Medications of Infection

A nurse is teaching a pt who is taking metronidazole. Which of the following sense alterations should the nurse include as an adverse effect of metronidazole?

Metallic taste

A nurse is teaching a client who has a new prescription for amoxicillin-clavulanate to treat pharyngitis. Which of the following statements by the client indicates an understanding of the teaching?

"I will stop taking this medication if I develop itching" -Penicillin-derived medications are a common cause of medication allergic reactions. Manifestations of allergic reactions include rashes, hives, itchy and watery eyes, and swollen lips, tongue, or face. Anaphylactic reactions can develop within 1 hr of taking the dose, and include difficulty breathing, shortness of breath, stridor, and angioedema. The client should discontinue the medication and notify the provider if these manifestations occur.

A nurse is providing teaching to a client who has oral candidiasis and a new prescription for nystatin suspension. Which of the following statements by the client indicates an understanding of the teaching?

"I will store the medication at room temperature" - Nystatin oral suspension should be stored at room temperature.

A nurse is reviewing the medical record of a client who is to receive the first dose of cefoxitin via intermittent IV bolus. Which of the following findings should the nurse identify as a contraindication for the pt to receive cefoxitin and report to the provider?

A severe allergy to amoxicillin - A client who has a suspected or documented history of severe allergy to penicillins may also have an allergy to cephalosporins that could result in anaphylaxis. The nurse should withhold the dose and notify the provider.

A clinical nurse educator is preparing an educational program about transmission of MRSA in hospitalized clients. Which of the following information should the nurse include in the program?

Bathe clients with H2O and chlorhexidine gluconate

A nurse is assessing a client who is receiving IV vancomycin. The nurse notes a flushing of the neck and tachycardia. Which of the following actions should the nurse take?

Decrease the infusion rate on the IV

A nurse is admitting a client who was prescribed antibiotic therapy and now has a C diff infection. Which of the following actions should the nurse take?

Disinfect equipment in the client's room daily

A nurse is teaching a pt who has a new prescription for erythromycin. Which of the following information should the nurse include?

Monitor for ringing in your ears. -Ototoxicity is an adverse effect of erythromycin. The client should monitor and report manifestations of ototoxicity, such as tinnitus, dizziness, and vertigo.

A nurse is caring for a pt who has a bacterial infection and is receiving gentamicin. Which of the following actions should the nurse take to minimize the risk of an adverse effect of the medication?

Monitor the serum medication levels

A nurse is planning care for a pt who has manifestations of a C. diff infection. Which of the following actions should the nurse plan to take?

Place the client on contact precautions

A nurse is preparing to administer amoxicillin 500 mg PO every 12 hr. The amount available is amoxicillin 250 mg/5mL suspension. How many mL should the nurse administer?

10 mL

A nurse is caring for a client who has sepsis and a prescription for vancomycin 1 g in 250 mL dextrose 5% (D5W) over 2 hr by IV intermittent bolus. The nurse should set the IV pump to deliver how many mL/hr?

125 mL/hr

A nurse is caring for a child who is allergic to penicillin. The nurse should verify which of the following prescriptions with the provider?

Amoxicillin-clavulanate - Penicillin is the most common medication allergy. Clients who are allergic to one penicillin medication should be considered allergic to all penicillins, which would include amoxicillin-clavulanate. Reactions may mild or life-threatening.

A nurse is caring for a client who has an infection and a prescription for gentamicin intermittent IV bolus every 8 hr. A peak and trough is required with the next dose. Which of the following actions should the nurse take to obtain an accurate gentamicin serum level?

Draw a trough level immediately prior to administering the medication and a peak level 30 min after the dose.

A nurse manager is providing an educational program on antibiotic sensitivity to bacterial infections. The nurse should include in the teaching that vancomycin is indicated for which of the following infections?

MRSA -The nurse should teach that vancomycin is sensitive to the infection methicillin-resistant Staphylococcus aureus and Clostridium difficile infections, and should be the antibiotic of choice to treat this organism.

A nurse is providing teaching to a client who has a skin infection and a new prescription for gentamicin topical cream. Which of the following instructions should the nurse provide?

Wash the affected area with soap and water before applying cream. - The client should wash the affected area with soap and water and dry it thoroughly before applying the cream.

A nurse is caring for a client who received an injection of penicillin G procaine. The client begins to experience dyspnea and tongue swelling. Which of the following actions should the nurse perform first?

administer epinephrine subcutaneously - The priority action the nurse should take when using the airway, breathing, circulation approach to client care is to administer epinephrine. The effect of the epinephrine is to act on adrenergic receptors, causing bronchodilation of the lungs and an elevation of blood pressure. By stimulating both alpha and beta adrenergic receptors to cause these effects, it accomplishes more of the goals of treatment of anaphylaxis than any other single therapy.

A nurse is assessing a client after administering IV vancomycin. Which of the following findings is the nurse's priority to report to the provider?

audible inspiratory stridor; When using the airway, breathing, circulation approach to client care the nurse determines the priority finding is inspiratory strider. The client is at risk for bronchospasms, hypotension and circulatory collapse due to anaphylaxis. The nurse should contact the rapid response team, discontinue the vancomycin, and administer epinephrine

A nurse is caring for a client who has streptococcal pneumonia and a prescription for penicillin G by intermittent IV bolus. 10 min into the infusion of the third dose, the client reports that the IV site itches and that he feels dizzy and short of breath. Which of the following actions should the nurse take first?

stop the infusion

A nurse is reviewing guidelines for prophylactic antibiotics. The nurse should identify that prophylactic antibiotic therapy is not recommended for which of the following clients?

A client who has a fever of unknown origin

A nurse is admitting a pt who has a wound infected with VRE. Which of the following types of precautions should the nurse plan to initiate?

Contact

A nurse manager is providing an educational program on antibiotic sensitivity to bacterial infections. The nurse should include in the teaching that metronidazole is indicated for which of the following infections?

Trichomoniasis Vaginalis

A nurse is reviewing the medication record for a client who has chronic kidney disease. Which of the following medications should the nurse identify as having the potential to cause nephrotoxicity?

Vancomycin - The nurse should identify that vancomycin, an antibiotic, to be associated with nephrotoxic adverse effects.