Module 3 Quiz

A client who has frequent watery stools and a possible Clostridium difficile infection is hospitalized with dehydration. Which nursing action should the charge nurse assign to an LPN? -Performing ongoing assessments to determine the client's hydration status -Explaining the purpose of ordered stool cultures to the client and family. -Administering the prescribed metronidazole 500mg PO to the client -Reviewing the client's medical history for any risk factors for diarrhea.

Administering the prescribed metronidazole 500 mg PO to the client LPN scope of practice and education include the administration of medications. Assessment of hydration status, client and family education, and assessment of client risk factors for diarrhea should be done by the RN.

The nurse is caring for a geriatric client being treated for an infection. Which of the following antibiotic classes would the nurse question in this client? -Aminoglycoside -Cephalosporin -Penicillin -Sulfonamide

Aminoglycoside Aminoglycosides are nephrotoxic and should be used with caution in the elderly due to a potential for decrease kidney function as clients age.

A client is receiving a glycopeptide (vancomycin). The nurse knows that which of the following neurological assessments is most important for this client? Cranial nerve I Cranial nerve V Cranial nerve X Cranial nerve VIII

Cranial VIII Vancomycin can cause hearing loss which is involved with the cranial nerve VIII

The nurse is caring for a client who has been prescribed metronidazole. Which intervention should the nurse implement first? -Monitor the client's white blood cell count -Assess the vital signs -Send a stool sample to the laboratory. -Determine if the client has any known allergies.

Determine if the client has any known allergies. Always determine the client's allergies prior to giving any medication.

While administering vancomycin 500mg IV to a client with methicillin resistant staphylococcus aureus (MRSA) wound infection, the nurse notices that the client's neck and face are becoming flushed. Which action should the nurse take next? -Discontinue the vancomycin infusion. -Slow the rate of the vancomycin infusion. -Obtain an order for an antihistamine. -Check the client's temperature.

Discontinue the vancomycin infusion. "Red man" syndrome occurs when vancomycin is infused too quickly. Because the client needs the medication to treat the infection, vancomycin is generally not discontinued completely but the rate will be slowed. But, the initial response by the nurse should be to stop the infusion and then contact the provider. Antihistamines may help decrease the flushing, but vancomycin should be administered over at least 60 minutes to avoid vasodilation. Although the client's temperature will be monitored, a temperature elevation is not the most likely cause of the flushing.

A nurse tells a client that one risk associated with using a broad spectrum antimicrobial is the development of a superinfection. The nurse explains that a superinfection can develop because a broad spectrum antimicrobial does which of the following? -Decreases the infectious process of the existing organism. -Disrupts the microbial flora of the body -disrupts the existing bacterial infection. -Increases the infectious process of the existing organism

Disrupts the microbial flora of the body A superinfection disrupts the microbial flora of the body.

A client is to receive amoxicillin. The client tells the nurse that he is allergic to penicillin. The nurse knows that which of the following is the priority safety intervention? -Notify the health care provider that the client is allergic to penicillin. -Encourage the client to take the amoxicillin dose with food -Administer half of the amoxicillin dose. -Report the amoxicillin order to the supervisor.

Notify the health care provider that the client is allergic to penicillin The nurse should notify the HCP of the penicillin allergy since amoxicillin *is a derivative of penicillin.

The nurse is caring for a client with a diagnosis of urinary tract infection. Which intervention should the nurse implement first? -Check the client's creatinine levels. -Administer the IV antibiotic to treat the infection. -Obtain a urine specimen for culture and sensitivity. -Notify the dietary department to order the client an increased liquid diet.

Obtain a urine specimen for culture and sensitivity A culture and sensitivity should be obtained prior to administering any antibiotic. The other orders can wait until the C&S is obtained.

The nurse is caring for a client who has been admitted to the hospital with a leg ulcer that is infected with vancomycin-resistant Staphylococcus aureus. Which nursing action can be assigned to an LPN? (Remember that nurses E - A - T = evaluate, assess, & teach). -Planning ways to improve the client's oral protein intake. -Teaching the client about home care of the leg ulcer. -Obtaining wound cultures during dressing changes. -Assessing the risk for further skin breakdown.

Obtaining wound cultures during dressing changes. LPN education and scope of practice include performing dressing changes and obtaining specimens for wound culture. Evaluation, assessment, and teaching are complex actions that should be carried out by the RN.

A hospitalized 88 year old client who has been receiving antibiotics for 10 days tells the nurse about having frequent watery stools. Which of the following action will the nurse take first? -Notify the health care provider about the stools. -Obtain stool specimens for culture. -Instruct the client about correct hand washing. -Place the client on contact precautions.

Place the client on contact precautions The client's history of antibiotic therapy and watery stools suggest that he may have Clostridium difficile infection. The initial action should be to place the client on contact precautions to prevent the spread to other clients. The other actions are needed and should be taken after placing the client on contact precautions.