HESI Infection Review
An adolescent is ordered IV abx to be admin 4x/day at home. The nurse would teach pt to admin meds at which times? 8/12/4/8 8/4/12/4 10/2/10/2 6/12/6/12
6/12/6/12
A pregnant client w infection says taken tetracycline for infections in past & prefer to take it now. Which response would the nurse give regarding the avoidance of tetracycline admin during pregnancy? Affects breast feeding adversely Causes fatal allergies Alters dev of fetal teeth buds Increases fetal tolerance to medication
Alters dev of fetal teeth buds
Which cause would the nurse suspect when caring for a client who has an anaphylactic reaction after receiving IV penicillin? Acquired atopic sensitization occurred Passive immunity to penicillin allergen Antibodies to Pencillin dev after prev exposure Genes encoded for allergies cause reaction on initial penicillin exposure
Antibodies to penicillin dev after prev exposure
Which lab blood test result would the nurse report in a client with an infection who is receiving vancomycin? Hematocrit 45% Calcium 9.0 WBCs 10,000 BUN 30mg/dL
BUN
The nurse notes an older adults admin orders include gentamicin for tx of osteomyelitis. Which lab report would the nurse review before beg the med? SATA BUN & CRT Electrolytes & urinalysis Erythrocyte count Blood platelet count Serum thyroxine levels
BUN & CRT Electrolytes & urinalysis
Which statement would the nurse use regarding isoniazid when teaching a client with TB? SATA Be sure to take on empty stomach Report any changes in vision to HCP Take daily multiple vitamins that contain B complex Wear protective clothing when going outdoors during the day Report darkening of urine / yellowish skin discoloration
Be sure to take on empty stomach Take daily multiple vitamins that contain B complex Report darkening of urine / yellowish skin discoloration
Which client statement about ampicillin indicates that additional teaching is needed? I should take in empty stomach w full glass water Med works best if space time out evenly Can stop med after symptoms free for 48 hrs If get worse, notify HCP
Can stop med after symptoms free for 48 hrs
A client is undergoing HAART. Which viral disease could the client be suffering? Hepatitis HSV HPV HIV
HIV
Which med is first line med to tx client w mild diarrhea who is diagnosed w CDIFF? Rifaximin Fidaxomicin Vancomycin Metronidazole
Metronidazole
Which effect has resulted in the avoidance of tetracycline use in children under 8? Birth defects Allergic responses Severe nausea & vomiting Permanent tooth discolouration
Permanent tooth discoloration
Which statement indicates effective teaching after the nurse teaches a client on the usage of abx? Shouldn't take abx to treat the flu I should take abx to prevent illness I should stop an abx regimen when I'm feeling better Should borrow abx from fam member or friend in emergency
Shouldn't take abx to treat the flu
Which initial action would the nurse take when caring for a client receiving IV vancomycin who reports ringing in both ears? Notify PCP Consult audiologist Stop infusion Document finding & continue to monitor client
Stop infusion
Which action would the nurse take when a client receiving an infusion of penicillin reports having an anaphylactic reaction to penicillin in the past? SATA Notify rapid response Measure O2 level Admin epinephrine Insert indwelling catheter Assess resp pattern
ALL
Which assessment would the nurse perform before admin a dose of vancomycin to a client? SATA Creatinine Trough levels Hearing ability IV site BUN
ALL
Which response would the nurse use when client diagnosed w AIDS states "im not worried bc they have a cure"? Repeated phlebotomies may be able to rid you of virus You may be cured of AIDS after prolonged pharm therapy Perhaps you should have worn condoms to prevent contracting virus There is no cure but there are meds that can slow down the virus
There is no cure but there are meds that can slow down the virus
Which explanation would the nurse provide to a client w TB who asks why vitamin B6 (pyridoxine) is given w isoniazid? Improve immunologic defenses Tuberculostatic effect of isoniazid is enhanced Isoniazid interferes w synthesis of this vitamin Destruction of TB organisms is accelerated
Isoniazid interferes w synthesis of this vitamin
Which action would nurse take when admin tetracycline? Admin the med w meals or a snack Provide orange or other citrus juice with the meds Administer the med at least an hr before ingestion of milk products Offer antacids 30 min after admin if GI side effects occur
Admin the med at least an hr before ingestion of milk products
Which statement made by nurse will be MOST significant when teaching strategies to reduce risk for dev abx resistant infections? Wash freq w warm soapy water Don't skip any prescribed doses of abx Don't save unfinished abx for later use Don't stop taking abx when feel better
Don't skip any prescribed doses of abx
Which action would the nurse take to avoid RMS when preparing to admin a vancomycin infusion? Infuse slowly Change IV site Reduce the dosage Administer Vitamin K
Infuse slowly
After completing a week of abx therapy, infant dev oral thrush. Which med is indicated for tx of this condition? Acyclovir Vidarabine Nystatin Fluconazole
Nystatin
Which instruction would the nurse provide a client prescribed oral ER ciprofloxacin therapy for a UTI? Chew med along W food Take walk in morning sunlight Stop drug after symptoms subside Refrain from taking immediately after antacid
Refrain from taking immediately after antacid
Which explanation would the nurse provide to a client w gastric ulcer disease who asks the nurse why the HCP has prescribed metronidazole? Augment the immune response Potentiate effect of antacids Tx Helicobacter pylori infection Reduce hydrochloric acid secretion
Tx Helicobacter pylori infection
Which statement made by the client indicates understanding after teaching about measures to decrease the risk for abx resistant infections? I should wash my hands frequently I should skip doses when I am completely well I should avoid taking abx to tx the common cold I should save unfinished abx for later emergency use I should avoid taking abx w/o asking PCP
I should wash my hands frequently I should avoid taking abx to tx the common cold I should avoid taking abx w/o asking PCP
Which anti infective agent may lead to blindness if not used correctly by the client in prescribed amts? Bromfenac Natamycin Trifluridine Gentamicin
Gentamicin
Which assessment finding during the admin of IV penicillin would prompt the nurse to stop the infusion? SATA Hives Itching Nausea Skin rash Shortness of breath
Hives Itching Skin rash Shortness of breath
Which statement by the client indicates that the nurse's teaching was effective regarding IV gentamicin therapy? I should drink lots of water if I am retaining urine I should use eyeglasses if I develop vision problems I should stop med when symptoms subsided I should report any hearing loss to PCP
I should report any hearing loss to PCP
Which diagnostic testing would a nurse focus on when caring for a client on isoniazid therapy for TB? CRT Hearing tests Electrocardiogram Liver function tests
Liver function tests
