Chapter 7 Review

Most cephalosporins may be taken with food except which of the following? (Choose one) Cefaclor (Raniclor) Ceftibuten (Cedax) Cephalexin (Keflex) Cefadroxil (Duricef)

Ceftibuten (Cedax)

Beta-lactam antibiotics, such as penicillins and cephalosporins, fight infection by inhibiting development of the causative bacteria. What specific component development do these drugs affect? DNA replication Protein synthesis Cell division Cell wall synthesis

Cell wall synthesis

The nurse is administering penicillin to a client who has strep throat. Which of the following statements accurately describe the action of penicillin? It is metabolized in the liver It is effective against gram-positive organisms It has many side effects, especially in large doses It is not effective against gram-negative organisms

It is effective against gram-positive organisms

A young adult has been receiving Keflex P.O. for the last 5 days to treat a respiratory infection. The nurse is concerned when the client reports urinating only once in the last 16 hours. What should the nurse consider as the cause? Steven-Johnson syndrome Superinfection Nephrotoxicity Systemic dehydration

Nephrotoxicity

An instructor is describing an antibiotic that is resistant to the enzyme penicillinase. What would the nurse identify as an example? Penicillin V Oxacillin Amoxicillin Ticarcillin

Oxacillin

A 34-year-old female client is taking oral cephradine, a first-generation cephalosporin, at regular intervals with a 2-hour gap before meals. The client reports gastrointestinal distress. The nurse will encourage the client to do which? Drink plenty of fluids. Take the drug with food. Change the drug dosage. Avoid dairy products

Take the drug with food.

A client is being treated for urosepsis with ceftriaxone IV. What assessment finding should prompt the nurse to contact the care provider immediately? The client vomited 20 minutes ago and still reports nausea The client's peripheral IV site has gone interstitial The client is tearful and expresses fear of a bad prognosis The client has a new onset of jaundice and edema

The client has a new onset of jaundice and edema

A 64-year-old client is admitted to your unit with exacerbation of chronic heart failure and pneumonia and started on cefixime. On the third hospital day, you are assessing the client and note white patches in his mouth, and he is complaining of diarrhea. What would be the most likely reason for these symptoms? The client is having an allergic reaction to the medication. The client's immune system is not working properly because of the antibiotic therapy. The client is experiencing a reaction caused from his heart medications and the antibiotic therapy. The client has developed a superinfection because the antibiotic has destroyed the normal bacterial flora in his body.

The client has developed a superinfection because the antibiotic has destroyed the normal bacterial flora in his body.

The nursing instructor is teaching about a new emerging bacteria that has both natural and acquired resistance and that affects the severely ill, immunocompromised clients in intensive care, transplant, and some cancer treatment units. This is which? VRE STI MRSA RICE

VRE

A 25-year-old woman is being treated with penicillin G as prophylaxis to prevent bacterial endocarditis prior to a dental procedure. The nurse should question the client concerning her the use of: nicotine. oral contraceptives. fats in her diet. alcohol.

oral contraceptives.