Drugs that Weaken the Cell Wall
Disinfectant
Agents applied to objects
Alcoholism
Before administering trimethoprim, it is most important for the nurse to assess the patient for a history of what?
Ensure Seperate IV solutions are used
Both IV ampicillin/sulbactam [Unasyn] and gentamicin are ordered for a patient. When administering these medications, the nurse will do what?
ototoxicity (hearing loss)
Major complication when taking Vancomycin
Impinem cliastatin
Taking this Carbapenems can reduce blood levels of Valproic Acid, which causes break through seizures
Administer Epinephrine Subcutaneously
Thirty minutes after receiving an intramuscular (IM) injection of penicillin G [Pfizerpen], a patient reports itching and redness at the injection site. Which action should the nurse take first?
Neyomycin
What aminoglycoside suppresses normal flora in GI tract
Myasthenia Gravis (rapid fatigue of muscles)
closely monitor people with ___ who are on Aminoglycosides (Gentramicin)
Cetazolin
1st gen of Cephalosporin
Cefaclor
2nd gen of Cephalosporin
Cettriaxone
3rd gen of Cephalosporin
Cefepime
4th gen of Cephalosporin
Headache
A nurse monitors a patient who is receiving an aminoglycoside (gentamicin) for symptoms of vestibular damage. Which finding should the nurse expect the patient to have first?
Skin Rash and Loose Stools
A nurse should teach a patient to observe for which side effects when taking ampicillin?
Plays in a contact sport and is an athlete
A patient is admitted to the hospital with a medical diagnosis of community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA). When taking the patient's history, a nurse recognizes which information as the most important?
Some hearing loss may have occurred
A patient is receiving an aminoglycoside (tobramycin) antibiotic. A nurse asks the patient to choose daily meal selections, to which the patient responds, "Oh, dear, I don't want another IV." The nurse makes which assessment about the patient's response?
Administer a pain med
A patient is receiving local applications of mafenide [Sulfamylon] to burn areas. Before application, it is most important for the nurse to do what?
Cardiac Rhythm
A patient is receiving penicillin G [Bicillin C-R]. Which assessment should the nurse monitor as an indicator of an undesired effect?
Neuro defects
A patient taking a sulfonamide is breast-feeding an infant. Which complication in the infant would the nurse associate with kernicterus?
White blood cell (WBC) count of 1200 units/L
A patient who has a vancomycin-resistant enterococci (VRE) infection is receiving linezolid [Zyvox]. Which laboratory result indicates that the patient is having an adverse effect?
Resolution of pneumonia
A patient who has acquired immunodeficiency syndrome (AIDS) is receiving trimethoprim/sulfamethoxazole [Bactrim]. Which response should a nurse expect if the medication is achieving the desired effect?
Antiseptic
Agents applied to living tissue
The most recent platelet count
An immunocompromised patient who is receiving piperacillin/tazobactam [Zosyn] develops oozing and bleeding from the gums. Which additional data should the nurse determine?
Myasthenia gravis
Before administering an aminoglycoside, it is most important for the nurse to assess the patient for a history of what?
corn
Do not eat this when taking Vancomycin
Penicillin
Do not mix Gentramicin (aminoglycosides) with...
Aminoglycosides
Do not mix Penicillin with ___
Penicillins
Don't give Cephalosporin to someone with a history of being allergic to...
Tetracyclines Macrolides Aminoglycosides
Drugs that Inhibit Protein Synthesis
Penicillin Cephalosporin Carbapenems Vancomycin
Drugs that Weaken the Cell Wall
Bleeding
One major complication with Cephalosporins is...
Skin rash and lesions
The nurse is assessing a patient who is receiving a sulfonamide for treatment of a urinary tract infection. To monitor the patient for the most severe response to sulfonamide therapy, the nurse will assess for what?
Trough
The nurse knows that there is an increased risk of ototoxicity in a patient receiving an aminoglycoside if which level is high?
in the fridge, take with food
Where do you store and when do you take Cephalosporins?
Prolonged QT interva
Which cardiovascular finding does the nurse identify as a possible adverse effect of erythromycin [Ery-Tab] therapy?
Neomycin
Which enteral aminoglycoside would the nurse expect to be ordered preoperatively for a patient having intestinal surgery?
May be taken with food or meals
Which instructions should a nurse provide to a patient who is to start taking amoxicillin/clavulanate [Augmentin]?
Activated partial thromboplastin time (aPTT)
Which laboratory result should a nurse monitor more frequently when a patient is receiving clarithromycin [Biaxin] and warfarin [Coumadin]?
prolonged QT intervals and ototoxicity
major complications from taking Erythromycin (Macrolides)
Protein
A patient who is receiving an aminoglycoside (gentamicin) has a urinalysis result with all of these findings. Which finding should a nurse associate most clearly with an adverse effect of gentamicin?
Calcium gluconate [Kalcinate]
A patient who is receiving an aminoglycoside develops flaccid paralysis and impaired breathing. Which medication does the nurse anticipate administering?
Tetracyclines
The nurse identifies tigecycline [Tygacil] as a derivative of what?
Tetracycline (generic)
The nurse identifies which drug as a short-acting tetracycline?
Frequent loose, watery stools with mucus and blood
What does the nurse identify as an adverse effect of clindamycin [Cleocin] therapy?
Breath Sounds
When administering an aminoglycoside to a patient with myasthenia gravis, it is most important for the nurse to assess what?
Sodium Level
When caring for a patient receiving mafenide [Sulfamylon] for treatment of a severe burn, it is most important for the nurse to monitor which laboratory value?
Between meals, with a full set of water
When providing patient teaching for oral sulfonamide therapy, the nurse should instruct the patient to take the sulfonamide in what way?
