Ch. 26 Pharm EAQ: Antibacterials
A nursing instructor is discussing tigecycline (Tygacil) therapy with a group of nursing students. Which statement is the nursing instructor most likely to make? 1 "Avoid administering tigecycline (Tygacil) to a 17-year-old with Helicobacter pylori infection." 2 "Avoid administering tigecycline (Tygacil) to a 37-year-old with acne vulgaris." 3 "Avoid administering tigecycline (Tygacil) to a 7-year-old with Lyme disease." 4 "Avoid administering tigecycline (Tygacil) to a 37-year-old with granuloma inguinale."
"Avoid administering tigecycline (Tygacil) to a 7-year-old with Lyme disease."
Which side effect reported by the patient who is on an antibiotic therapy would be of high priority and require prompt notification to the primary health care provider? 1 "I have difficulty in breathing." 2 "I have trouble with digestion." 3 "I have giddiness upon standing." 4 "I have pain in the upper abdomen."
"I have difficulty in breathing."
The nurse is educating a patient who has been prescribed dicloxacillin for the treatment of Staphylococcus aureus. Which statement made by the patient indicates the need for further teaching? 1 "I should take more fluids." 2 "I should take this medication with food." 3 "I should stop using the drug when symptoms subside." 4 "I should notify the primary health care provider if I get any allergy."
"I should stop using the drug when symptoms subside."
A nursing student asks the nursing instructor about the mechanism of bacteriostatic action of tetracycline. Which answer by the nursing instructor is correct? 1 "Tetracycline blocks RNA synthesis." 2 "Tetracycline degrades the bacterial cell wall." 3 "Tetracycline binds to magnesium ions." 4 "Tetracycline inhibits protein synthesis."
"Tetracycline inhibits protein synthesis."
What is the elimination half-life of amoxicillin (Amoxil)? 6 to 8 hours 1 to 2 hours 0.5 to 1 hour 1 to 1.5 hours
1 to 1.5 hours
A patient on antibiotic therapy needs trough levels drawn. Which is the most appropriate time for the nurse to draw the trough level? 1 10 minutes before administration of the intravenous antibiotic 2 30 minutes after beginning administration of the intravenous antibiotic 3 60 minutes after completion of the intravenous antibiotic infusion 4 90 minutes after the intravenous antibiotic is scheduled to be administered
10 minutes before administration of the intravenous antibiotic
Which antibiotic medication is most beneficial to a patient who has an anthrax infection? 1 Norfloxacin (Noroxin) 2 Ciprofloxacin (Cipro) 3 Levofloxacin (Levaquin) 4 Moxifloxacin (Avelox)
Ciprofloxacin (Cipro)
A patient who is diagnosed with a Staphylococcus aureus infection is on penicillin treatment. On performing a culture test after 2 weeks, the report still shows the presence of the bacteria, S. aureus. What would be the reason for this condition? 1 Superinfection 2 Cross-sensitivity 3 Acquired resistance 4 Nosocomial infection
Acquired resistance
The nurse is setting up an intravenous infusion pump to administer a dose of vancomycin (Vancocin) to a patient. What is the proper rate that the drug should be infused? 1 30-60 minutes 2 60-90 minutes 3 90-120 minutes 4 120-150 minutes
60-90 minutes
The nurse should question the prescription of tetracycline for which patient? 1 A 6-year-old patient with Haemophilus influenzae 2 A 45-year-old patient with a history of diabetes mellitus 3 A 60-year-old patient with a history of hypertension 4 A 40-year-old patient diagnosed with rickettsiae
A 6-year-old patient with Haemophilus influenzae
Which patient is a potential candidate for antibiotic therapy involving aminoglycoside? 1 A patient with Pseudomonas aeruginosa pneumonia 2 A patient with a history of neuromuscular dysfunction 3 A patient with increased serum creatinine levels 4 A patient with elevated serum alanine aminotransferase
A patient with Pseudomonas aeruginosa pneumonia
What is the mechanism of action of amphotericin B? 1 Inhibition of protein synthesis 2 Inhibition of cell wall synthesis 3 Alteration in membrane permeability 4 Interference with cellular metabolism
Alteration in membrane permeability
The laboratory reports of a patient confirm the presence of Enterobacter aerogenes infection. A nurse finds that the patient has a history of infection that was resistant to gentamicin (Garamycin) and tobramycin (Nebcin). Which medication will the nurse expect the primary health care provider to prescribe to the patient? 1 Linezolid (Zyvox) 2 Amikacin (Amikin) 3 Neomycin (Neo-Fradin) 4 Streptomycin (generic)
Amikacin (Amikin)
The nurse is teaching a group of nursing students about aminoglycosides. Which statement by the nurse regarding aminoglycosides is true? 1 "Aminoglycosides can potentiate warfarin toxicity." 2 "Aminoglycosides can be used by lactating women." 3 "Concurrent use with loop diuretics reduces the risk for ototoxicity." 4 "Aminoglycosides are used alone to treat gram-positive infections."
Aminoglycosides can potentiate warfarin toxicity."
Which combination of penicillin and beta-lactamase inhibitor is preferred when administering through an oral route? 1 Ampicillin-sulbactam (Unasyn) 2 Piperacillin-tazobactam (Zosyn) 3 Ticarcillin-clavulanicacid (Timentin) 4 Amoxicillin-clavulanic acid (Augmentin)
Amoxicillin-clavulanic acid (Augmentin)
A 22-year-old female patient is prescribed amoxicillin. Which is the most important intervention for this patient? 1 Instruct the patient to not take the medication before meals. 2 Assess if the patient is on oral contraceptives. 3 Inform the patient about possible superinfections. 4 Obtain a baseline complete blood count.
Assess if the patient is on oral contraceptives.
The primary health care provider instructs the nurse to administer intravenous penicillin. Which nursing action would be beneficial prior to administering the drug? 1 Locating the intravenous (IV) site 2 Recording the daily urine output 3 Obtaining serum creatinine levels 4 Assessing the client for any allergies
Assessing the client for any allergies
A patient is prescribed demeclocycline (Declomycin) for the treatment of a respiratory infection. What instruction does the nurse give to the patient to ensure safe administration of the drug? 1 "Avoid eating high-protein foods." 2 "Avoid the consumption of dairy products." 3 "Avoid eating low-carbohydrate foods." 4 "Avoid eating high-calorie foods."
Avoid the consumption of dairy products."
Which organism is involved in the derivation of peptides? 1 Tubercle bacilli 2 Bacillus subtilis 3 Escherichia coli 4 Pseudomonas aeruginosa
Bacillus subtilis
A patient is prescribed bacitracin topical ointment. What does the nurse suspect as the possible diagnosis based on the medication prescribed? 1 Fungal infection 2 Bacterial infection 3 Parasitic infection 4 Viral infection
Bacterial infection
The nurse anticipates that a patient with which of the following infections would be prescribed meropenem (Merrem)? 1 Bacterial meningitis 2 Cellulitis 3 Pneumonia 4 Tooth abscess
Bacterial meningitis
A nurse is caring for two patients with bacterial infections. Patient A has been prescribed amoxicillin (Amoxil), whereas patient B has been prescribed ceftriaxone (Rocephin). The nurse is concerned about possible drug interactions in these two clients. Which statement correctly depicts the side effect for which the nurse needs to watch out? 1 Patient A is at risk for increased drug effect when taking tetracycline. 2 Both patients are at risk for decreased drug effect when taking aspirin. 3 Patient B is at risk for increased hepatotoxicity when taking loop diuretics. 4 Both patients are at risk for increased bleeding when taking anticoagulants.
Both patients are at risk for increased bleeding when taking anticoagulants.
A patient is prescribed levofloxacin (Levaquin) for the treatment of a bacterial infection. During the assessment, the nurse finds that the patient is taking calcium supplements. The nurse instructs the patient to take calcium supplements 2 hours after taking levofloxacin (Levaquin). What could be the reason for this? 1 Calcium supplements interfere with levofloxacin (Levaquin) absorption. 2 Calcium supplements increase the serum concentration of levofloxacin (Levaquin). 3 Calcium supplements antagonize the antibacterial activity of levofloxacin (Levaquin). 4 Calcium supplements and levofloxacin (Levaquin) interact, affecting the intestinal flora.
Calcium supplements interfere with levofloxacin (Levaquin) absorption
A primary health care provider prescribes a medication along with ampicillin to enhance the effectiveness of the antibiotic. Which medication will be added to enhance the effectiveness of the ampicillin? 1 Calcium citrate 2 Clavulanic acid 3 Acetaminophen 4 Carbamazepine
Clavulanic acid
A microbiologic culture report of a patient shows the presence of Staphylococcus aureus. Which drug does the nurse anticipate to be prescribed by the health care provider? 1 Amoxicillin (Amoxil) 2 Ampicillin (Principen) 3 Dicloxacillin (Dynapen) 4 Carbenicillinindanyl (Geocillin)
Dicloxacillin (Dynapen)
The patient has been ordered lincomycin (Lincocin). The patient reports to the nurse that the patient has experienced reduced renal function in the past. The nurse anticipates that the health care provider will take which action? 1 Place the medication on hold until renal function improves. 2 Increase the original dosage of the medication. 3 Decrease the original dosage of the medication. 4 Continue with the medication as originally ordered.
Decrease the original dosage of the medication.
A patient is diagnosed with a respiratory infection caused by staphylococci. Which penicillinase-resistant drug may be included in the prescription? 1 Amoxicillin (Amoxil) 2 Ampicillin (Penbritin) 3 Penicillin G (Pfizerpen) 4 Dicloxacillin (Dynapen)
Dicloxacillin (Dynapen)
A student nurse is learning about patient teaching associated with the administration of the antibiotics amoxicillin (Amoxil) and ceftriaxone (Rocephin). Which statements indicate effective patient teaching? Select all that apply. 1 "Always take amoxicillin (Amoxil) with fruit juices." 2 "Do not swallow chewable amoxicillin (Amoxil) tablets." 3 "Stop taking ceftriaxone (Rocephin) as soon as you feel better." 4 "Do not take amoxicillin (Amoxil) with food to avoid delaying absorption." 5 "Take buttermilk or yogurt if you are taking ceftriaxone (Rocephin) long-term."
Do not swallow chewable amoxicillin (Amoxil) tablets." "Take buttermilk or yogurt if you are taking ceftriaxone (Rocephin) long-term."
A patient receiving metronidazole (Flagyl) treatment reports shortness of breath, facial flushing, severe headache, sweating, slurred speech, and abdominal cramps. Which of the patient's actions could have led to this condition? 1 Drinking alcohol 2 Taking vitamin B6 3 Taking echinacea 4 Swishing the medication
Drinking alcohol
A patient is prescribed amoxicillin (Amoxil) for Helicobacter pylori infection. During the follow-up visit, the nurse observes that the patient is wheezing and has difficulty breathing, swelling of the throat, and dizziness. The nurse also notes a drop in blood pressure and a weak pulse. Which medicine does the nurse expect to be included in the patient's treatment plan? 1 Ranitidine (Zantac) 2 Epinephrine (Twinject) 3 Tetracycline (Sumycin) 4 Azithromycin (Zithromax)
Epinephrine (Twinject)
The patient has been diagnosed with Legionnaires' disease. Which drug does the nurse anticipate the provider will order? 1 Daptomycin (Cubicin) 2 Lincomycin (Lincocin) 3 Erythromycin (E-Mycin) 4 Aztreonam (Azactam)
Erythromycin (E-Mycin)
Which class of antibiotics acts to inhibit the synthesis of RNA and DNA, thus stalling bacterial replication? 1 Sulfonamides 2 Cephalosporins 3 Aminoglycosides 4 Fluoroquinolones
Fluoroquinolones
Which class of drug is effective against Shigella? 1 Ketolides 2 Lipopeptides 3 Aminoglycosides 4 Fluoroquinolones
Fluoroquinolones
The nurse is assessing a patient who is being treated with amikacin (Amikin). The patient has increased serum creatinine concentrations, for which loop diuretics are prescribed. What will the nurse primarily monitor in the patient? 1 Hearing ability 2 Glucose concentrations 3 Serum bilirubin concentrations 4 Orientation
Hearing ability
Which adverse effect is the nurse alert for in a patient who is taking tobramycin (Nebcin) as an antibiotic therapy? 1 Pain on injection 2 Nausea 3 Hearing loss 4 Confusion
Hearing loss
A patient diagnosed with an upper respiratory tract infection is on phenothiazine therapy for psychotic disorder. The nurse reviews the prescription and finds that azithromycin (Zithromax) has been prescribed by the primary health care provider to treat a respiratory infection. For which complication should the nurse closely monitor the patient? 1 Ototoxicity 2 Hepatotoxicity 3 Blood dyscrasias 4 Pseudomembranous colitis
Hepatotoxicity
The nurse is caring for a patient who has been prescribed cefazolin sodium (Ancef). Which nursing assessment is the priority? 1 History, including allergies 2 Cardiac assessment 3 Neurological assessment 4 History of immunizations
History, including allergies
A patient has been ordered telithromycin (Ketek) as well as simvastatin (Zocor). What is the nurse's best action? 1 Hold the medication and call the health care provider. 2 Administer the medications as prescribed. 3 Separate the medications by 6 hours. 4 Have the patient take the medications with food or milk.
Hold the medication and call the health care provider.
The nurse is educating a patient who was prescribed cefpodoxime (Vantin). Which statement made by the patient indicates a requirement of further teaching? Select all that apply. 1 "I should take adequate amount of fluids." 2 "I should complete the course of medication." 3 "I should avoid yogurt while taking the medication." 4 "I should take the medication 15 minutes before food intake." 5 "I should report to the primary health care provider if I get mouth ulcers."
I should avoid yogurt while taking the medication." "I should take the medication 15 minutes before food intake."
The registered nurse is evaluating a nursing student who is caring for a patient on levofloxacin (Levaquin) for a urinary tract infection. Which action of the student nurse needs correction? 1 Instructing the patient to have caffeinated products 2 Instructing the patient to take the drug along with food 3 Instructing the patient to drink eight glasses of water per day 4 Informing the primary health care provider if the pH of urine is 5
Instructing the patient to have caffeinated products
A patient suffering from an upper respiratory tract infection was prescribed medication to be taken once a day for 5 days. After taking the drug, the patient complains of nausea, diarrhea, and abdominal pain. The patient also develops conjunctivitis before completing the full course. Which is a characteristic of the drug prescribed to the patient? 1 It can cause hepatotoxicity in high doses. 2 It is readily absorbed from the gastrointestinal (GI) tract. 3 It should never be taken with clindamycin or lincomycin. 4 It should not be prescribed to patients with renal insufficiency.
It can cause hepatotoxicity in high doses.
How does penicillin work to destroy bacteria? 1 It interferes with cell wall synthesis. 2 It binds irreversibly to the cell wall. 3 It interrupts bacterial DNA processes. 4 It interrupts bacterial RNA processes.
It interferes with cell wall synthesis.
A patient with inflammatory bowel disease is on drug therapy. During the follow-up visit, the patient reports dizziness, headache, confusion, depression, weakness, and lack of sleep. Which medication does the nurse suspect to be the reason for the patient's condition? 1 Metronidazole (Flagyl) 2 Flucytosine (Ancobon) 3 Terbinafine hydrochloride (Lamisil) 4 Colistimethate sodium (Coly-Mycin M)
Metronidazole (Flagyl)
Which antiprotozoal drug is effective for the treatment of trichomoniasis? 1 Iodoquinol (Diquinol) 2 Atovaquone (Mepron) 3 Metronidazole (Flagyl) 4 Pentamidine (NebuPent)
Metronidazole (Flagyl)
Which medication is used as perioperative prophylaxis in colorectal surgery? 1 Bacitracin (BaciiM) 2 Metronidazole (Flagyl) 3 Ketoconazole (Nizoral) 4 Colistimethate sodium (Coly-Mycin M)
Metronidazole (Flagyl)
A patient is prescribed penicillin G potassium (Pfizerpen) for treating a respiratory infection. What would be the appropriate nursing interventions for this patient? Select all that apply. 1 Monitoring for superinfection 2 Monitoring the patient for respiratory distress 3 Obtaining a culture and sensitivity test after starting the therapy 4 Having availability of epinephrine to treat severe allergic reaction 5 Advising the patient to take the medication with an empty stomach
Monitoring for superinfection 2 Monitoring the patient for respiratory distress Having availability of epinephrine to treat severe allergic reaction
The nurse is assessing a patient who is being admitted with recurrent osteomyelitis related to penicillin-G resistant Staphylococcus aureus. Which medication may be therapeutically effective in treating this infection? 1 Nafcillin (Nallpen) 2 Ampicillin (Principen) 3 Aztreonam (Azactam) 4 Carbenicillinindanyl (Geocillin)
Nafcillin (Nallpen)
A patient who is being treated for a neuromuscular disease has been ordered telithromycin (Ketek). What is the nurse's highest priority action? 1 Notify the health care provider. 2 Administer the first dose promptly. 3 Notify the pharmacy. 4 Administer the medication with food.
Notify the health care provider.
A patient who is scheduled for an appendectomy has been prescribed neomycin (Neo-Fradin) by the primary health care provider. Which nursing action is most suitable in this situation? 1 Oral administration of neomycin (Neo-Fradin) after the surgery 2 Oral administration of neomycin (Neo-Fradin) before the surgery 3 Topical administration of neomycin (Neo-Fradin) before the surgery 4 Topical administration of neomycin (Neo-Fradin) after the surgery
Oral administration of neomycin (Neo-Fradin) before the surgery
A patient is diagnosed with a penicillin-resistant staphylococcus infection. Which drug does the nurse anticipate to be prescribed by the health care provider? 1 Amoxycillin (Amoxil) 2 Oxacillin (Prostaphin) 3 Ampicillin (Principen) Carbenicillinindanyl (Geocillin)
Oxacillin (Prostaphin)
The nurse is reviewing the medical reports of four patients. Patient A is prescribed anticoagulants and amoxicillin (Amoxil). Patient B is prescribed diuretics and ceftriaxone (Rocephin). Patient C is prescribed uricosurics and cefuroxime (Ceftin). Patient D is prescribed oral contraceptives and ampicillin (Principen). Which patient is at increased risk for nephrotoxicity? 1 Patient A 2 Patient B 3 Patient C 4 Patient D
Patient B
A student nurse is learning about the uses and considerations associated with different types of penicillins. The student nurse looks at a chart that contains the medications prescribed to four different patients, the diseases they are suffering from, and the special considerations associated with each patient. Which patient does the student nurse know to have received the correct medication, based on the given information? 1 Patient A, who has renal failure, is prescribed penicillin V potassium (Veetids) for an upper respiratory infection. 2 Patient B, who is suffering from an electrolyte imbalance is prescribed penicillin G potassium (Pfizerpen) for an upper respiratory infection. 3 Patient C, who is unable to swallow medication orally, is prescribed nafcillin (Nallpen) for penicillin G-resistant Staphylococcus aureus infection. 4 Patient D, who has hypertension is prescribed carbenicillin indanyl (Geocillin) for Pseudomonas aeruginosa infection.
Patient C, who is unable to swallow medication orally, is prescribed nafcillin (Nallpen) for penicillin G-resistant Staphylococcus aureus infection.
While instructing a patient about antibiotic therapy, the nurse explains to the patient that bacterial resistance to antibiotics can occur when what happens? Select all that apply. 1 Patients stop taking an antibiotic after they feel better. 2 Antibiotics are prescribed according to culture and sensitivity reports. 3 Antibiotics are prescribed to treat a viral infection. 4 Antibiotics are taken with water or juice. 5 Antibiotics are taken with ascorbic acid (vitamin C).
Patients stop taking an antibiotic after they feel better. Antibiotics are prescribed to treat a viral infection.
A nurse is comparing the mechanisms of action for penicillin and nystatin. Which statement is true? 1 Both nystatin and penicillin inhibit cell-wall synthesis. 2 Nystatin has only bactericidal effects, whereas penicillin has only bacteriostatic effects. 3 Penicillin causes enzyme breakdown of the cell wall, whereas nystatin increases membrane permeability. 4 Nystatin inhibits the enzyme responsible for cell-wall synthesis, whereas penicillin inhibits synthesis of nucleic acid in bacteria.
Penicillin causes enzyme breakdown of the cell wall, whereas nystatin increases membrane permeability.
Which class of penicillin antibiotic is known as antistaphylococcal penicillin? 1 Natural penicillins 2 Aminopenicillins 3 Extended-spectrum drugs 4 Penicillinase-resistant penicillins
Penicillinase-resistant penicillins
While reviewing the medication chart of a patient, the nurse finds that the patient is on a combination of tetracycline (Sumycin), metronidazole (Metro), and bismuth subsalicylate (Bismatrol). Which condition does the nurse suspect in this patient? 1 Peptic ulcer 2 Urinary tract infection 3 Intraabdominal infection 4 Community-acquired pneumonia
Peptic ulcer
Which action does the nurse take if a patient receiving intravenous vancomycin (Vancocin) complains of facial pruritis? 1 Gives diphenhydramine (Benadryl) with the infusion 2 Documents that the patient has a hypersensitivity reaction 3 Wraps the infusion in foil to protect from light 4 Programs the vancomycin to infuse at a slower rate
Programs the vancomycin to infuse at a slower rate
Which bacterium is sensitive to gentamycin (Garamycin)? 1 Clostridium perfringens 2 Staphylococcus aureus 3 Streptococcus pyogenes 4 Pseudomonas aeruginosa
Pseudomonas aeruginosa
The nurse has just received a prescription from the primary health care provider to administer ampicillin to an 80-year-old patient. Which assessment is the nurse's priority before administering the antibiotic? 1 Renal function 2 Hepatic function 3 Cross-sensitivity 4 Total body fluid
Renal function
The primary health care provider prescribes vancomycin (Vancocin) to a patient who has a streptococcal infection. What will the nurse assess in the patient to ensure safe administration of the drug? 1 Skin integrity 2 Renal function 3 Blood glucose concentration 4 Red blood cell count
Renal function
Which laboratory reports will the nurse evaluate if the patient is administered vancomycin (Vancocin) and tobramycin (Nebcin)? 1 Serum creatinine 2 Prothrombin time 3 Serum glucose 4 Serum electrolytes
Serum creatinine
While reviewing the blood reports of a patient who is on amikacin (Amikin) therapy, the nurse finds that the serum drug concentration is 2 mcg/mL. What further laboratory reports will the nurse check to ensure the patient's safety? 1 Blood glucose concentration 2 Blood platelet count 3 Serum thyroxine concentration 4 Serum creatinine concentration
Serum creatinine concentration
Which bacteria, on gram staining, retain a purple stain? Select all that apply. 1 Escherichia coli 2 Staphylococcus aureus 3 Neisseria meningitides 4 Haemophilus influenza 5 Streptococcus pneumoniae
Staphylococcus aureus Streptococcus pneumoniae
Which bacterial infection is effectively treated by both tigecycline (Tygacil) and minocycline (Minocin)? 1 Escherichia coli infection 2 Helicobacter pylori infection 3 Staphylococcus aureus infection 4 Clostridium perfringens infection
Staphylococcus aureus infection
The primary health care provider instructs a nurse to administer intravenous vancomycin (Vancocin). During infusion, the patient has excessive sweating and reports itching on the face and neck. What is the best nursing intervention in this situation? 1 Increase the rate of infusion of vancomycin (Vancocin). 2 Decrease the rate of infusion of vancomycin (Vancocin). 3 Advise the patient to get their blood pressure checked. 4 Stop the administration of the vancomycin (Vancocin) infusion.
Stop the administration of the vancomycin (Vancocin) infusion.
The nurse is assessing a patient who has tuberculosis-associated plague. Which medication will the nurse expect the primary health care provider to prescribe? 1 Amikacin (Amikin) 2 Gentamicin (Garamycin) 3 Tobramycin (Nebcin) 4 Streptomycin (Plantomycin)
Streptomycin (Plantomycin)
What was the first aminoglycoside that became available for the treatment of tuberculosis? 1 Amikacin (Amikin) 2 Neomycin (Neo-Fradin) 3 Gentamycin (Garamycin) 4 Streptomycin (Streptomycin)
Streptomycin (Streptomycin)
The nurse is caring for a patient who has been taking antibacterials for 2 weeks and reports symptoms consistent with oral candidiasis. What would be the cause of this condition? 1 Superinfection 2 Cross-resistance 3 Antibiotic resistance 4 Nosocomial infection
Superinfection
When instructing a patient about antibiotic therapy, the nurse explains that which condition occurs when the normal flora are disturbed during antibiotic therapy? 1 Hypersensitivity 2 Rebound toxicity 3 Organ toxicity 4 Superinfection
Superinfection
A primary health care provider prescribes an antacid to a patient who is taking ciprofloxacin (Cipro). What information will the nurse mention while counseling the patient? 1 "Take the antacid every alternate day." 2 "Take both drugs simultaneously." 3 "Take the drug on an empty stomach." 4 "Take the antacid 2 hours before the drug."
Take the antacid 2 hours before the drug."
The nurse is caring for a patient who is being treated for acne. The nurse anticipates that the health care provider is most likely to treat the patient using which medication? 1 Polymyxin 2 Bacitracin 3 Tetracycline 4 Vancomycin
Tetracycline
A primary health care provider instructs a nurse to administer vancomycin (Vancocin) to a patient. The nurse administers intravenous vancomycin (Vancocin) to the patient over 1 hour. Why will the nurse do this? 1 To prevent edema 2 To prevent hemolysis 3 To prevent hypotension 4 To prevent abdominal flatulence
To prevent hypotension
Why will the nurse administer gentamicin (Garamycin) intravenously to a patient over a period of 60 minutes or longer? 1 To prevent hepatotoxicity 2 To prevent neuromuscular blockade 3 To prevent nephrotoxicity 4 To prevent infiltration
To prevent neuromuscular blockade
Which class of drugs may cause a decrease in the excretion of cephalosporins? 1 Uricosurics 2 Aminoglycosides 3 Oral contraceptives 4 Potassium supplements
Uricosurics
Which instruction will the nurse include in the discharge teaching for a patient receiving tetracycline? 1 "Take the medication until you feel better." 2 "Use sunscreen and protective clothing when outdoors." 3 "Keep the remainder of the medication in case of recurrence." 4 "Take the medication with food or milk to minimize gastrointestinal upset."
Use sunscreen and protective clothing when outdoors."
The nurse is caring for a patient who is on antibiotic therapy for cardiac surgical prophylaxis. The nurse observes red blotching of the face, neck, and chest of the patient. Which medication is associated with this side effect of "red man" syndrome? 1 Lincomycin (Lincocin) 2 Clindamycin (Cleocin) 3 Telithromycin (Ketek) 4 Vancomycin (Vancocin)
Vancomycin (Vancocin)
