chapter 19 quizzes
The nurse is assessing a young female client who is prescribed an aminoglycoside to treat a gram-negative bacterial infection. Which question will the nurse ask the client before providing a dose of the medication? "Do you routinely drink a lot of fluids?" "How long have you had the infection?" "How do you think you got this infection?" "Are you pregnant?"
"Are you pregnant?"
A client with a severe infection has an order for IV gentamicin and IV penicillin. How will the nurse administer these medications? Administer the gentamicin IV and wait 1 hour and administer the penicillin. Administer the penicillin and immediately administer the gentamicin. Mix both antibiotics in an IV piggyback and administer over 1 hour. Mix the two antibiotics in one syringe and push it slowly over 5 minutes.
Administer the gentamicin IV and wait 1 hour and administer the penicillin.
A client develops pseudomembranous colitis secondary to fluoroquinolone therapy. The nurse anticipates the bowel culture will grow which organism? C. difficile E. coli Group B hemolytic Streptococcus Staphylococcus
C. difficile
A client who takes zinc daily is diagnosed with a severe infection and is ordered levofloxacin (Levaquin). The nurse is aware that taking these two drugs may have what affect on the antibiotic?
Decreased absorption
The nurse is providing client teaching before discharging a client home. The client is taking ciprofloxacin. What action should the nurse encourage the client to prioritize? Drink at least 2 L of fluid per day. Minimize sodium intake. Eliminate red meat and seafood from the diet. Avoid all caffeine and alcohol.
Drink at least 2 L of fluid per day
Which of the following classes of antibiotics is a direct inhibitor of DNA synthesis in bacteria?
Fluoroquinolones
The client has been diagnosed with a serious infection caused by gram-negative aerobic bacilli. The client has been prescribed IV gentamicin. What statement by the client should the nurse follow up most promptly? -"I've got this pounding headache that never seems to go away." -"My IV site feels really itchy a lot of the time." -"I feel like I'm having trouble hearing the last little while." -"I definitely feel like my appetite has suffered since I started these antibiotics."
I feel like im having trouble hearing the last little while
Which of the following are examples of fluoroquinolones? Select all that apply. Levofloxacin (Levaquin) Ciprofloxacin (Cipro) Cephalexin (Keflex) Amoxicillin (Amoxil) Spectinomycin (Trobicin)
Levofloxacin (Levaquin) Ciprofloxacin (Cipro)
A client scheduled to undergo major abdominal surgery has been prescribed preoperative neomycin. Neomycin is used preoperatively for what reason? Enhance intestinal flora Produce ammonia. Suppress intestinal bacteria. Sterilize the incision site
Suppress intestinal bacteria.
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 client with a complex medical history is showing signs and symptoms of sepsis. What aspect of this client's health history would rule out the safe and effective use of an aminoglycoside antibiotic? The client has a history of not adhering to treatment The client has chronic renal failure The client has type 2 diabetes, controlled with oral antihyperglycemics The client has a known latex allergy
The client has chronic renal failure
A 30-year-old woman who is in the first trimester of pregnancy has presented to her primary care provider with a 4-day history of a reddened, itchy left eye that is crusted with purulent exudate. The clinician suspects a bacterial, rather than viral, etiology. How will the client's pregnancy affect the potential use of ciprofloxacin to treat her conjunctivitis? -It is safe for the client to use topical ciprofloxacin but the oral route is potential teratogenic. -The client will require a lower dose and longer course of ciprofloxacin than a nonpregnant, adult client. -The use of ciprofloxacin is contraindicated in pregnancy. -Ciprofloxacin is safe to use in pregnancy and the client may use to same dose and route as a nonpregnant client.
The use of ciprofloxacin is contraindicated in pregnancy.
What renal effects may occur in clients treated with fluoroquinolones? (Select all that apply.) -hematuria -glycosuria -azotemia -crystalluria -pyruia
azotemia crystalluria hematuria
When describing the action of fluoroquinolones to treat infection to a group of nursing students, which would the instructor include? bactericidal fungicidal fungistatic bacteriostatic
bactericidal
A local bioterrorism medical team is responding to a possible anthrax attack. The team is instructed that a fluoroquinolone may be used to treat exposure to anthrax. The nurse should prepare to administer what antibiotic? gemifloxacin ciprofloxacin sparfloxacin amoxicillin
ciprofloxacin
Before the selection of an aminoglycoside to treat a client's wound infection, what would the nurse expect the health care provider to order? - complete blood count -electrolyte panel -white blood count -culture and sensitivity
culture and sensitivity
What is a contraindication to use of a fluoroquinolone? -weight -gender -height -lactation
lactation
A group of nursing students are reviewing information about fluoroquinolones. The students demonstrate a need for additional review when they identify which as an example? gemifloxacin metronidazole levofloxacin ciprofloxacin
metronidazole
What route of administration is most commonly used for the administration of ciprofloxacin when prescribed to an older adult client? -Iv -Sub Q -oral -IM
oral
The nurse is preparing to administer amikacin to a client with a complicated Staphylococcus aureus infection. What assessment should the nurse prioritize? -muscle strength -nutritional stauts -renal function -GI function
renal function
A client with a gram-negative infection is being treated with an aminoglycoside. What assessment should the nurse prioritize during treatment? -urine output and BUN and creatinine levels -visual acuity -muscle strength and coordination -breath sounds and oxygen saturation
urine output and BUN and creatinine levels
The nurse should monitor a client for which finding when aminoglycosides are administered concomitantly with furosemide? Select all that apply. vertigo tinnitus proteinuria numbness hematuria
vertigo tinnitus
The client has been prescribed a fluoroquinolone. Which statement by the client indicates additional education is needed? "I will take my antibiotic four hours after I take my antacid." "If I cover my head, I will be protected from the sun." "I may experience a headache while taking this medication." "I will need to report severe diarrhea to my health care provider."
"If I cover my head, I will be protected from the sun."
When discussing nephrotoxicity with an older adult client prescribed gentamicin, the nurse should include what statement? "Clients are at a lower risk for nephrotoxicity when high doses are given for prolonged periods." "Gentamicin is given for no longer than 30 days unless necessary for the treatment of certain infections." "Kidney function tests will immediately reveal any decrease in function." "If nephrotoxicity occurs, it is usually reversible if the drug is stopped."
"If nephrotoxicity occurs, it is usually reversible if the drug is stopped."
After teaching a group of students about aminoglycosides, the instructor determines that the teaching was successful when the group identifies which drug as the prototype for this class? Kanamycin Tobramycin Gentamicin Neomycin
Gentamicin
A 60-year-old male client with a diagnosis of bacteremia is being treated with intravenous gentamicin. After 4 days of treatment, the care team is pleased with the improvement in the client's condition and the effect of the drug treatment on his blood cultures. During morning care, the client has told the nurse that he is having ringing in his ears and woke up this morning with a pounding headache. How should the nurse respond to this client? -hold the next scheduled dose of gentamicin until the HCP has been consulted -administer the next scheduled dose of gentamicin over 90 to 120 hours -document the clients reports and integrate them into his plan of care -continue the gentamicin as ordered and monitor the client's symptoms closely
Hold the next scheduled dose of gentamicin until the health care provider has been consulted.
During ongoing assessment of clients taking fluoroquinolones and miscellaneous anti-infectives, which adverse reaction should be reported to the health care provider immediately? Select all that apply. Hypersensitivity reaction A decided drop in blood pressure Drowsiness Severe diarrhea Respiratory difficulty
Respiratory difficulty Severe diarrhea Hypersensitivity reaction A decided drop in blood pressure
A 23-year-old man who works in construction calls the clinic to report that he has a rash all over his body, his skin is red, and it feels like it is burning. The nurse suspects that he is having a photosensitivity reaction from Lomefloxacin (Maxaquin), which was prescribed the day before. The nurse will instruct the client to: -stop the drug for 3 days and then continue with the prescribed schedule. -continue to take the drug; the rash will eventually subside. -discontinue the drug immediately and return to the clinic. -decrease the dosage by half until being seen by the health care provider.
discontinue the drug immediately and return to the clinic
Which of the following classes of antibiotics is a direct inhibitor of DNA synthesis in bacteria? -ketolides -fluoroquinolones -pencillin -macrolides
fluoroquinolones
A 45-year-old female patient is prescribed ciprofloxacin to treat a bronchial infection. A nursing assessment revealed that she started taking daily vitamin supplements about 2 years ago. To maximize the therapeutic effects of the ciprofloxacin therapy, the nurse should advise the patient to reduce the dosage of vitamin supplements and double the dosage of ciprofloxacin. reduce the dosage of vitamin supplements. alternate the dosage of ciprofloxacin and vitamin supplements. take the vitamins at least 2 hours before or after taking ciprofloxacin.
take the vitamins at least 2 hours before or after taking ciprofloxacin