PHARM ANTIBIOTICS EAQ

Which statement made by the client indicates understanding after teaching about measures to decrease the risk for antibiotic-resistant infections? A."I should wash my hands frequently." B. "I should skip doses when I am completely well." C. " I should avoid taking antibiotics to treat the common cold." D. " I should save unfinished antibiotics for later emergency use." E. " I should avoid taking antibiotics without asking the primary health care provider."

A."I should wash my hands frequently." C. " I should avoid taking antibiotics to treat the common cold." E. " I should avoid taking antibiotics without asking the primary health care provider."

Use of what medication would the nurse identify as a potential risk for hearing impairment in a child? A. Amoxicillin B. Gentamicin C. Clindamycin D. Ciprofloxacin

B. Gentamicin Gentamicin can be ototoxic because of its effects on the eigth cranial nerve.

What issue related to antibiotic use is an increased risk for the older adult? A. Allergy B. Toxicity C. Resistance D. Superinfection

B. Toxicity

Which prescribed medication would the nurse anticipate initiating for a client with Clostridium difficile -associated disease?

Fidaxomicin Metronidazole Vancomycin A new oral medication is available specifically for managing C.difficile is fidaxomicin. Oral metronidazole and vancomycin have been the medications of choice to treat CDAD.

Which statement indicates effective discharge teaching for a client with osteomyelitis? A. "I will take the antibiotic at the same time each day." B. "I will take the antibiotic regularly until my symptoms subside." C. "I will take the antibiotic with food if I develop gastric distress when on the antibiotic." D. "I will notify my health care provider and stop taking the medication if I develop a rash or shortness of breath." E. "I will need to change my diet to avoid milk and milk products while on these antibiotics."

A. "I will take the antibiotic at the same time each day." C. "I will take the antibiotic with food if I develop gastric distress when on the antibiotic." D. "I will notify my health care provider and stop taking the medication if I develop a rash or shortness of breath."

Which action is priority before administering the antibiotics when a client is admitted with cellulitis of the left leg and a temperature of 103 F and the primary health care provider prescribes intravenous (IV) antibiotics? A. Determine the clients allergies. B. Apply a warm, moist dressing over the cellulitis. C. Measure the amount of swelling in the clients left leg. D. Obtain the results of the culture and sensitivity tests.

A. Determine the clients allergies.

Which action would the nurse take to avoid red man syndrome when preparing to administer a vancomycin infusion? A. Infuse slowly. B. Change the intravenous (IV) slowly. C. Reduce the degree. D. Administer vitamin K.

A. Infuse slowly. Vancomycin should be infused slowly to avoid the occurrence of the reaction known 'red man syndrome'.

Which client statement about ampicillian indicates that additional teaching is needed? A. "I should take this on an empty stomach with a full glass of water." B. " This medicine will work best if I space the time out evenly." C. " I can stop this medication after I am symptom free for 48 hours." D. "If I get worse, I will notify my primary health care provider."

C. " I can stop this medication after I am symptom free for 48 hours." It is most important for the client to complete the full antibiotic prescription to prevent development of antibiotic-resistant bacteria.

Which side effects are associated with systemic antibiotic therapy for acne in adolescents? A. Arthralgia B. Nasal irritation C. Photosensitivity D. Vaginal Candidiasis F. Decreased night vision

C. Photosensitivity D. Vaginal Candidiasis Systemic antibiotics therapy may cause photosensitivity and vaginal candidiasis. Arthralgia, nasal irritation, and decreased night vision are side effects of isotretinoin.

Which initial action would the nurse take when caring for a client receiving intravenous vancomycin who reports ringing in the ears? A. Notify the primary health care provider. B. Consult an audiologist C. Stop the infusion. D. Document the finding and continue to monitor the client.

C. Stop the infusion. The first action the nurse would take is to stop the infusion immediately. Vancomycin can cause temporary or permanent hearing loss. Then notify the health care provider.

For which client would the nurse need to contact the health care provider based upon the client's condition and treatment after reviewing the medication reconciliation documents of four clients? Client A: Enterococcus faecalis associated with UTI. Prescribed Streptomycin. Client B: Staphylococcus epidermidis associated osteomyelitis. Prescribed Vancomycin. Client C: Streptococcus pneumoniae associated pneumococcal pneumonia. Prescribed Cefotaxime. Client D: Klebsiella pneumoniae associated pneumonia. Metropenem.

Client A. Enterococcus faecalis can cause urinary tract infection which is treated with penicillin G or ampicillin E.faecalis in a client A is resistant to medications such as streptomycin, vancomycin, and gentamicin and should be corrected by the nurse.

Which client receiving antibiotic therapy would the nurse identify as being at risk for Achilles tendon rupture? A. Gentamicin B. Ciprofloxacin C.Cefazolin D. Tobramycin

Client B Client B, prescribed Ciprofloxacin, is at risk as tendon rupture can occur with use of fluoroquinolones.

Which intervention would the nurse include in the plan of care for a client receiving antibiotics and antifungal medication of a vaginal infection? A. Avoid spicy foods. B. Drink more fruit juices. C. Take a multivitamin every day. D. Eat yogurt with active cultures daily.

D. Eat yogurt with active cultures daily. Yogurt contains Lactobacillus acidophilus, which replaces the intestinal flora destroyed by antibiotics.

Which medication is the first-line medication used to treat a client with mild diarrhea who is diagnosed with a Clostridium difficile infection? A. Rifaximin B. Fidaxomicin C. Vancomycin D. Metronidazole

D. Metronidazole Metronidazole is the first-line treatment prescribes to the client with CDAD. Rifaximin is used to treat traveler's diarrhea caused by e.coli. Fidaxomicin is reserved for clients who are at risk for the relapse of C.diff. Vancomycin is preferred for serious C.diff infections.

A child is prescribed intravenous (IV) antibiotic. Within 10 minutes of the initial infusion, the child's face and neck are flushed but the remainder of the body is uncharged. The nurse reviews the child record. Which action would the nurse to take next? A. Administer acetaminophen. B. Place the child on protective isolation. C. increase the rate of the vancomycin infusion. D. Notify the primary health care provider after stopping the infusion.

D. Notify the primary health care provider after stopping the infusion.

Which instruction would the nurse provide a client prescribed oral extended-release ciprofloxacin therapy for a urinary tract infection? A. Chew the medication along with food. B. Take a walk in the morning sunlight. C. Stop the drug after symptoms subside. D. Refrain from taking the tablet immediately after an antacid.

D. Refrain from taking the tablet immediately after an antacid.