Bacteriostatic Inhibitors of Protein Synthesis and Aminoglycosides
A patient prescribed azithromycin [Zithromax] expresses concern regarding gastrointestinal upset experienced when taking erythromycin. What should the nurse tell this patient?
"This drug is like erythromycin but has less severe gastrointestinal side effects."
The patient who is receiving tobramycin develops flaccid paralysis and impaired breathing. Which medication does the nurse anticipate administering?
Calcium glutinate [kalcinate]
Which enteral aminoglycoside would the nurse expect to be ordered preoperatively for a patient having intestinal surgery?
Neomycin
The nurse is assessing a patient who is being treated with amikacin [Amikin]. The patient has increased serum creatinine concentrations, for which loop diuretics are prescribed. What should the nurse primarily monitor in the patient?
hearing ability
Which statements about Clostridium difficile-associated diarrhea (CDAD) with clindamycin therapy does the nurse identify as true? Select all that apply.
potentially fatal condition patients usually experience abdominal pain clincamycin therapy should be discontinues and vancomycin started
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?
prevent nephrotoxicity
Which instruction should the nurse include in the discharge teaching for a patient receiving tetracycline?
"Use sunscreen and protective clothing when outdoors."
The nurse should include which instructions when teaching a patient about tigecycline therapy? Select all that apply.
"use sunscreen when outside" "avoid using if pregnant" "notify your healthcare provider if you have diarrhea more than five times in a day"
A nurse is administering a daily dose of tobramycin at 10:00 AM. At which time should the nurse obtain the patient's blood sample to determine the trough level?
9 AM
The nurse should question the prescription of tetracycline for which patient?
A 40-year-old patient diagnosed with rickettsiae
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?
Glomerular Filtration Rate (GFR)
A patient has been ordered telithromycin [Ketek] as well as simvastatin [Zocor]. What is the nurse's best action?
Hold the medication and call the healthcare provider
Which antibiotic is used in patients who have infections of the ears, eyes, or skin and for suppressing bowel flora before bowel surgery
Neomycin [meo-fradin]
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?
Oral administration of neomycin [Neo-Fradin] before the surgery
Which cardiovascular finding does the nurse identify as a possible adverse effect of erythromycin [Ery-Tab] therapy?
Prolonged QT interval
A patient has been ordered azithromycin [Zithromax] and asks the nurse why the medication does not have to be taken as often as other antibiotics that have previously been ordered. What is the nurse's best response?
This drug has a longer duration of action than some of the other antibiotics.
The nurse is assessing a patient who has cystic fibrosis who has developed a pulmonary infection. Which inhalational medication would the nurse expect the primary healthcare provider to prescribe for this patient?
Tobramycin [Nebcin]
Which patient is a potential candidate for antibiotic therapy involving aminoglycoside?
a patient with pseudomonas aerugionsa pneumonia
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?
check the patient's serum creatinine concentrations
Which antibiotic should the nurse administer if the culture of a patient with bacterial endocarditis reveals the presence of gram-positive streptococcus?
clinamycin [cleocin]
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.
creatinine peak and trough blood urea nitrogen (BUN)
The nurse assessing a patient who is 12 years old should associate which complication with the patient's receiving tetracycline as a younger child?
discoloration of the teeth
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?
discoloration of the teeth
What does the nurse identify as an adverse effect of clindamycin [Cleocin] therapy?
frequent, loose, watery stools with mucus and blood
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?
headache
Which adverse effect should the nurse be alert for in a patient who is taking tobramycin [Nebcin] as an antibiotic therapy?
hearing loss
The nurse administers ampicillin to a patient who also receives tobramycin. Which condition is likely to occur with this pharmacotherapy?
impaired renal function
Which laboratory result should the nurse monitor more frequently when a patient is receiving clarithromycin [Biaxin] and warfarin [Coumadin]?
international normalized ration (INR)
Which drugs are part of the tetracycline group of antibiotics? Select all that apply.
minocycline doxycycline demeclocycline
The patient is scheduled to begin amikacin therapy. Which condition in the patient's medical history would prompt the nurse to hold the drug and discuss this medication choice with the patient's primary healthcare provider?
myasthenia gravis
A patient who is being treated for a neuromuscular disease has been ordered telithromycin [Ketek]. What is the nurse's highest priority action?
notify the healthcare provider
A patient on antibiotic therapy needs drug trough levels drawn. Which is the most appropriate time for the nurse to draw the trough level?
10 minutes before the intravenous antibiotic is administered ????
The nurse is reviewing a patient's laboratory reports and finds the peak serum concentration of amikacin [Amikin] to be normal. What value did the nurse observe?
16 mpg/mL
A patient on antibiotic therapy needs drug trough levels drawn. Which is the most appropriate time for the nurse to draw the trough level?
30 minutes after beginning administration of intravenous antibiotic
Which is true of aminoglycosides
ototoxic effects are usually irreversible nephrotoxic effects are usually reversible
While reviewing the blood reports of a patient who is on amikacin [Amikin] therapy, the nurse finds that the serum drug concentration is elevated. Which further laboratory reports should the nurse check to ensure the patient's safety?
serum creatinine concentration
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
tetracycline
The nurse identifies which as short-acting tetracycline?
tetracycline (generic)
The nurse is taking care of a patient who has been prescribed tigecycline [Tygacil]. The nurse knows the patient may exhibit similar adverse effects to which class of antibiotics?
tetracyclines
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?
the patient is at risk of renal dysfunction
The nurse knows that there is an increased risk of ototoxicity in a patient receiving an aminoglycoside if which level is high?
trough
Which patient condition would be a contraindication for the administration of clindamycin [Cleocin]?
ulcerative colitis
Which instruction should a nurse include in the discharge teaching for a patient who is to start taking tetracycline?
use sunscreen and protective clothing when outdoors