse receives a call from a client who is taking clindamycin (Cleocin). The client reports a burning feeling when swallowing. The nurse knows that the client has developed which adverse reaction related to this medication?
esophagitis
The nurse learns that a 7-year-old child has been prescribed tetracyclines several times in recent years. What assessment should the nurse prioritize
inspect the clients teeth
In which condition present in the client should macrolides be used with caution?
liver dysfunction
The nurse should monitor the client for which common side effects of erythromycin therapy?
nausea, vomiting, diarrhea
A client has been prescribed oral tetracycline. The nurse will instruct the client to take the drug how?
on an empty stomach
A female client is being treated for Mycoplasma pneumoniae pneumonia. She is allergic to penicillin and is being given azithromycin (Zithromax) in capsule form. The nurse will inform the client that she will need to take the capsule
on an empty stomach
When administering aminoglycosides, the nurse must be aware of which of the following adverse reactions?
ototoxicity and nephrotoxicity
The nurse is preparing to administer the first dose of linezolid (Zyvox) and would stop and contact the health care provider if the client had which condition?
phenylketonuria
A health care provider is deciding what medication to prescribe for a client with an upper respiratory infection. What principles guide the provider's decision? Select all that apply
resistance to bacteria, other drugs the client is taking daily, the clients ability to tolerate the drug
A 7-year-old child has been taking tetracycline for a bacterial infection. The nurse will be sure to inform the parents that this drug could cause
staining of permanent teeth
A client scheduled to undergo major abdominal surgery has been prescribed preoperative neomycin. Neomycin is used preoperatively for what reason?
suppress intestinal bacteria
The nurse is providing discharge teaching to a client who is being sent home on oral tetracycline. What instructions should the nurse include?
take the drug on an empty stomach
A nurse is reviewing the medical record of a client who is prescribed tetracycline. Which drug, if found being used by the client, would alert the nurse to the need for a decreased dosage of that drug?
warfarin
