Misc. Antibacterial Drugs

The nurse is assessing a patient with acute cystitis. Which symptom would the nurse expect to find in the patient? 1 Pus in the urine 2 Painful urination 3 High fever and chills 4 Nausea and vomiting

2

With the exception of pyelonephritis, the nurse should be aware that most urinary tract infections are treated by which method? 1 IV antibiotics at the hospital 2 Oral antibiotics in the home setting 3 IV antibiotics in the urgent care setting 4 IM antibiotics at the primary physician's office

2

A patient reports flank pain and painful urination. On assessment, the nurse finds that the patient has a high fever. The nurse should notify the provider because the patient has symptoms of which condition? 1 Cystitis 2 Urethritis 3 Prostatitis 4 Pyelonephritis

4

The nurse is providing education to a patient prescribed oral sulfonamide therapy. The nurse should instruct the patient to take the sulfonamide under which circumstance? 1 With soy or nonmilk products 2 On awakening, before breakfast 3 At mealtime, when food is available 4 On an empty stomach, with a full glass of water

4

The primary healthcare provider has prescribed fosfomycin tromethamine [Monurol] to a patient for the treatment of a urinary tract infection. What would the nurse anticipate as the reason for prescribing this drug to the patient? 1 The patient is pregnant. 2 The patient is younger than 10 years of age. 3 The patient has requested a 3-day-course drug. 4 The patient is at risk for nonadherence to a drug regimen.

4

Which condition is referred to as pyelonephritis? 1 Inflammation of the vagina 2 Inflammation of the urethra 3 Inflammation of the bladder 4 Inflammation of the kidney(s)

4

Which medication is combined with sulfamethoxazole as a powerful antimicrobial preparation whose components act in concert to inhibit sequential steps in tetrahydrofolic acid synthesis? 1 Penicillin 2 Tetracycline 3 Erythromycin 4 Trimethoprim

4

Which sulfonamide has bactericidal activity? 1 Sulfasalazine [Azulfidine] 2 Sulfadiazine [Microsulfon] 3 Silver sulfadiazine [Silvadene] 4 Trimethoprim-sulfamethoxazole [Bactrim]

4

A patient has been prescribed trimethoprim-sulfamethoxazole [Bactrim, Septra]. Which intervention is appropriate? 1 Instruct the patient to increase fluids in the diet. 2 Assess the patient's urine before and after treatment. 3 Instruct the patient to take the medication for 14 days. 4 Ensure the patient eats something when taking the medication.

1

A patient who has acute cystitis is receiving treatment with trimethoprim/sulfamethoxazole (TMP/SMZ). Which manifestation should indicate to a nurse that the patient's condition is worsening? 1 Flank pain 2 Incontinence 3 3+ pedal edema 4 Hyperactive bowel sounds

1

A patient is being treated for syphilis. Which drug would the nurse anticipate to be prescribed? 1 Acyclovir [Zovirax] 2 Metronidazole [Flagyl] 3 Benzathine penicillin G 4 Ceftriaxone [Rocephin]

3

A patient is receiving local applications of mafenide [Sulfamylon] to burn areas. Which intervention by the nurse is most important prior to administering this medication? 1 Auscultate the lung fields. 2 Obtain a set of vital signs. 3 Administer a pain medication. 4 Obtain a signed consent form.

3

A patient who has acquired immunodeficiency syndrome (AIDS) is receiving trimethoprim/sulfamethoxazole [Bactrim]. Which response should a nurse expect if the medication is achieving the desired effect? 1 Decrease in joint pain 2 Increase in CD4 T cells 3 Resolution of pneumonia 4 Increased appetite and weight gain

3

The nurse is aware that acute cystitis occurs most often in which patient population? 1 Older-adult male patients 2 Women older than 50 years 3 Women of child-bearing age 4 Children younger than 12 years

3

The nurse is working with a patient who has a urinary tract infection (UTI). Because patient adherence to the medication regimen is a concern, the nurse anticipates use of which medication? 1 Amoxicillin 2 Cephalexin 3 Fosfomycin 4 Trimethoprim

3

What is the mechanism of action for nitrofurantoin? 1 It inhibits protein synthesis. 2 It weakens the bacterial wall. 3 It injures bacteria by damaging DNA. 4 It denatures bacterial proteins with formaldehyde.

3

A patient in the clinic is diagnosed with genital herpes. The nurse would anticipate the patient to be prescribed one of which medications? Select all that apply. A Acyclovir B Famciclovir C Valacyclovir D Oral metronidazole E Vaginal metronidazole

a, b, c

The nursing instructor is teaching student nurses about acute cystitis. Which statements by a student nurse indicate effective learning? Select all that apply. A "Acute cystitis is common in women." B "Acute cystitis is an upper urinary tract infection." C "Acute cystitis manifests as chills and high fever." D "Acute cystitis is often caused by Escherichia coli." E "Acute cystitis may be associated with suprapubic pain."

a, d, e

A patient suspected of having an acute upper urinary tract infection is admitted to the hospital. Which is the priority nursing action for this patient? 1 Administer oral antibiotics. 2 Assess the patient's symptoms. 3 Administer intravenous antibiotics. 4 Take the patient's urine sample for analysis.

2

A patient who has syphilis is to start treatment. It is most important for the nurse to ask the patient about allergies to which antibiotic? 1 Cefoxitin 2 Penicillin G 3 Tetracycline 4 Azithromycin [Zithromax]

2

A patient asks about a urinary tract infection (UTI) antibiotic that requires only one dose. Which first-line UTI antibiotic requires only one dose? 1 Fosfomycin 2 Ciprofloxacin 3 Nitrofurantoin (monohydrate) 4 Trimethoprim/sulfamethoxazole

1

The nurse should educate a patient with pelvic inflammatory disease (PID) about which potential long-term complication of PID? 1 Infertility 2 Cervical cancer 3 Bacterial endocarditis 4 Renal tubular necrosis

1

Which organism most commonly causes cystitis? 1 Escherichia coli 2 Aspergillus niger 3 Staphylococcus aureus 4 Streptococcus pneumonia

1

A patient has started on a medication regimen that includes trimethoprim-sulfamethoxazole [Bactrim, Septra]. The nurse notes that the source of the patient's infection has been determined to be viral in origin. What is the nurse's priority action? 1 Ensure that the information is documented in the chart. 2 Contact the healthcare provider to discuss the medication. 3 Ask the patient if he knows how he contracted the infection. 4 Administer the medication as ordered by the healthcare provider.

2