NR293 Pharmacology
The health care provider prescribes peak and trough levels after initiation of intravenous antibiotic therapy. The client asks why these blood tests are necessary. Which reason would the nurse provide?
"They determine if the dosage of the medication is adequate.
Which amount of ceftriaxone 75 mg/kg/day divided bid would the nurse administer in one dose for a pediatric client who weighs 22 pounds?
375 mg
Which statement by the client indicates that the nurse's teaching was effective regarding intravenous gentamicin therapy?
4 I should report any hearing loss to the primary health care provider.
The nurse is caring for a client who is receiving intermittent intravenous piggyback (IVPG) doses of vancomycin every 12 hours. The primary health care provider prescribes trough levels of the antibiotic. The nurse schedules the blood sample to be obtained at which time?
Just before the medication is administered
Ceftriaxone is prescribed for a client's infection. For which potential adverse effect would the nurse monitor the client?
Allergic reaction
A client recovering from deep partial-thickness burns develops chills, fever, flank pain, and malaise. The primary health care provider makes a tentative diagnosis of urinary tract infection. Which diagnostic tests would the nurse expect the primary health care provider to prescribe to confirm this diagnosis?
Urinalysis with a urine culture and sensitivity
When would the nurse have the laboratory obtain a blood sample to determine the peak level of an antibiotic administered by intravenous piggyback (IVPB)?
Between 30 and 60 minutes after a dose
Which factor may alter the absorption of medications taken orally during pregnancy?
Delayed gastrointestinal emptying
Which assessment findings during the administration of intravenous penicillin prompt the nurse to stop the infusion? Select all that apply. One, some, or all responses may be correct.
Hives Itching Skin rash Shortness of breath
The nurse provides teaching about ampicillin. Which client statement indicates that additional teaching is needed?
I can stop this medication after I am symptom-free for 48 hours.
A client has developed a methicillin-resistant Staphylococcus aureus (MRSA) infection after surgical repair of a fracture. Which medication would the nurse anticipate to be prescribed?
Linezolid
The nurse is caring for a pregnant client who has contracted a trichomonal infection. For which oral medication would the nurse anticipate preparing to provide education?
Metronidazole
A client at 16 weeks' gestation is being treated for Trichomonas vaginalis infection. Which statement best indicates to the nurse that the client has learned measures to prevent a recurrence?
My partner has to get treated before we have sex again.
When a female client with a new infant is prescribed amoxicillin for a urinary tract infection, which instruction would the nurse include when teaching about the use of this medication?
Report signs of allergic reaction such as skin rash or itching.
A client with a continuous intravenous (IV) heparin drip is prescribed IV vancomycin every 12 hours. Which action will the nurse take when it is time to administer the vancomycin?
Start a second IV line for the vancomycin and continue the heparin as prescribed
A client receiving intravenous vancomycin reports ringing in both ears. Which initial action would the nurse take?
Stop the infusion.
A client has a prescription for nitrofurantoin 50 mg orally every evening to manage recurrent urinary tract infections. Which instruction would the nurse give to the client?
increase your intake of fluids
