Chapter 8
A client has been prescribed oral tetracycline. The nurse will instruct the client to take the drug how? A. on an empty stomach B. take with a meal C. with milk or fruit juice D. at bedtime only
A
A nurse has administered an antibiotic intravenously to a client. The nurse observes signs of tenderness, pain, and redness at the needle site. Which action should the nurse perform immediately? A. stop the infusion and restart IV in another vein B. change the needle of the infusion set C. apply a cold compress to the site D. gently massage the area
A
After teaching a client who is receiving doxyculine about the drug, the nurse determines that the teaching was successful when the client makes what statement? A. "I need to wear protective clothing when I'm out in the sun." B. "I should limit the amount of fluids that I drink." C. "I should chew gum and chocolate if my mouth gets sore." D. "I will take the drug with an antacid to prevent an upset stomach."
A
Aminoglycosides fight infection by interfering with what process within the causative bacterium? A. Protein synthesis B. DNA synthesis C. cell wall synthesis D. drainage
A
Tetracycline if often a viable treatment option when a client has an allergy to what antibiotics? A. penicillins B. aminoglycosides C. fluroroquinolones D. cephalosporins
A
The nurse is administering telithromycin (Ketek) to a child with Streptococcus pneumoniae infection. What nursing intervention is implemented when administering this medication? A. adminsiter the medication with or without food B. administer the medication with grapefruit juice C. increase the dose in the event of QT elongation D. administer the medication with lovastatin
A
The nurse is caring for a 62-year-old client who has been prescribed genamicin. The client reports difficulty hearing. What should the nurse do? A. hold the dose and notify the provider B. adminster the dose and then notify the provider C. adminsiter the dose and report this information to the oncoming nurse at shift change D. administer the dose and document the observation in the nursing notes
A
The nurse is preparing to administer amikacin to a client with a complicated Staphylococcus aureus infection. What assessment should the nurse prioritize? A. renal function B. gastrointestinal function C. nutritional status D. muscle strength
A
The nurse receives a cell from a client who is taking clindamycin (Cleocin). The client reports a burning feeling when swallowing. The nurse knows that the client has developed which adverse reaction related to this medication? A. esophagitis B. nausea C. peptic ulcer D. gastritis
A
A client with an upper respiratory infection has been prescribed macrolides. Which changes during an ongoing assessment would lead the nurse to notify the health care provider? Select all that apply. A. drop in blood pressure B. increase in respiratory rate C. sudden increase in temperature D. regular urine output E. pulse rate within usual parameters
A, B, C
A public health nurse interacts with many members of the community who are at risk for sexually transmitted infections. The nurse should anticipate the use of tetracycline in a client who is diagnosed with what STI? A. vaginitis B. Chlamydia C. human papillomavrius D. trichomoniasis
B
Extreme caution would be necessary with the use of gentamicin in which client? A. a client who is morbidity obese and who has primary hypertension B. a client who has chronic renal failure secondary to diabetes mellitus C. a client who has bipolar disorder and who is on long-term lithium therapy D. a client who has an atrioventricular block
B
In the event of a bioterrorism attack with anthrax, the health care team should anticipate the use of which tetracycline? A. minocycline B. doxycycline C. tetracycline hydrochloride D. demeclocycline hydrochloride
B
In which condition present in the client should macrolides be used with caution? A. glaucoma B. liver dysfunction C. diabetes mellitus D. hypertension
B
The nurse is preparing to discharge a client who has been prescribed telithromycin. The client understands the unique adverse effect associated with this drug when the client makes which statement? A. "I know that this drug can make me constipated so I will take a laxative every evening." B. "This drug may cause visual disturbances so I won't drive until I am finished with the medication." C. "Some people develop fevers while taking this drug, so I will take aspirin every four hours." D. "It is common to have a rash when taking this medication, so I will use an anti-itch cream."
B
When administering aminoglycosides, the nurse must be aware of which of the following adverse reactions? A. liver necrosis, or hepatic failure B. ototoxicity and nephrotoxicity C. glaucoma and renal failure D. hypoglycemia and hyperglycemia
B
Which client has the highest risk of developing ototoxicity secondary to gentamicin? A. a man who received his first dose of IV gentamicin 12 hours ago B. a man who has required repeated courses of genamicin over the past several months C. a woman who has a Pseudomonas infection but has a hypersensitivity to penicillins D. a woman who is immunicompromised and who is being treated with gentamicin
B
Your client has been diagnosed with syphilis. He states that he is allergic to penicillin. You would anticipate which of the following drugs being prescribed for his treatment? A. Bactrim B. tetracycline C. amoxicillin D. pyridium
B
Your client is scheduled to undergo major abdominal surgery. A preoperative order for neomycin has been given. Neomycin is used preoperatively for the following reason: A. to enhance intestinal bacteria B. to suppress intestinal bacteria C. to sterilize intestinal bacteria D. to produce ammonia
B
A client is admitted to the dloor with a superinfection. The orders read tigecycline 100 mg IV followed by 50 mg IV every 12 hours infused over 30-60 minutes for five days. What would be important for the nurse to educate this client about? A. analgesics B. antihistamines C. contraceptives D. decongestants
C
A client is allergic to penicillin and has been diagnosed with a genitourinary infection caused by Chlamydia trachomatis. Which medication will most likely be administered? A. acamprosate calcium B. atazanavir C. erythromycin D. flumazenil
C
A nurse if providing discharge teaching to a client who is being sent home on tetracycline (Sumycin) PO. What should the instructions include? A. the need to take the medication only once a day B. the need to take their pulse before taking the drug; if it is below 60, withhold the dose. C. the need to take the drug on an empty stomach D. the need take the medication with 1 ounce of water
C
The client is taking spectinomycin for the treatment of gonnorrhea. The client called the clinic this morning complaining of insomnia. What is the nurse's best response to this client? A. "I will ask the healthcare provider to prescribe a sleeping pill for you." B. "Try an OTC sleeping aid and see if that helps." C. "This is common adverse reaction to the medication and should go away when you finish the prescription." D. "Please make an appointment to come to the clinic to possibly get your medicaiton changed."
C
The health care provider suspects a client may be infected with an anti-biotic resistant pathogen. The nurse caring for this client knows that what course of action is best used to determine whether this type of pathogen is present? A. assess serum electrolyte levels B. perform a lumbar puncture to assess cerebrospinal fluid C. perform culture and susceptibility tests D. perform a CBC test
C
The nurse is caring for a 6-year-old child with a severe case of typhoid fever. The client was mistakenly administered tetracycline, which can cause adverse reactions. What could be a permanent effect in the child? A. epigastric distress B. abdominal pain or cramping C. discoloration of the teeth D. visual disturbances
C
A 9 year old client has been admitted to the pediatric unit after being diagnosed with pertussisd. The pediatric nurse is processing the client's admission orders and notes that IV demeclocycline has been prescribed. After beginning this treatment, the nurse should confirm the results of what lab test? A. mean corpuscular volume (MCV) B. d-dimer C. bilirubin D. blood urea nitrogen (BUN)
D
