Chapter 8

A client who is receiving statin therapy as treatment for elevated lipid levels is also prescribed daptomycin. The nurse would assess which of the following laboratory test results for changes? A) Creatine phosphokinase levels B) Blood glucose levels C) White blood cell count D) International normalized ratio

Ans: A

After reviewing information about lincosamide therapy, a group of nursing students demonstrate understanding of the information when they identify which of the following as a contraindication? A) Children younger than 9 years B) Patients with pre-existing liver disease C) Patients taking cisapride D) Patients with myasthenia gravis

Ans: C

A client has been receiving an aminoglycoside for several weeks and comes to the clinic complaining of ringing in his ears and some dizziness. The nurse suspects ototoxicity. When developing this client's plan of care, which nursing diagnosis would be the priority? A) Impaired Comfort B) Altered Thought Process C) Diarrhea D) Risk for Injury

Ans: D

A patient is prescribed demeclocycline. The nurse would teach the patient to be alert for signs of which of the following? A) Photosensitivity B) Abdominal pain C) Cramping D) Blood dyscrasias

Ans: A

A patient has been prescribed oral tetracycline for the treatment of acne. Which of the following must the nurse include in the patient teaching plan? A) Take the drug on an empty stomach. B) Take the drug along with a meal. C) Take the drug along with milk or fruit juice. D) Take the drug immediately after meals.

Ans: A

A patient is receiving linezolid. The patient is fond of eating chocolates and coffee, both of which contain tyramine. The nurse would instruct the patient that he is at risk for which of the following should he consume foods containing tyramine while taking linezolid? A) Severe hypertension B) Drowsiness C) Nervousness D) Nausea

Ans: A

A patient is ordered to receive neomycin as part of the treatment plan for hepatic coma. Which of the following would be most important for the nurse to assess before administering this drug? Select all that apply. A) Ability to swallow B) Level of consciousness C) Baseline vital signs D) Pulmonary function E) Culture and sensitivity results

Ans: A, B

A nurse is reviewing the medical records of several patients who are to receive antibacterial drug therapy. The nurse understands that aminoglycosides would be contraindicated in clients with which of the following conditions? Select all that apply. A) Pre-existing hearing loss B) Pregnancy C) Parkinsonism D) Diabetes E) Hyperlipidemia

Ans: A, B, C

A patient is to receive tetracycline therapy at home. After teaching the patient about foods to avoid when taking the drug, the nurse determines that the teaching was successful when the patient states he will avoid which of the following? Select all that apply. A) Yogurt B) Cheese C) Calcium-fortified cereals D) Citrus fruits E) Green leafy vegetables

Ans: A, B, C

A client is receiving gentamicin. Assessment of which of the following would lead the nurse to suspect that the client is developing nephrotoxicity? Select all that apply. A) Proteinuria B) Hematuria C) Decreased urine output D) Increased serum creatinine E) Decreased fluid intake

Ans: A, B, C, D

After teaching a group of students about tetracyclines, the instructor determines that the teaching was successful when the students identify which of the following as a true statement? Select all that apply. A) Tetracyclines are broad-spectrum antibiotics. B) Tetracyclines may cause permanent discoloration of the teeth in children. C) Tetracyclines can be used when penicillins are contraindicated. D) Tetracyclines are contraindicated in children younger than 6 years. E) Tetracyclines are used to treat Rocky Mountain spotted fever.

Ans: A, B, C, E

A nurse is preparing to administer lincomycin via IM injection. Which of the following would be most appropriate for the nurse to do? Select all that apply. A) Inspect previous injection sites. B) Rotate the injection site. C) Use the abdomen for intramuscular injections. D) Note the site used for injection in the client's chart. E) Notify the physician of any persistent localized reactions.

Ans: A, B, D, E

The nurse is completing an ongoing assessment of a client receiving erythromycin. The nurse would notify the primary health care provider immediately if assessment reveals which of the following? Select all that apply. A) Significant drop in blood pressure B) Increase in heart rate C) Decrease in temperature D) Increase in respiratory rate E) Sudden increase in temperature

Ans: A, B, D, E

A nurse suspects that a patient receiving an aminoglycoside is developing neurotoxicity based on assessment of which of the following? Select all that apply. A) Paresthesias B) Tingling around the mouth C) Ringing in the ears D) Vertigo E) Muscle twitching

Ans: A, B, E

A nursing instructor is preparing a class on various antibacterial drugs interfering with protein synthesis, with the discussion focusing on quinupristin/dalfopristin. Which of the following medications would the instructor include as interacting with quinupristin/dalfopristin, thus increasing the risk for toxicity? Select all that apply. A) Lorazepam (Ativan) B) Quinapril (Accupril) C) Ritonavir (Norvir) D) Atorvastatin (Lipitor) E) Tacrolimus (Prograf)

Ans: A, C, D

A patient is being discharged with a prescription for linezolid. After teaching the patient about this drug, the nurse determines that additional teaching is needed when the patient identifies that he can consume which of the following without any risks? Select all that apply. A) Alcohol B) Prunes C) Aged cheese D) Pepperoni E) Broccoli

Ans: A, C, D

A nursing instructor is preparing a teaching plan for a group of nursing students about macrolide antibacterial drugs. Which of the following would the instructor expect to include? Select all that apply. A) Macrolides are broad-spectrum antibiotics. B) Macrolides are contraindicated in clients with renal dysfunction. C) Macrolides may cause visual disturbances. D) Macrolides can be used in clients allergic to penicillins. E) Macrolides can be used to treat acne vulgaris.

Ans: A, C, D, E

A nurse is preparing to administer an aminoglycoside to a client. The nurse would be alert for the development of which of the following toxicities? Select all that apply. A) Nephrotoxicity B) Cardiotoxicity C) Ototoxicity D) Hepatotoxicity E) Neurotoxicity

Ans: A, C, E

A group of nursing students are reviewing information about aminoglycosides. The students demonstrate understanding when they identify which of the following as an example? Select all that apply. A) Amikacin (Amikin) B) Amoxicillin (Amoxil) C) Vancomycin (Vancocin) D) Kanamycin (Kantrex) E) Azithromycin (Zithromax)

Ans: A, D

A nurse is reviewing the medical record of a client who is prescribed tetracycline. The nurse would be alert for an increased risk of toxicity if the client is taking which of the following? Select all that apply. A) Digoxin (Lanoxin) B) Phenytoin (Dilantin) C) Vancomycin (Vancocin) D) Warfarin (Coumadin) E) Carbamazepine (Tegretol)

Ans: A, D

The nurse is teaching a client about possible adverse reactions that can occur with tetracyclines. The nurse determines that the teaching was successful when the client identifies which of the following? Select all that apply. A) Photosensitivity B) Hypoglycemia C) Hypotension D) Diarrhea E) Stomatitis

Ans: A, D, E

A patient is receiving telithromycin. Based on the nurse's understanding of potential adverse reactions, the nurse would identify which nursing diagnosis as a priority? A) Ineffective Renal Tissue Perfusion B) Risk for Injury C) Diarrhea D) Risk for Impaired Skin Integrity

Ans: B

A group of nursing students are reviewing information about clindamycin (Cleocin). The students demonstrate understanding of this drug when they identify that it should be used with caution in clients with which of the following? Select all that apply. A) Seizure disorder B) GI disorders C) Myasthenia gravis D) Diabetes E) Hepatic impairment

Ans: B, C, E

A nurse is reading a journal article about spectinomycin. Which of the following would the nurse expect to find as being discussed about this drug? Select all that apply. A) Spectinomycin is used to treat chlamydia infections. B) Spectinomycin is used to treat gonorrhea infections. C) Spectinomycin is chemically unrelated to aminoglycosides. D) Spectinomycin can be used in clients with penicillin allergy. E) Spectinomycin has no known significant food or drug interactions.

Ans: B, D, E

A client is receiving iron therapy for anemia. The prescriber has ordered tetracycline as treatment for the client's infection. Which of the following would be most appropriate for the nurse to do? A) Give the drugs at the same time. B) Give the iron first, then follow with the tetracycline in 30 minutes. C) Separate administration times by 2 hours. D) Withhold the iron until the tetracycline therapy is completed.

Ans: C

A client is receiving quinupristin/dalfopristin via a peripheral intravenous infusion. After the drug is administered, the nurse would flush the intravenous line with which of the following? A) Normal saline B) 0.45% sodium chloride C) Dextrose 5% and water D) Heparin

Ans: C

A patient is scheduled for abdominal surgery and is ordered to receive kanamycin as part of the bowel preparation. The patient asks the nurse why he is getting this drug. Which response by the nurse would be most appropriate? A) "You have an infection now and will probably have one after surgery, so this will help control it." B) "We need to lower the levels of ammonia in your bloodstream to prevent problems." C) "The drug helps eliminate bacteria so that your GI tract is as clean as possible for surgery." D) "This is to help prevent you from developing any blood clots during and after the surgery."

Ans: C

A middle-aged patient has been prescribed tetracycline as part of his treatment of H. pylori. The patient has a history of heart disease for which he is receiving digoxin. Given his history and current medications, the patient is at risk for which of the following conditions? A) Respiratory depression B) Decreased effectiveness of tetracycline C) Prolonged clotting times D) Risk of digoxin toxicity

Ans: D

A patient has been prescribed a tetracycline drug for Rocky Mountain spotted fever. The patient also takes antacids. Which of the following effects is likely to occur due to an interaction between the two drugs? A) Increased risk of bleeding B) Increased action of neuromuscular blocking drugs C) Increased profound respiratory depression D) Decreased absorption of tetracycline

Ans: D

After teaching a group of nursing students about indications for linezolid (Zyvox), the instructor determines a need for additional teaching when the students identify which of the following as an indication? A) Community-acquired pneumonia (CAP) B) Vancomycin-resistant Enterococcus faecium (VREF) C) Methicillin-resistant Staphylococcus aureus (MRSA) D) Acute otitis media

Ans: D