Ch. 9 Antibacterial drugs that interefere with DNA/ RNS synthesis

The nurse should advise the client to avoid taking which of the following at the same time as a floroquinolones?

Antacid

When describing the action of fluoroquinolones to treat infection to a group of nursing students, which of the following would the instructor be most likely to include?

Bacterialcidal

A patient with a gram-negative bacterial infection has been prescribed a fluoroquinolone. During the pre-administration assessment, the nurse should ensure that which of the following laboratory tests, if ordered, are obtained before the first dose of fluoroquinolone is administered to the patient?

Culture and sensitivity test

A nurse if assessing a client for possible adverse reactions associated with fluoroquinolones therapy. Which of the following would the nurse attribute to this therapy?

Diarrhea, abdominal discomfort, Nausea

When administering the drug intervenously, the nurse checks the vein for the infusion for pain, redness, and tenderness at which frequency?

Every 4 to 8 hours

When fluoroquinolones are administered intravenously, the nurse would check the needle site and area around the needle site for extravasation at which frequenecy?

Every hour

Clients taking a fluroquinolone are encouraged to ___________

Increase their fluid intake

Which of the following represents the mechanism of action of fluoroquinolones?

Interferes with the synthesis of bacterial DNA

A nursing student is preparing a teaching plan for a nursing pharmacology class on the action of fluoroquinolones. Which of the following would the instructor be most likely to include?

Interfering with DNA synthesis in the bacterial cell

Tendinitis has been reported with the use of fluoroquinolones. The nurse instructs the client to report any pain or soreness in which of the following areas?

Leg, back of the heel, shoulder

After teaching a group of nursing students about fluoroquinolones, the instructor determines a need for additional teaching when the students identify which drug as being available in an ophthalmic form?

Levofloxacin

A group of nursing students are reviewing information about fluoroquinolones. The students demonstrate a need for additional review when they identify which of the following example?

Metronidazole

A client comes to the clinic for a follow-up visit. The nurse notes a sunburn-like appearance to the client's skin. The clients' history reveals the use of ciprofloxacin. The nurse interprets the findings as which of the following?

Photo-sensitivity

A group of nursing students are reviewing the uses of fluoroquinolones. The students demonstrate understanding of the information when they identify which of the following as typical use?

Pneumonia, UTI, STI

A patient is receiving fluoroquinolone therapy. Which of the following would the nurse be most likely to report to the primary health care provider immediately when conducting an ongoing assessment of the patient?

Significant drop in blood pressure

Which of the following statements if made by the client would indicate that he understands to take the entire course of an antibacterial medication

Take all the medicine in the bottle

A patient is prescribed ciprofloxacin 500 mg PO twice a day. The nurse would most likely administer the drug as which of the following?

Twice daily PO, 2 hours after the meal

When monitoring the IV infusion of levofloxacin, the nurse makes sure the needle is in the vein because if not it can result in _______________

irritation of the surrounding tissue

To avoid superinfection when taking fluoroquinolones instruct the client to __________________

monitor for diarrhea

A client is prescribed moxifloxacin. The nurse notes that the client is also taking an antacid. The nurse correctly administers moxifloxacin__________

once daily orally, 4 hours before the antacid

Fluroquinolones kill bacterial cells by

prohibiting DNA synthesis

The client taking a fluoroquinolone plans to enter a marathon after treatment. The nurse is concerned about ______________

spontaneous tendon rupture

Identify the interventions to use when taking drugs with photosensitive reactions

use high spf value sunscreen, wear head coverings on overcast days, clothing should be long sleeved

When taking levoflaxcin the client is taught to __________

wear sunscreen whenever outside