antibiotics concepts II exam III

the nurse is educating a pt about the use of erythromycin for the treatment of an infection. what statement made by the pt indicates the need for further education

"I will take my medication on a full stomach to increase absorption"

the nurse is preparing to admin linezolid to a pt. what assessment question should the nurse as the pt before admin the drug

"are you taking any meds for depression right now?"

the parent of a child diagnosed with meningococcal meningitis asks the nurse why the healthcare provider didn't prescribe treatment with chloramphenicol. how should the nurse respond

"chloramphenicol isn't used unless there is no adequate substitute drug available"

the nurse is providing education to an older adult pt who has been prescribed tetracycline. which statement should the nurse include in the teaching

"increase your fluids to 2 L or or more per day to prevent renal crystals"

a pt has been prescribed tetracycline for the treatment of acne. how would the nurse explain the action of the drug

"tetracycline interferes with the growth of the bacteria causing the pimples"

the nurse is providing education to a pt who has been prescribed trimethoprim-sulfamethoxazole. what statement would the nurse include about potential adverse effects

"this drug might make your stomach a bit upset, so let me know if you experience that"

a pt being treated with an oral penicillin should be encouraged to admin the med on which schedule to best achieve a therapeutic effect (select all that apply)

-around the clock -at regular intervals

a pt with a complex medical history is scheduled to begin treatment with an IV cephalosporin. after the initiation of therapy, the nurse should monitor the pt for which potential adverse effects of IV cephalosporin therapy (select all that apply)

-diarrhea -N/V -abdominal pain

the nurse is assessing a pt who has been prescribed tetracycline for possible contraindications to therapy. the nurse understands that what risks are posed by tetracycline therapy during pregnancy (select all that apply)

-hyperbilirubinemia -impaired bone development -impaired tooth development

aminoglycosides are prescribed in the treatment of what hospital-acquired infections (select all that apply)

-klebsiella -proteus -pseudomonas -E. coli

which characteristics place pts at increased risk for adverse reactions of aminoglycosides or fluoroquinolones (select all that apply)

-newly born -history of renal disease -advanced age

the nurse is caring for a pt who required admin of an aminoglycoside. the nurse should perform focused assessments related to what adverse reactions (select all that apply)

-ototoxicity -nephrotoxicity

a pt has been diagnosed with an infected postop wound, and cultures reveal MRSA. what meds should the nurse anticipate being prescribed for this pt (select all that apply)

-oxacillin -dicloxacillin -nafcillin

the nurse is planning care for a pt who requires admin of fluoroquinolones. to help prevent adverse reactions such as nephrotoxicity, the nurse should confirm that what precautions are included in the plan (select all that apply)

-providing adequate hydration -lowering initial dosage

while reviewing the medication admin record of a pt, the nurse sees that sulfasalazine has been prescribed. what medical diagnosis does the nurse suspect the pt might have (select all that apply)

-ulcerative colitis -rheumatoid arthritis

to maximize the prevention of an incisional infection, when will the nurse admin the prophylactic antibiotic therapy prescribed for a surgical pt

1 hour prior to the first planned skin incision

the nurse is preparing to admin IV vancomycin to a pt for the treatment of a systemic infection. how long would the nurse expect the infusion to run

1 to 2 hours

the nurse is justified in suspecting that a client who recently completed a course of ceftaroline may have been treated for what health problem

MRSA

the nurse is reviewing the medication order for a pt who has been prescribed gentamicin. the nurse recognizes the inclusion of what admin instruction as a means to maximize the drugs efficacy

admin once daily

a pt has been diagnosed with an infected postop wound, and cultures reveal methicillin-resistant staphylococcus (MRSA). the pt is currently receiving IV ceftaroline because viro testing indicates susceptibility. what action should the nurse make

admin the med as prescribed and monitor for expected outcomes

a client receiving the first dose of IV amplicillin asks the nurse to evaluate a rash on the torso. what should be the nurse's initial response to the pts rash

attempt to differentiate a hypersensitivity reaction from a nonallergic ampicillin rash

what med could be prescribed orally to treat a sinus infection in a pt needing an abbreviated therapy plan

azithromycin

an older adult pt is prescribed IV ciprofloxacin for the treatment of a UTI. what nursing assessment should the nurse prioritize to identify potential adverse effects

blood glucose monitoring

a pt being prepared for surgery has been prescribed antibiotics as prophylaxis. which med would the nurse anticipate being ordered

cephalosporin

a pt prescribed rifaximin for diarrhea has developed frank bleeding in the stool. what intervention should the nurse anticipate being implemented to best ensure pt safety

changing to a different antibiotic

the nurse is reviewing a med prescription for a 2 year old diagnosed with meningococcal meningitis. the nurse would question the healthcare provider if what antibiotic is prescribed

clindamycin

a pt has been diagnosed with an infected postop wound, and cultures reveal methicillin-resistant staphylococcus (MRSA). the pt is currently receiving cephalosporins IV because viro testing indicates susceptibility. what action should the nurse make

contact the healthcare provider to discontinue the cephalosporin (cephalosporins are not clinically effective in infections caused by MRSA)

the nurse is reviewing recent labs for an older pt prior to admin of tetracycline. which finding would lead the nurse to hold the dose

creatinine of 2.8 mg/dL (elevated creatinine is associated with renal dysfunction)

in the event of a bioterrorism attack with anthrax, the healthcare team should anticipate the use of which tetracycline

doxycycline

the nurse is caring for a pt who has been diagnosed with mycoplasma pneumoniae. what drug should the nurse expect to admin

doxycycline

when reviewing a pts medication admin record, the nurse sees that the pt receiving streptomycin. based on this, the nurse suspects that the pt most likely has what health condition

drug-resistant tuberculosis

a client being treated for cellulitis with a cephalosporin ask the nurse what the essential difference is between generations of this med. the nurse should respond to the pts question based on what fact

each successive generation is more effective against gram-negative microorganisms

a pt diagnosed with chlamydia is allergic to penicillin. what med could be used as a substitute for penicillin

erythromycin

a pt with a history of valvular heart disease reports having a "bad reaction" after receiving penicillin in the past. prior to a scheduled dental procedure, the pt is likely prescribed what drug

erythromycin

a pt diagnosed with malaria has been prescribed treatment with sulfadiazine. the nurse should encourage the pt to increase consumption of what dietary component

fluids

penicillins are more effective when used on infections caused by what organisms

gram-positive bacteria

a night nurse admin a PRN dose of aluminum hydroxide with magnesium hydroxide to a pt at 06:40. what action should the dayshift nurse take when preparing to admin the pts scheduled 08:00 dose of oral tetracycline

hold the tetracycline until 08:40 (if the pt has consumed dairy products or antacids, it is necessary to withhold tetracycline for 2 hours)

an older adult pt diagnosed with drug-resistant UTI has been started on a regimen of aminoglycosides. the pt is concerned about adverse reactions such as nephrotoxicity. what should the nurse include when providing pt education about the medication

if nephrotoxicity occurs, it is usually reversible if the drug is stopped

a client diagnosed with E. coli resistant to other drugs has been prescribed imipenem-cilastatin to be given IM. when preparing the med for admin, what info should the nurse obtain from the pt

if the pt has an allergy to local lidocaine

the pt has developed a pressure ulcer on their hip that has become infected. if the would culture reveals vancomycin-resistant enterococci, which med will the nurse expect to be prescribed

linezolid

the nurse recognizes that what drug class increases the risk of ototoxicity and nephrotoxicity when prescribed with gentamicin

loop diuretics

the nurse is caring for a pt who has been diagnosed with trichomoniasis. what med would the nurse anticipate being prescribed

metronidazole

the nurse should anticipate the admin of what drug when an older adult pt is diagnosed with community-acquired pneumonia

moxifloxacin

what route of admin is most commonly used for the admin of ciprofloxacin when prescribed to an older adult pt

oral (PO)

the nurse is providing education to a pt who has been prescribed oral amoxicillin. the nurse will repeat teaching related to fluid intake if the pt indicates that the drug can be taken with what beverage

orange juice

gentamicin therapy is indicated in the treatment of what medical diagnosis

osteomyelitis

the nurse is preparing to admin clindamycin IV to a pt. how should the nurse set the infusion to run

over 10 to 20 minutes

a pt has been diagnosed with streptococcal pharyngitis. what drug would the nurse expect to be prescribed

penicillin G

a pt reports taking an antibiotic and a pain med for a UTI but cannot remember the name of the pain med. what med should the nurse suspect

phenazopyridine hydrochloride

what event triggers the development of a superinfection

proliferation of antibiotic-resistant microorganisms

the nurse initiated admin of IV cefazolin with the dose ending at 1300. when would the nurse expect the drug to reach peak effect

shortly after 1300 (cefazolin admin IV has a rapid onset of action)

a pt who is 32 weeks pregnant has been diagnosed with a UTI. the nurse would immediately question any prescription for a sulfonamide based on what risk

sulfonamides can cause life-threatening toxicity to the fetus

a pt is scheduled to undergo major abdominal surgery has been prescribed preop neomycin. neomycin is used preop for what reason

suppress intestinal bacteria

a pt who has been diagnosed with syphilis reports an allergy to penicillin. the nurse should anticipate that which drug will be prescribed for treatment

tetracycline

how will a pt's diagnosis of liver cirrhosis affect the potential use of appropriate ampicillin therapy to treat an infected pressure ulcer

the pt can safely be treated with ampicillin

the nurse is caring for a pt receiving erythromycin. what assessment finding suggests that the pt is experiencing an adverse effect of the drug

the pt is uncharacteristically euphoric

the nurse is preparing to admin vancomycin IV to a pt. in preparation, the nurse dilutes the med into 0.9% NaCl for what reason

to minimize the adverse reactions related to histamine release

based on a physical assessment, the nurse suspects that a pt was given tetracycline as a young child. what physical characteristic led the nurse to this conclusion

tooth color

a pt with a deep wound producing large amounts of purulent drainage is prescribed an antibiotic. the nurse should express concern about the potential effectiveness of the treatment if which med is prescribed

trimethoprim-sulfamethoxazole

a pt has developed a pressure ulcer on the hip that has become infected. if the wound culture reveals MRSA, which med would the nurse expect to be prescribed

vancomycin