Antibiotics Drugs

A client receiving isoniazid (INH) and rifampin has a decreased urinary output and decreased sensation in the great toes. Which laboratory values should be assessed?

ALT and AST

Penicillin and Penicillinase-Resistant

Ampicillin, Amoxicillin

A patient is being treated with a cefazolin and aminoglycoside. The nurse will be sure to monitor what?

BUN and creatinine levels

A nurse is a provider's office receives a call from a client who is taking tetracycline orally to treat a chlamydia infection contacts the health care professional to report severe blood-tinged diarrhea. Recognizing the adverse effects of tetracycline, the health care professional should suspect which of the following?

C. Diff associated diarrhea

A nurse in a provider's office receives a call from a client who is taking amoxicillin to treat a respiratory infection contacts the health care professional to report a rash and wheezing. Which of the following instructions should the nurse provide?

Call emergency services immediately.

When administering oral erythromycin to a client who has acute diphtheria, a nurse should monitor for which of the following adverse effects?

Cardfias dysrhythmias

Cephalosporins

Cephalexin

A local bioterrorism medical team is learning about germ warfare. The team is instructed that a fluoroquinolone may be used to prevent an outbreak of anthrax infection. What fluoroquinolone would the nurse be most likely to administer for this purpose?

Ciprofloxacin

Fluroquinolones

Ciprofloxacin

A nurse is caring for a 6-year old child with a severe case of typhoid fever. The client was mistakenly administered tetracycline, which can cause adverse reactions. What could be a permanent effect in the child?

Discoloration of teeth

A client has been prescribed ciprofloxacin IV for the treatment of cellulitis. After initiating the infusion of the client's first scheduled dose, the client develops a pronounced rash on the chest and arms. How should the nurse respond initially to this event?

Discontinue the infusion and inform the health care provider promptly.

The nurse is providing patient teaching before discharging a patient home. The patient is taking ciprofloxacin (Cipro). What would the nurse teach this patient is the best way to prevent crystalluria caused by ciprofloxacin (Cipro)?

Encourage at least 2 liters of fluid per day.

A client is diagnosed with an infectious process that is sensitive to penicillin. The client is allergic to penicillin, so the health care provider orders a drug with a similar antibacterial spectrum. The nurse anticipates that the provider will order what antibiotic?

Erythromycin

Which generation does cephalexin (Keflex) fall under?

First

Which two drugs fall under the drug category Aminoglycosides?

Gentamicin and Streptomycin

Aminoglycosides

Gentamicin, Streptomycin

A patient taking Gentamicin is complaining of difficulty hearing. What should the nurse do?

Hold the dose and notify the physician immediately

After teaching a client who is prescribed oral erythromycin, the nurse determines that the teaching was successful when the client states which of the following?

I should drink a full 8-oz glass of water when I take the medicine."

A patient is taking phenazopyridine (Azo-Standard) and ciprofloxacin (Cipro) for a urinary tract infection. What is the most important instruction the nurse needs to provide to the patient concerning this drug combination?

If you notice yellowing of your eyes or skin, contact your health care provider immediately.​

Penicillins and cephalosporins are used cautiously in neonates due to what factor? Immature kidney function Immature liver function Immature immune function Immature pancreatic function

Immature kidney function

A nurse is caring for a patient who is being administered penicillin. What are the common adverse reactions to penicillin a nurse should assess for?

Inflammation of the tongue and mouth

The nurse is caring for a patient receiving penicillin. The nurse knows this type of antibiotic works by what mechanism?

Inhibiting cell wall biosynthesis

A client being treated for tuberculosis is determined to be drug resistant. Which medications will no longer be effective in the treatment of the tuberculosis?

Isoniazid and rifampin

A patient calls the clinic to talk to the nurse. The patient states that he or she saw the physician ​last week​ and was prescribed penicillin for a strep throat. The patient goes on to say that they feel so much better they stopped taking the drug ​today,​ even though there are ​a few pills left.​ What is the nurse's best response?

It is important that you take all the medication so all the germs are killed. Otherwise they could come right back and be even stronger.​

A female client's medical history includes type 2 diabetes, CVA, dysphasia, and chronic renal failure. She develops an infectious process. The health care provider orders erythromycin. Based on the client's medical history, why is erythromycin the drug of choice?

It is metabolized in the liver.

A client is receiving rifampin and isoniazid in combination for treatment of tuberculosis. What would the nurse need to monitor closely?

Liver function

An aminoglycoside should not be given to a patient if they are currently taking what type of medications?

Loop diuretics and Potent diuretics

Penicillins are utilized in the treatment of which of the following bacterial infections?

MeningitisSyphilisIntra-abdominal infectionsUpper respiratory tract infections

Tetracyclines

Minocycline

The nurse is preparing a teaching plan for a client who is receiving cephalosporins. Which of the following would the nurse identify as the most commonly occurring adverse effects?

Nausea and Diarrhea

Which of the following should a nurse carefully monitor in a patient who has been administered cephalosporin as well as aminoglycosides for a wound infection?

Nephrotoxicity

Michael, 25 years old, has had mitral valve regurgitation since age four, after having rheumatic fever. Michael is planning to go to his dentist to have his teeth cleaned. Because of Michael's history he will need to take antibiotics in conjunction with this procedure to prevent bacteremia. Which class of antibiotics will Michael most likely receive if he has no allergies?

Penicillin

Tetracycline is often a viable treatment option when a client has an allergy to what antibiotics?

Penicillins

Cephalosporins should be used cautiously in clients with which of the following?

Renal disease Hepatic impairment Bleeding disorder Known penicillin allergy

What should should the nurse expect to monitor closely while patient takes an aminoglycoside?

Renal system

A client, being treated in the intensive care unit, has been diagnosed with ventilator-associated pneumonia. Culture and sensitivity testing of the client's sputum indicates that erythromycin is a treatment option. Which nursing assessment is most appropriate to rule out contraindications for this medication therapy?

Review lab results to confirm normal liver function.

Antituberculosis

Rifampin

A group of students are reviewing information about drugs used to treat tuberculosis. The students demonstrate understanding of the material when they identify which drug as a first-line treatment option?

Rifampin Rifampin, along with isoniazid, pyrazinamide, ethambutol, streptomycin, and rifapentine, are considered first-line agents for treating tuberculosis. Kanamycin, ciprofloxacin, and capreomycin are second-line agents.

A nurse in a provider's office receives a call from a client who is taking ciprofloxacin to treat a respiratory tract infection and reports dyspepsia. Which of the following instructions should the nurse give the client?

Take an antacid at least 2 hr after taking the drug.

A nurse is caring for a client who is take ciprofloxacin to treat a urinary tract infection. The client also takes prednisolone to treat rheumatoid arthritis. Recognizing the adverse effects of ciprofloxacin, the nurse should instruct the client to report which of the following adverse effects?

Tendon Pain

The nurse is caring for a 6-year-old child who has pyelonephritis. The use of what group of antibiotics would be contraindicated due to the client's age?

Tetracyclines

What assessment finding may be attributable to an adverse effect of erythromycin?

The client is uncharacteristically euphoric.

The health care provider considers prescribing an oral tetracycline for a client suspected of having a urinary tract infection. What action needs to be completed before the medication can be prescribed?

The health care provider should order culture and susceptibility studies. Culture and susceptibility studies are needed before tetracycline therapy is started, because many strains of organisms are either drug resistant or vary greatly in drug susceptibility. Teaching the client about proper storage and adverse effects, including photosensitivity, are appropriate after the medication is ordered. There is no cross-allergenicity with penicillin, so prescribing a tetracycline does not require assessment penicillin hypersensitivity.

A client is prescribed rifampin. What information should the nurse include in the client's medication education?

The urine, tears, sweat, and other body fluids will be a discolored red-orange

A client is taking penicillin for an upper respiratory infection. The client calls the office after 2 days of therapy reporting nausea and abdominal pain. Which would be the best instruction for the nurse to give the client?

These are normal side effects, but if they increase in severity or frequency, you need to contact the office again.

A nurse is providing teaching for a client who takes an oral contraceptive and is about to begin rifampin therapy to treat tuberculosis. Which of the following instructions should the nurse include?

Use a non-hormonal form of contraception

Dosages of Aminoglycosides should be accurately calculated according to what factors?

Weight and renal function

A patient with TB has been admitted to a health care facility. When providing instructions for the patient teaching related to antitubercular drugs, which instructions should the nurse provide in order to avoid complications in the patient's GI tract?

avoid consumption of alcohol

A public health nurse interacts with many members of the community who are at risk for sexually transmitted infections (STIs). The nurse should anticipate the use of tetracycline in a client who is diagnosed with what STI?

chlamydia

The nurse is reviewing recent laboratory values for an older client prior to administration of tetracycline. Which finding would lead the nurse to hold the dose?

creatinine of 2.8 mg/dL (247.52 µmol/L) (high)

A client reports having had a "bad reaction" the last time receiving penicillin. Prior to a scheduled dental procedure, the client is likely to be prescribed what drug?

erythromycin

A client has been prescribed oral tetracycline. The nurse will instruct the client to take the drug how?

on an empty stomach with a full glass of water

What route of administration is most commonly used for the administration of ciprofloxacin when prescribed to an older adult client?

oral

A 25-year-old woman is being treated with penicillin G as prophylaxis to prevent bacterial endocarditis prior to a dental procedure. The nurse should question the client concerning her the use of:

oral contraceptives

What are the adverse effects of Aminoglycosides?

ototoxicity and nephrotoxicity, bone marrow depression, n/v/d

Describe Fluoroquinolones.

relatively new synthetic class of antibiotics with a broad spectrum of activity.

A nurse is caring for a patient undergoing the second phase of standard TB treatment. The nurse knows that which of the following combinations of drugs need to be administered to the client?

rifampin and isoniazid

A client with a diagnosis of rhinosinusitis has been prescribed ciprofloxacin 250 mg SC b.i.d. When contacting the prescriber, the nurse should question the:

route

The nurse has administered a client's first scheduled dose of amoxicillin. What subsequent client report should prompt the nurse to seek the discontinuation of this drug?

shortness of breath

A client newly diagnosed with syphilis is allergic to penicillin. What medication should this client be prescribed?

tetracyclines

What are the actions of Aminoglycosides?

treats infections caused by Gram-negative aerobic bacilli

A 7-year-old child has tonsillitis and is prescribed penicillin V, which is to be administered at home. The nurse will instruct the parents to administer the drug:

with a glass of water 1 hour before or 2 hours after a meal.

The health care provider is preparing to order rifampin and pyrazinamide for a female client with active tuberculosis. What question should the provider ask this client before confirming this order?

"Are you pregnant?"

Macrolides

Erythromycin

A client is prescribed ciprofloxacin for a urinary tract infection. The nurse is preparing to teach the client about the medication. What must the nurse include in the education plan?

Take precautions to prevent photosensitivity.

A patient has been prescribed a tetracycline drug for Rocky Mountain spotted fever. The patient also takes antacids. Which of the following effects is likely to occur due to an interaction between the two drugs?

Decreased absorption of tetracycline

The nurse is caring for a client diagnosed with Legionnaires disease. What medication would the nurse expect the health care provider to prescribe?

Erythromycin

The tetracyclines are effective against a wide range of which type of organisms?

Gram-positive and gram-negative organisms

A nurse is taking a history on a client new to the clinic. The client reports being allergic to penicillin. What additional information about this reported allergy would be important for the nurse to find out?

What reaction symptoms occurred

The nurse collects the past medical history of a patient new to the clinic. The patient states he or she is allergic to penicillin. What would the nurse question next?

What signs and symptoms were displayed with the reaction? Had the medication ever been prescribed before the time when the reaction occurred? How many dosages were administered before the reaction occurred?

A patient who has been on penicillin therapy for several days has developed inflamed oral mucous membranes and swelling in the tongue and the gums. The primary health care provider has diagnosed it as a fungal superinfection of the oral cavity resulting in impaired oral mucous membranes. Which of the following interventions should the nurse perform?

inspect mouth and gums regularly