Pharm Chapter 38 Adaptive Quizzing
A patient is prescribed demeclocycline for the treatment of a respiratory infection. Which instruction does the nurse give to the patient to ensure safe and effective administration of the drug?
"Avoid the consumption of dairy products." pg.602
The nurse is performing a follow-up assessment of a patient who was prescribed tetracycline for a respiratory infection. The nurse finds that the infection is still present; however, the patient reports taking the drug as prescribed. Which question does the nurse ask the patient to determine the cause of drug ineffectiveness in this situation?
"Did you coadminister iron supplements?"
The patient has been prescribed sulfamethoxazole/trimethoprim. The nurse notes that the patient has a history of kidney stones. Which statement is the highest priority instruction for the nurse to give to the patient?
"Take the medication with a full glass of fluid." pg.605
A nursing student asks the nursing instructor about the mechanism of bacteriostatic action of tetracycline. Which answer by the nursing instructor is correct?
"Tetracycline inhibits protein synthesis." pg. 602
The patient has been ordered azithromycin and asks the nurse why the medication does not have to be taken as often as other antibiotics that have previously been ordered. Which is the nurse's best response?
"This drug has a longer duration of action than some of the other antibiotics." pg.599 Azithromycin is one of the newer macrolide antibiotics. It has a longer duration of action as well as fewer and less severe gastrointestinal side effects than erythromycin. The other responses do not address the patient's question, which was why azithromycin does not have to be taken as often.
A patient prescribed azithromycin expresses concern regarding gastrointestinal upset experienced when taking erythromycin. Which statement will the nurse make to this patient?
"This drug is like erythromycin but has less severe gastrointestinal side effects." pg.601
The nurse is assessing a patient who is prescribed sulfamethoxazole/trimethoprim (co-trimoxazole). Which instruction does the nurse give to the patient before the administration of sulfamethoxazole/trimethoprim (co-trimoxazole)?
"Use any method other than oral contraception for birth control." pg.591
Which instruction will the nurse include in the discharge teaching for a patient receiving tetracycline?
"Use sunscreen and protective clothing when outdoors." pg.602-603
Which time range is the elimination half-life of amoxicillin?
1 to 1.5 hours pg. 595
The nurse works in a medical-surgical unit. Which patients would the nurse monitor for atypical signs of infection? Select all that apply.
A 78-year-old patient with urinary incontinence A 35-year-old patient who underwent a renal transplant A 55-year-old patient who received radiation therapy for lung cancer pg.587
The nurse is caring for a patient who is taking penicillin antibiotics. The patient reports flushing, itching, hives, anxiety, and throat and tongue swelling. The nurse finds that the patient has a rapid, irregular pulse. Which condition may the patient have as a result of taking the antibiotic?
An allergic anaphylactic reaction pg. 589-603
A patient with type 2 diabetes mellitus is started on sulfamethoxazole/trimethoprim. Which nursing intervention is a necessary priority for this patient?
Assess blood sugar. pg. 591 Sulfamethoxazole/trimethoprim increases the hypoglycemic response when taken with sulfonylureas (oral hypoglycemic agents). The nurse would assess blood sugar and determine what oral hypoglycemic the patient is taking. The remaining choices are not the priority.
The nurse anticipates that a patient with which of the following infections would be prescribed meropenem?
Bacterial meningitis pg. 599
Which over-the-counter drugs will the nurse advise a patient to avoid while the patient is taking doxycycline? Select all that apply.
Calcium citrate Magnesium citrate
Oral sulfamethoxazole/trimethoprim is prescribed for a patient and is being administered four times a day. Which action would the nurse take?
Call the health care provider to discuss changing the frequency of the dose. pg.591
The nurse is caring for a postoperative patient. Which antibiotic is used for prophylaxis against infection in surgical patients?
Cefazolin pg.596
A patient with pain and urinary tract infection develops fever, chills, and sores on the tongue. In the chart, the nurse finds an allergy to sulfonamides. Which drug does the nurse suspect is responsible for the patient's reaction?
Celecoxib pg. 591
A primary health care provider prescribes a medication along with ampicillin to enhance the effectiveness of the antibiotic. Which medication will be added to enhance the effectiveness of the ampicillin?
Clavulanic acid pg.592
A patient receiving antibiotics for chronic tonsillitis has been experiencing abdominal pain and cramps associated with frequent watery stools. Which infection does the nurse suspect?
Clostridium infection pg.588
The patient has been started on a medication regimen that includes sulfamethoxazole/trimethoprim. The nurse notes that the source of the patient's infection has been determined to be viral in origin. Which action is the nurse's highest priority?
Contact the health care provider to discuss the medication. pg.590
Which term describes antibiotic therapy tailored to treat an identified organism?
Definitive therapy pg.588
The nurse is caring for a patient who has a urinary tract infection and is being treated with sulfamethoxazole/trimethoprim (SMZ-TMP). Which findings does the nurse report to the primary health care provider to prevent complications? Select all that apply.
Diarrhea Blood in the urine Shortness of breath pg. 605
A patient is diagnosed with a respiratory infection caused by staphylococci. Which penicillinase-resistant drug may be included in the prescription?
Dicloxacillin pg. 592
A patient who enjoys drinking socially has been prescribed cefotetan. The nurse explains to the patient that alcohol should be avoided for how long?
During drug therapy and for 3 days afterward pg. 605
A patient is prescribed amoxicillin for Helicobacter pylori infection. During the next patient round, the nurse observes that the patient is wheezing and has difficulty breathing, swelling of the throat, and dizziness. The nurse also notes a drop in blood pressure and a weak pulse. Which medicine does the nurse expect orders for to manage the patient's current symptoms?
Epinephrine Amoxicillin is a penicillin antibiotic. The assessment findings make it evident that the patient has a penicillin anaphylactic reaction. Difficulty breathing, wheezing, swelling of the throat or tongue, and dizziness are the symptoms of a penicillin anaphylactic reaction. In this condition, epinephrine should be administered to the patient immediately to block the action of penicillin. Ranitidine is an antacid; it helps relieve acidity but is not helpful in treating the anaphylactic reaction. Tetracycline and azithromycin are antibiotics and helpful to treat antibacterial infection but are not effective in the treatment of penicillin anaphylactic reaction. pp. 589, 593
The patient has been diagnosed with Legionnaires' disease. Which drug does the nurse anticipate the health care provider will order?
Erythromycin pg. 600
A patient who is on long-term antibiotic therapy complains of watery diarrhea and abdominal pain. Further assessment reveals that the patient's body temperature is 39°C. Which medication does the nurse expect will be prescribed by the health care provider?
Fidaxomicin pg. 599
When planning care for a patient receiving a sulfonamide antibiotic, which intervention is a necessary intervention?
Force fluids to at least 2000 mL/day. pg.605
The nurse is caring for a patient who has been prescribed cefazolin sodium. Which nursing assessment is the most important overall?
History, including allergies pg. 603
How does penicillin work to destroy bacteria?
It interferes with cell wall synthesis. pg.592
The nurse is performing a follow-up assessment of a patient who was prescribed a week's worth of antibiotics for gastroenteritis. Which signs and symptoms in the patient may indicate the need for referral to the primary health care provider? Select all that apply.
Jaundice Excessive fatigue Elevated temperature
A patient is prescribed cefuroxime for a respiratory tract infection. Which drug allergy, if present in the patient's medical history, may indicate the need for change of prescription?
Penicillin V potassium pg.596
A patient who is about to undergo an open cholecystectomy is administered intravenous ceftriaxone. Which antibiotic treatment is the patient likely getting?
Prophylactic pg.588
A patient is newly prescribed sulfamethoxazole/trimethoprim (co-trimoxazole) for the treatment of a urinary tract infection. Which biochemical parameter does the nurse assess before administering the drug?
Red blood cell count pg.604
Which medication may result in ineffectiveness of penicillin V potassium?
Rifampin pg.594
The patient has been diagnosed with ulcerative colitis. The nurse recognizes that which medication may be ordered to treat this condition?
Sulfasalazine pg. 590
Which antibiotic may cause hemolysis in a patient who has glucose-6-phosphate dehydrogenase (G6PD) deficiency?
Sulfonamide pg. 589
When instructing a patient about antibiotic therapy, the nurse explains that which condition occurs when the normal flora are disturbed during antibiotic therapy?
Superinfection pg. 588
A patient is administered cefotetan for a urinary tract infection. After 2 days, the patient complains of stomach cramps, nausea, vomiting, excessive sweating, itching, and headache. The patient also has decreased blood pressure. Which statement describes what the nurse would interpret from the assessment?
The patient had taken ethanol (alcohol) in addition to the cefotetan. pg.605
A patient with a respiratory infection is treated with doxycycline. At the follow-up visit, the nurse finds that the signs and symptoms of infection have not subsided. Which patient action might have caused a reduction in the therapeutic effect of the drug?
The patient took the medication with a glass of milk. pg.606
A patient has a serious intraabdominal infection. Which antibiotic will the nurse expect to administer to this patient as empiric therapy?
Ticarcillin-clavulanic acid pg. 592
Which condition is the principal indication for sulfamethoxazole-trimethoprim (SMZ-TMP)?
Urinary tract infection pg.590
Which conditions are adverse effects of sulfonamide antibiotics?
Urticaria Pancreatitis Hepatotoxicity pg. 591
Which of the following drugs is contraindicated for a patient who is receiving erythromycin therapy?
Warfarin pg. 600-601
How does superinfection occur in a patient?
When the antibiotic eliminates the normal bacterial flora pg.588
A nursing instructor is discussing tigecycline therapy with a group of nursing students. Which statement is the nursing instructor most likely to make?
"Avoid administering tigecycline to a 7-year-old with Lyme disease." pg. 602
A patient is prescribed sulfamethoxazole/trimethoprim (co-trimoxazole) for a urinary tract infection. Which instruction does the nurse give to the patient to prevent complications associated with sulfamethoxazole/trimethoprim (co-trimoxazole)?
"Avoid exposure to sunlight." pg.591
