Tetracyclines, Aminoglycosides, and others CAQs pharm

A patient on antibiotic therapy needs drug trough levels drawn. Which is the most appropriate time for the nurse to draw the trough level? 1 10 minutes before administration of the intravenous antibiotic 2 60 minutes after completion of the intravenous antibiotic infusion 3 30 minutes after beginning administration of the intravenous antibiotic 4 90 minutes after the intravenous antibiotic is scheduled to be administered

1

Which cardiovascular finding does the nurse identify as a possible adverse effect of erythromycin [Ery-Tab] therapy? 1 Prolonged QT interval 2 Jugular vein distention 3 Heart rate of 52 beats/min 4 Grade III diastolic murmur

1

Which instruction should a nurse include in the discharge teaching for a patient who is to start taking tetracycline? 1 "Use sunscreen and protective clothing when outdoors." 2 "You'll need to return to the clinic for weekly blood work." 3 "You may stop taking the pills when you begin to feel better." 4 "Take the medication with yogurt or milk so you won't have nausea."

1

A patient who is being treated for a neuromuscular disease has been ordered telithromycin [Ketek]. What is the nurse's highest priority action? 1 Notify the pharmacy. 2 Notify the healthcare provider. 3 Administer the first dose promptly. 4 Administer the medication with food.

2

A patient who is scheduled for an appendectomy has been prescribed neomycin [Neo-Fradin] by the primary healthcare provider. Which nursing action is most suitable in this situation? 1 Oral administration of neomycin [Neo-Fradin] after the surgery 2 Oral administration of neomycin [Neo-Fradin] before the surgery 3 Topical administration of neomycin [Neo-Fradin] after the surgery 4 Topical administration of neomycin [Neo-Fradin] before the surgery

2

The nurse assessing a patient who is 12 years old should associate which complication with the patient's receiving tetracycline as a younger child? 1 Early onset of puberty 2 Discoloration of the teeth 3 Delay in long bone growth 4 Severe face and body acne

2

The nurse has administered the morning dose of tobramycin [Nebcin] to a patient according to the prescription. In the evening, the nurse collects a blood sample from the patient and observes that the serum drug concentration is >2 mcg/mL. What should the nurse infer from this? 1 The patient is at risk of heartburn. 2 The patient is at risk of renal dysfunction. 3 The patient is at risk of nasal congestion. 4 The patient is at risk of red man syndrome.

2

The nurse should question the prescription of tetracycline for which patient? 1 A 40-year-old patient diagnosed with rickettsiae 2 A 6-year old patient with Haemophilus influenzae 3 A 60-year-old patient with a history of hypertension 4 A 45-year-old patient with a history of diabetes mellitus

2

Which enteral aminoglycoside would the nurse expect to be ordered preoperatively for a patient having intestinal surgery? 1 Amikacin 2 Neomycin 3 Gentamicin 4 Tobramycin

2

Which laboratory result should the nurse monitor more frequently when a patient is receiving clarithromycin [Biaxin] and warfarin [Coumadin]? 1 Platelet count 2 International normalized ratio (INR) 3 Erythrocyte sedimentation rate (ESR) 4 Activated partial thromboplastin time (aPTT)

2

A patient is scheduled for a computed tomography (CT) scan. The nurse notifies the primary healthcare provider that the patient is receiving treatment with amikacin [Amikin]. Which instruction would the primary healthcare provider give to the nurse after completion of the CT scan? 1 Check the patient's blood glucose concentrations. 2 Check the patient's blood ammonia concentrations. 3 Check the patient's serum creatinine concentrations. 4 Check the patient's serum thyroxine concentrations.

3

The nurse is caring for a patient who is being treated for acne. The nurse anticipates that the healthcare provider is most likely to treat the patient using which medication? 1 Bacitracin 2 Polymyxin 3 Tetracycline 4 Vancomycin

3

The nurse knows that there is an increased risk of ototoxicity in a patient receiving an aminoglycoside if which level is high? 1 Peak 2 Dose 3 Trough 4 Concentration

3

The nurse monitors the patient who is receiving gentamicin for symptoms of vestibular damage. Which finding should the nurse expect the patient to have first? 1 Vertigo 2 Dizziness 3 Headache 4 Unsteadiness

3

The nurse teaches a patient to promptly report any diarrhea to the healthcare provider. Which drug is the patient likely being prescribed? 1 Linezolide 2 Doxycycline 3 Clindamycin 4 Minocyclin

3

A primary healthcare provider has prescribed neomycin [Neo-Fradin] to a patient with hepatic encephalopathy. What should the nurse check before administering the drug to the patient? 1 Thyroxine concentration 2 Adrenaline concentration 3 Glucose concentration in urine 4 Glomerular filtration rate (GFR)

4

The nurse identifies which drug as a short-acting tetracycline? 1 Minocin 2 Vibramycin 3 Declomycin 4 Tetracycline (generic)

4

The nurse is assessing a patient who has pneumonia who is receiving aminoglycoside therapy. The nurse continues sending the patient's blood samples to be checked for drug concentrations for another 1 week after the patient recovers. What is the reason for checking the serum drug concentrations after the patient's recovery? 1 To prevent hepatoxicity 2 To prevent neurotoxicity 3 To prevent cardiotoxicity 4 To prevent nephrotoxicity

4

The nurse explains to a patient the need for serum blood test monitoring associated with the use of aminoglycosides. Which serum blood tests will be ordered for this patient due to the use of this medication? Select all that apply. A Creatinine B Blood glucose C Peak and trough D Blood urea nitrogen (BUN) E Creatine phophokinase test (CPK)

A, C, D

Which drugs are part of the tetracycline group of antibiotics? Select all that apply. A Linezolide B Minocycline C Clindamycin D Doxycycline E Demeclocycline

B, D, E

The nurse who is working in a pediatric unit administers tetracycline [Sumycin] to a preschool-age child. What is a potential adverse effect of the medication for this child? 1 Anabolic change 2 Cartilage damage 3 Discoloration of teeth 4 Suppression of growth

3

Which adverse effect should the nurse be alert for in a patient who is taking tobramycin [Nebcin] as an antibiotic therapy? 1 Nausea 2 Confusion 3 Hearing loss 4 Pain on injection

3

Which antibiotic is used in patients who have infections of the eyes, ears, or skin and for suppressing bowel flora before bowel surgery? 1 Amikacin [Amikin] 2 Tobramycin [Nebcin] 3 Neomycin [Neo-Fradin] 4 Gentamicin [Garamycin]

3

The patient who is receiving tobramycin develops flaccid paralysis and impaired breathing. Which medication does the nurse anticipate administering? 1 Potassium chloride [K-Dur] 2 Calcium gluconate [Kalcinate] 3 Magnesium sulfate [Epsom salt] 4 Sodium bicarbonate [Citrocarbonate]

2