Chapter 15-25
A client has been prescribed doxycycline. Which teaching instruction is a priority with this medication?
Avoid sun exposure
A client is to be started on an antibiotic. which factor is most important to take into consideration before starting the antibiotic?
Culture and sensitivity
The nurse is having to administer gentamicin when the client mentions having experienced diminished hearing. What action should the nurse take based on this statement?
Hold the dosage and notify the health care provider of the alteration in hearing.
A client is diagnosed with a gram-negative infection and is prescribed an aminoglycoside. What is the action of an aminoglycoside?
It blocks protein synthesis of the cell wall
A client is to be discharged with a prescription for prednisone to be administered every other day at 9 am. When implementing discharge teaching, what should the nurse explain as a rationale for giving the medication every other day?
It reduces adverse effects
A 69 year old responded well to inclient treatment with a third generation cephalosporin. After being largely symptom free for 48 hours, the woman developed a fever of 38.6 C and an elevated white cell count. What phenomenon may account for this client's current clinical presentation?
The client may be infected with microorganisms that were resistant to cephalosporin.
A client is prescribed ciprofloxacin. Which nursing intervention will best prevent the possible development of crystalluria?
The nurse should administer 2000 ml of oral fluids per day
A client diagnosed with a tumor of the spinal cord is prescribed a corticosteroid. What statement by the client demonstrates an accurate understanding of this treatment?
This drug won't cure my cancer but it may help me feel much better.
A client has been prescribed phenazopyridine for urinary tract symptoms related to the infection. The client asks why she is taking this medication. What is the most appropriate response by the nurse?
This medicine will decrease the pain of your infection
what is the antidote for acetaminophen poisoning?
acetylcysteine
A child has symptoms of influenza, including fever. Which medication should not be administered to the child because of the risk of Reye's syndrome?
acetylsalicylic acid
a client diagnosed with infective endocarditis would be most effectively treated with which medication
ampicillin
A pt has been taking antibiotics at home for the treatment of a respiratory infection for the past 6 days, and there is no evident improvement in the infection. Which nursing assessment is most appropriate?
assess the client's adherence to the medication regimen
A client is being treated for a urinary tract infection with trimethoprim-sulfamethoxazole. What assessment should the nurse make prior to the administration of the medication?
assessing for renal insufficiency
An elderly client has taken ibuprofen 800 2 times a day for the past 3 years. Which lab is priority assessment?
blood urea nitrogen & creatinine
A client is admitted to the emergency department with a suspected overdose of acetaminophen. What adverse affect is the most common in acute or chronic overdose of acetaminophen?
hepatotoxicity
A client has started aminoglycoside therapy. It is time for a client's next dose of an aminoglycoside. What action should the nurse take when learning the client's creatinine level is 3.9?
hold the medication and assess the urine output
A client a prescribed penicillin V orally for a strep throat. What is the mechanism of action of this medication?
it inhibits cell wall synthesis
a client is to receive imipenem-cilastatin IM to treat P. aeruginosa. What should imipenem-cilastatin be mixed with prior to administering intramuscularly?
lidocaine
A client with burns has developed a wound infection. This client is experiencing what type of wound infection?
opportunistic infection
What organ system is responsible for the excretion of cefotaxime sodium from the body?
renal
An adult client has been prescribed oral prednisone for the treatment of an acute dermatological condition. When teaching this client about this course of treatment, what teaching point should the nurse emphasize
the importance of gradually reducing rather than abruptly stopping the drug
a pt who sustained a burn from a gas grill has been prescribed a sulfonamide to prevent burn infection. What route is preferred in the prevention of a burn infection?
topical
A hospital nurse is aware that nosocomial infections pose a significant threat to many clients' health status. In order to reduce the spread of nosocomial infections, the nurse should prioritize which action?
vigilant and thorough hand hygiene