Pharm - Antibiotics
An antimicrobial medication that has selective toxicity has which characteristic? Ability to transfer DNA coding Ability to suppress bacterial resistance Ability to avoid injuring host cells Ability to act against a specific microbe
Ability to avoid injuring host cells
Which laboratory result should a nurse monitor more frequently when a patient is receiving clarithromycin [Biaxin] and warfarin [Coumadin]? Activated partial thromboplastin time (aPTT) Platelet count Erythrocyte sedimentation rate (ESR) International normalized ratio (INR)
International normalized ratio (INR)
Before administering a cephalosporin to a patient, it is most important for the nurse to assess the patient for an allergy history to what? Soy products Peanuts Penicillins Opioids
Penicillins
A nurse should teach a patient to observe for which side effects when taking ampicillin? Skin rash and loose stools Reddened tongue and gums Digit numbness and tingling Bruising and petechiae
Skin rash and loose stools
The nurse knows that there is an increased risk of ototoxicity in a patient receiving an aminoglycoside if which level is high? Concentration Trough Peak Dose
Trough
The nurse identifies rifampin as useful in the treatment of which disorders? (Select all that apply.) Tuberculosis Active meningococcal infection Leprosy Prophylaxis of meningitis caused by Haemophilus influenzae C. difficile infection
Tuberculosis Leprosy Prophylaxis of meningitis caused by Haemophilus influenzae
Which statement by a patient taking ethambutol [Myambutol] indicates an understanding of adverse effects of the drug? "I will get up slowly when sitting to prevent me from getting dizzy." "I'll increase the fiber and liquids in my diet to prevent constipation." "I'll report any problems with blurred vision or determining colors." "I'll immediately report any red-orange urine to my healthcare provider."
"I'll report any problems with blurred vision or determining colors."
A nurse should recognize which sulfonamide, applied topically, has the greatest therapeutic benefit for burns? Sulfadiazine Trimethoprim [Primsol] Sulfacetamide [Bleph-10] Silver sulfadiazine [Silvadene]
Silver sulfadiazine [Silvadene]
A nurse obtains a specimen from which body fluid when performing the QuantiFERON-TB Gold (QFT-G) test for latent tuberculosis? Saliva Blood Urine Sputum
Blood
It is most important for the nurse to assess a patient receiving a cephalosporin for the development of which manifestation of antibiotic-associated pseudomembranous colitis (AAPMC)? Rigidity Ileus Ascites Diarrhea
Diarrhea
Which statements about ototoxicity and aminoglycosides does the nurse identify as true? (Select all that apply.) The risk of ototoxicity is related primarily to excessive peak levels. The first sign of impending cochlear damage is headache. The first sign of impending vestibular damage is headache. Ototoxicity is largely irreversible. Use of aminoglycosides for less than 10 days is recommended to avoid ototoxicity.
The first sign of impending vestibular damage is headache. Ototoxicity is largely irreversible. Use of aminoglycosides for less than 10 days is recommended to avoid ototoxicity.
What is the minimum bactericidal concentration (MBC)? The lowest concentration of an antibiotic needed to suppress bacterial growth completely The lowest concentration of an antibiotic needed to reduce the number of bacterial colonies by 99.9% The lowest concentration of an antibiotic needed to produce effects The lowest dose of an antibiotic needed to eradicate bacteria
The lowest concentration of an antibiotic needed to reduce the number of bacterial colonies by 99.9%
An immunocompromised patient who is receiving piperacillin/tazobactam [Zosyn] develops oozing and bleeding from the gums. Which additional data should the nurse determine? Whether the patient has a fever above 100.5°F Whether the patient reports any painful teeth The most recent platelet count The last time mouth care was given
The most recent platelet count
After completing a course of ciprofloxacin [Cipro] for a skin infection, the patient says, "I took the whole bottle of pills, but my infection hasn't gotten any better." Which additional information should the nurse recognize as most significant? The patient takes antacids on a daily basis. The medication was stored in a cool, dry area. The patient did not use sunscreen while taking the ciprofloxacin [Cipro]. The patient took two doses of diphenhydramine [Benadryl] while on ciprofloxacin [Cipro] therapy.
The patient takes antacids on a daily basis.
A microbe acquires antibiotic resistance by which means? Development of medication resistance in the host Overriding of the minimum bactericidal concentration Incorrect dosing, which contributes to ribosome mutations Transfer of DNA coding to other bacteria
Transfer of DNA coding to other bacteria
Which are examples of the improper use of antibiotic therapy? (Select all that apply.) Using surgical drainage as an adjunct to antibiotic therapy Treating a viral infection Basing treatment on sensitivity reports Treating fever in an immunodeficient patient Using dosing that results in a superinfection
Treating a viral infection, using dosing that results in a superinfection
A patient who has a vancomycin-resistant enterococci (VRE) infection is receiving linezolid [Zyvox]. Which laboratory result indicates that the patient is having an adverse effect? White blood cell (WBC) count of 1200 units/L Hemoglobin (Hgb) level of 18 g/dL Potassium level of 3.0 mEq/dL Glucose level of 200 mg/dL
White blood cell (WBC) count of 1200 units/L
The nurse is aware that acute cystitis occurs most often in which patient population? Older-adult male patients Children younger than 12 years Women of child-bearing age Women older than 50 years
Women of child-bearing age
A nurse should recognize that antibiotic prophylaxis is appropriate in patients with which medical conditions? (Select all that apply.) Aortic valve replacement Ruptured appendix Bronchitis Neutropenia Chickenpox
aortic valve replacement, neutropenia
The nurse identifies the appropriate use of antimicrobials to prevent infection in which situations? (Select all that apply.) Cardiac surgery Recurrent urinary tract infections in women Anemia Treatment of fever of unknown origin Hysterectomy
cardiac surgery, recurrent urinary tract infections in women, hysterectomy
Which statement should the nurse include when teaching a patient about rifampin [Rifadin]? "A harmless side effect will be a red-orange discoloration of body fluids." "Oral contraception is the preferred method of birth control when using rifampin." "Take vitamin B6 to relieve numbness and tingling in the fingers and toes." "Treatment length for the medication is 3 times/day for an 8-week period."
"A harmless side effect will be a red-orange discoloration of body fluids."
Which instructions should a nurse provide to a patient who is to start taking amoxicillin/clavulanate [Augmentin]? "Take Augmentin once per day and only at bedtime." "Augmentin may be taken with food or meals." "Avoid taking Augmentin with grapefruit juice." "Use a minimal amount of liquid to swallow the Augmentin."
"Augmentin may be taken with food or meals."
A patient who is receiving vancomycin [Vancocin] IV for a methicillin-resistant Staphylococcus aureus (MRSA) infection asks a nurse, "Why can't I take this medicine in a pill?" Which response should the nurse make? "The prescription could be changed, because vancomycin comes in two forms." "You're allergic to penicillin, and this is the only way this medication can be given." "It will cause too much loss of appetite and nausea if given in the oral form." "It is more effective by IV, because the pill form will stay in the digestive tract."
"It is more effective by IV, because the pill form will stay in the digestive tract."
Which instructions will the nurse include when teaching a patient about cephalosporin therapy? (Select all that apply.) "Notify your healthcare provider if you develop diarrhea." "Take aspirin if you develop a headache." "Notify your healthcare provider if you develop a rash." "Cephalosporins may not be taken with food." "Do not take cephalosporins if you have lactose intolerance."
"Notify your healthcare provider if you develop diarrhea." "Notify your healthcare provider if you develop a rash."
Which instruction should a nurse include in the discharge teaching for a patient who is to start taking tetracycline? "You may stop taking the pills when you begin to feel better." "Use sunscreen and protective clothing when outdoors." "You'll have to come back to the clinic for a weekly blood work." "Take the medication with yogurt or milk so you won't have nausea."
"Use sunscreen and protective clothing when outdoors."
The nurse should include which instructions when teaching a patient about tigecycline therapy? (Select all that apply.) "Use sunscreen when you are outside." "If you have diarrhea more than five times a day, notify your healthcare provider." "Avoid using this drug if you are pregnant." "Stop taking the drug if you experience nausea." "Stop taking the drug if you experience vomiting."
"Use sunscreen when you are outside." "If you have diarrhea more than five times a day, notify your healthcare provider." "Avoid using this drug if you are pregnant."
A patient who has human immunodeficiency virus (HIV) infection has a tuberculin skin test (TST) for latent tuberculosis. The nurse assesses the result 48 hours after the injection. An induration of what size indicates that the patient needs to be treated for latent tuberculosis? 1 mm 2 mm 3 mm 5 mm
5 mm
The nurse identifies which medication as posing a significant risk of causing confusion, somnolence, psychosis, and visual disturbances in elderly patients? Metronidazole [Flagyl] Rifampin [Rifadin] Ciprofloxacin [Cipro] Daptomycin [Cubicin]
Ciprofloxacin [Cipro]
When caring for a patient receiving mafenide [Sulfamylon] for treatment of a severe burn, it is most important for the nurse to monitor which laboratory value? Blood glucose level Acid-base status Sodium level Peak mafenide level
Acid-base status
A patient is receiving local applications of mafenide [Sulfamylon] to burn areas. Before application, it is most important for the nurse to do what? Administer a pain medication. Obtain a set of vital signs. Auscultate the lung fields. Obtain a signed consent form.
Administer a pain medication.
Thirty minutes after receiving an intramuscular (IM) injection of penicillin G [Pfizerpen], a patient reports itching and redness at the injection site. Which action should the nurse take first? Elevate the lower legs. Place an ice pack on the site. Make sure the patient stays calm. Administer subcutaneous epinephrine.
Administer subcutaneous epinephrine
The nurse notices tan lines around the arms of a female patient who is taking levofloxacin [Levaquin]. Which action should the nurse take? No action is needed, because this is a temporary but expected side effect. Continue the antibiotic with an anti-inflammatory medication. Advise the patient to avoid sun exposure and wear sun screen when outside. Discontinue the medication.
Advise the patient to avoid sun exposure and wear sun screen when outside.
When providing patient teaching for oral sulfonamide therapy, the nurse should instruct the patient to take the sulfonamide in what way? At mealtime, when food is available With soy or nonmilk products Between meals with a full cup of water On awakening before breakfast
Between meals with a full cup of water
When administering an aminoglycoside to a patient with myasthenia gravis, it is most important for the nurse to assess what? Deep tendon reflexes Breath sounds Eyelid movement Muscle strength
Breath sounds
A patient who is receiving an aminoglycoside develops flaccid paralysis and impaired breathing. Which medication does the nurse anticipate administering? Magnesium sulfate [Epsom salt] Potassium chloride [K-Dur] Sodium bicarbonate [Citrocarbonate] Calcium gluconate [Kalcinate]
Calcium gluconate [Kalcinate]
A patient is receiving penicillin G [Bicillin C-R]. Which assessment should the nurse monitor as an indicator of an undesired effect? Cardiac rhythm Serum sodium level Lung sounds Red blood cell (RBC) count
Cardiac rhythm
A nurse assessing a patient who is 12 years old should associate which complication with the patient's receiving tetracycline as a younger child? Delay in long bone growth Early onset of puberty Severe face and body acne Discoloration of the teeth
Discoloration of the teeth
Which test is the most widely used method for assessing drug sensitivity? Minimum inhibitory concentration (MIC) Minimum bacterial concentration (MBC) Broth dilution Disk diffusion
Disk diffusion
Both IV ampicillin/sulbactam [Unasyn] and gentamicin are ordered for a patient. When administering these medications, the nurse will do what? Ensure that separate IV solutions are used. Use two different peripheral IV sites. Administer the gentamicin first. There are no necessary precautions.
Ensure that separate IV solutions are used.
Most cases (more than 80%) of uncomplicated, community-acquired urinary tract infection (UTI) are caused by which bacteria? Klebsiella pneumoniae Escherichia coli Enterobacter spp. Pseudomonas spp.
Escherichia coli
Which manifestations does the nurse associate with the development of hemolytic anemia? (Select all that apply.) Urticaria Fever Pallor Jaundice Diarrhea
Fever Pallor Jaundice
A patient who has acute cystitis is receiving treatment with trimethoprim/sulfamethoxazole. Which manifestation should indicate to a nurse that the patient's condition is worsening? Incontinence Flank pain 3+ pedal edema Hyperactive bowel sounds
Flank pain
What does the nurse identify as an adverse effect of clindamycin [Cleocin] therapy? Cyanosis and gray discoloration of the skin. Frequent loose, watery stools with mucus and blood. Reduction in all blood cells produced in the bone marrow. Elevated bilirubin, with dark urine and jaundice.
Frequent loose, watery stools with mucus and blood.
Which approach should a nurse take when administering an oral dose of levofloxacin [Levaquin]? Give the medication with or without food. Administer the drug with an oral dose of a magnesium-based antacid. Premedicate the patient with diphenhydramine [Benadryl]. Administer the drug with milk products.
Give the medication with or without food.
A nurse monitors a patient who is receiving an aminoglycoside (gentamicin) for symptoms of vestibular damage. Which finding should the nurse expect the patient to have first? Unsteadiness Vertigo Headache Dizziness
Headache
A nurse assesses the history of a patient who has had multiple complicated UTIs for which risk factors? (Select all that apply.) Female gender, child-bearing age Indwelling catheter Prostate hypertrophy Fair skin tone Urinary tract stones
Indwelling catheter Prostate hypertrophy Urinary tract stones
The nurse develops a care plan for a patient in the continuation phase of treatment for active tuberculosis (TB). The care plan includes teaching about which medication regimen? Pyrazinamide and ethambutol Isoniazid and rifampin Ethambutol and isoniazid Rifampin and ethambutol
Isoniazid and rifampin
Which statements about CDAD associated with clindamycin therapy does the nurse identify as true? (Select all that apply.) Leukopenia commonly occurs. It is a potentially fatal condition. Patients usually experience abdominal pain. Anticholinergics are effective in treating the diarrhea. Clindamycin therapy should be discontinued and vancomycin started.
It is a potentially fatal condition, Patients usually experience abdominal pain, and Clindamycin therapy should be discontinued and vancomycin started.
A patient is taking rifampin [Rifadin] for active tuberculosis. Which assessment does the nurse identify as an adverse effect of the drug? Jaundice Blood glucose level of 60 mg/dL Absent deep tendon reflexes Moon face
Jaundice
Which outcomes should a nurse establish when planning care for a patient taking methenamine [Mandelamine]? (Select all that apply.) Maintains a urine pH of 5.5 or lower. Consumes 3000 mL of liquid daily. Uses an enteric-coated formulation. Avoids sulfonamide medications. No elevation in liver enzymes.
Maintains a urine pH of 5.5 or lower. Uses an enteric-coated formulation. Avoids sulfonamide medications.
A patient who takes multiple antibiotics starts to experience diarrheal stools. The nurse anticipates administration of which antibiotic if a stool sample tests positive for Clostridium difficile? Rifaximin [Xifaxan] Metronidazole [Flagyl] Daptomycin [Cubicin] Gemifloxacin [Factive]
Metronidazole [Flagyl]
A patient is taking daptomycin [Cubicin]. The nurse should obtain a creatine phosphokinase (CPK) level when the patient shows what? Increased urination and urinary urgency Muscle pain and weakness Abdominal bloating and diarrhea Headache and visual disturbances
Muscle pain and weakness
A patient is to begin taking nitrofurantoin [Macrodantin]. The nurse should teach the patient that which manifestation should be the priority to report to the healthcare provider? Headache and drowsiness Brown-colored urine Nausea and vomiting Muscle weakness and tingling
Muscle weakness and tingling
Before administering an aminoglycoside, it is most important for the nurse to assess the patient for a history of what? Myasthenia gravis Asthma Hypertension Diabetes mellitus
Myasthenia gravis
A patient who is receiving ceftriaxone has all of these medications ordered. The nurse monitors the patient for an adverse effect related to an interaction with which medication? Regular insulin Ampicillin [Polycillin] Naproxen [Naprosyn] Bisacodyl [Dulcolax]
Naproxen [Naprosyn]
Which enteral aminoglycoside would the nurse expect to be ordered preoperatively for a patient having intestinal surgery? Gentamicin Tobramycin Amikacin Neomycin
Neomycin
A patient has acquired an infection while in the hospital. The nurse identifies this type of infection as what? Superinfection Suprainfection Nosocomial infection Resistant infection
Nosocomial infection
A patient who has tuberculosis is treated with isoniazid. The nurse should monitor for which symptoms, which could indicate a vitamin B6 deficiency caused by the medication? Numbness and tingling in the fingers and toes Alopecia and flaking scalp Dry skin and brittle nails Oral ulcers and tongue fissures
Numbness and tingling in the fingers and toes
When performing a skin test for penicillin allergy, the nurse will do what? (Select all that apply.) Inject a tiny amount of the allergen subcutaneously. Observe for a local allergic response. Have epinephrine readily available. Have respiratory support readily available. Administer diphenhydramine [Benadryl] as the first-line agent should anaphylaxis occur.
Observe for a local allergic response, Have epinephrine readily available, Have respiratory support readily available.
A patient who has an infection with Mycobacterium leprae (leprosy) has been prescribed rifampin [Rifadin]. The nurse identifies which dosing schedule as most effective for this drug? Two times per day Every other day Once every 2 weeks Once per month
Once per month
With the exception of pyelonephritis, the nurse is aware that most urinary tract infections are treated by which method? IV antibiotics at the hospital IV antibiotics in the urgent care setting IM antibiotics at the primary physician's office Oral antibiotics in the home setting
Oral antibiotics in the home setting
The nurse identifies which statements about penicillins as true? (Select all that apply.) Penicillins are the safest antibiotics available. The principal adverse effect of penicillins is allergic reaction. A patient who is allergic to penicillin always has a cross-allergy to cephalosporins. A patient who is allergic to penicillin is also allergic to vancomycin, erythromycin, and clindamycin. Penicillins are normally eliminated rapidly by the kidneys but can accumulate to harmful levels if renal function is severely impaired.
Penicillins are the safest antibiotics available, The principal adverse effect of penicillins is allergic reaction, and Penicillins are normally eliminated rapidly by the kidneys but can accumulate to harmful levels if renal function is severely impaired.
A nurse removes a central line access device once the patient no longer requires intravenous (IV) antibiotics. This action is an example of which strategy to prevent antimicrobial resistance established by the Centers for Disease Control and Prevention (CDC)? Preventing transmission Proper diagnosis Preventing infection Prudent antibiotic use
Preventing infection
A nurse is assessing the effects of antimicrobial therapy in a patient with pneumonia. The nurse should establish which outcomes when planning care? (Select all that apply.) Potassium level of 4 mEq/dL Reduction of fever Sterile sputum cultures Oxygen saturation of 98% Elastic skin turgor
Reduction of fever, Sterile sputum cultures, oxygen saturation of 98%
The nurse identifies which statements about frequent urinary tract reinfections as true? (Select all that apply.) Reinfections are considered frequent if the individual has three or more a year. Prophylactic therapy should continue for at least 2 months. If reinfection is associated with sexual intercourse, the risk can be reduced by instructing the patient to void after intercourse. Single-dose nitrofurantoin 50 mg taken 1 hour before intercourse has been found to reduce the rate of reinfection. If a symptomatic episode occurs, the standard therapy for acute cystitis should be used.
Reinfections are considered frequent if the individual has three or more a year. If reinfection is associated with sexual intercourse, the risk can be reduced by instructing the patient to void after intercourse. If a symptomatic episode occurs, the standard therapy for acute cystitis should be used.
A patient is receiving vancomycin [Vancocin]. The nurse identifies what as the most common toxic effect of vancomycin therapy? Ototoxicity Hepatotoxicity Renal toxicity Cardiac toxicity
Renal toxicity
A patient who has acquired immunodeficiency syndrome (AIDS) is receiving trimethoprim/sulfamethoxazole [Bactrim]. Which response should a nurse expect if the medication is achieving the desired effect? Increase in CD4 T cells Increased appetite and weight gain Resolution of pneumonia Decrease in joint pain
Resolution of pneumonia
Which medications does the nurse identify as having antibacterial properties? (Select all that apply.) Rifampin Zidovudine Imipenem Amphotericin B Amantadine
Rifampin, Imipenem
When ceftriaxone is administered intravenously, it is most important for the nurse to avoid mixing it with what? Ringer's lactate Normal saline Sterile water D5 0.45% NS
Ringer's lactate
The nurse is assessing a patient who is receiving a sulfonamide for treatment of a urinary tract infection. To monitor the patient for the most severe response to sulfonamide therapy, the nurse will assess for what? Diarrhea Skin rash and lesions Hypertension Bleeding
Skin rash and lesions
The development of a new infection as a result of the elimination of normal flora by an antibiotic is referred to as what? Resistant infection Superinfection Nosocomial infection Allergic reaction
Superinfection
The nurse identifies which drug as a short-acting tetracycline? Tetracycline (generic) Declomycin Vibramycin Minocin
Tetracycline (generic)
Which statements about vancomycin [Vancocin] does the nurse identify as true? (Select all that apply.) Vancomycin is the most widely used antibiotic in U.S. hospitals. Vancomycin is effective in the treatment of Clostridium difficile infection. Vancomycin is effective in the treatment of MRSA infections. Patients who are allergic to penicillin are also allergic to vancomycin. The major toxicity of vancomycin therapy is liver failure.
Vancomycin is the most widely used antibiotic in U.S. hospitals. Vancomycin is effective in the treatment of Clostridium difficile infection. Vancomycin is effective in the treatment of MRSA infections.
The nurse identifies tigecycline [Tygacil] as a derivative of what? Penicillins Cephalosporins Tetracyclines Macrolides
Tetracyclines
A patient who has active TB is to start a medication regimen that includes pyrazinamide. The nurse identifies a risk for complications if the patient also has which medical condition? Parkinson's disease Rheumatoid arthritis Glaucoma Alcoholism
Alcoholism
Before administering trimethoprim, it is most important for the nurse to assess the patient for a history of what? Heart failure Alcoholism Diabetes Emphysema
Alcoholism
Before administering intravenous (IV) penicillin, the nurse should do what? Flush the IV site with normal saline. Assess the patient for allergies. Review the patient's intake and output record. Determine the latest creatinine clearance result.
Assess the patient for allergies.
The nurse identifies which host factor as the most important when choosing an antimicrobial drug? Age Competent immune function Genetic heritage Previous medication reactions
Competent immune function
A patient who takes ciprofloxacin [Cipro] and runs 6 miles daily tells a nurse about heel and calf tenderness. The nurse anticipates the healthcare provider to take which action? No action is needed, because this is a temporary but expected side effect. Continue the antibiotic with an anti-inflammatory medication. Slow the running pace and walk more. Discontinue the medication, because severe damage can result.
Discontinue the medication, because severe damage can result.
A patient taking gemifloxacin develops a rash. The nurse anticipates the healthcare provider to take which action? No action is needed, because this is a temporary but expected side effect. Continue the antibiotic with an anti-inflammatory medication. Cut the dose of medication in half. Discontinue the medication.
Discontinue the medication.
A patient is taking nitrofurantoin [Macrodantin]. Which finding should a nurse recognize as an indication that the treatment is having an undesired effect? Hyperpigmentation of the palms Dyspnea with chills Gum irritation with bleeding Scalp tenderness and thinning hair
Dyspnea with chills
The nurse is working with a patient who has a UTI. Because patient adherence to a medication regimen is a concern, the nurse anticipates use of which medication? Fosfomycin Amoxicillin Cephalexin Trimethoprim
Fosfomycin
A patient taking a sulfonamide is breast-feeding an infant. Which complication in the infant would the nurse associate with kernicterus? Hemolytic anemia Neurologic deficits Hepatocellular failure Ophthalmic infection
Neurologic deficits
The nurse identifies which statements about Stevens-Johnson syndrome as true? (Select all that apply.) Patients with Stevens-Johnson syndrome have a mortality rate of about 25%. Toxemia is associated with Stevens-Johnson syndrome. Short-acting sulfonamides do not induce Stevens-Johnson syndrome. Patients with Stevens-Johnson syndrome usually are hypothermic. Lesions of the mucous membranes are a characteristic of Stevens-Johnson syndrome.
Patients with Stevens-Johnson syndrome have a mortality rate of about 25%. Toxemia is associated with Stevens-Johnson syndrome. Lesions of the mucous membranes are a characteristic of Stevens-Johnson syndrome.
A nurse observes a red streak and palpates the vein as hard and cordlike at the intravenous (IV) site of a patient receiving cefepime [Maxipime]. Which assessment should the nurse make about the IV site? An allergic reaction has developed to the drug solution. The drug has infiltrated the extravascular tissues. Phlebitis of the vein used for the antibiotic has developed. Local infection from bacterial contamination has occurred.
Phlebitis of the vein used for the antibiotic has developed.
A patient is admitted to the hospital with a medical diagnosis of community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA). When taking the patient's history, a nurse recognizes which information as the most important? Plays a contact sport and is an athlete Currently resides in a long-term care facility Did not complete the last course of antibiotics Had gallbladder surgery in the previous month
Plays a contact sport and is an athlete
Which cardiovascular finding does the nurse identify as a possible adverse effect of erythromycin [Ery-Tab] therapy? Heart rate of 52 beats/min Prolonged QT interval Jugular vein distention Grade III diastolic murmur
Prolonged QT interval
A patient who is receiving an aminoglycoside (gentamicin) has a urinalysis result with all of these findings. Which finding should a nurse associate most clearly with an adverse effect of gentamicin? White blood cells (WBCs) Glucose Ketones Protein
Protein
A patient develops flushing, rash, and pruritus during an IV infusion of vancomycin [Vancocin]. Which action should a nurse take? Reduce the infusion rate. Administer diphenhydramine [Benadryl]. Change the IV tubing. Check the patency of the IV.
Reduce the infusion rate.
To promote treatment adherence in a patient with tuberculosis, the nurse will include which interventions? (Select all that apply.) Use a single medication, to keep the treatment simple. Teach the patient about intermittent-dose therapy. Teach the patient about the need for long-term treatment. Use a signed consent form to enhance patient compliance. Directly watch the patient take the medication.
Teach the patient about intermittent-dose therapy. Teach the patient about the need for long-term treatment. Directly watch the patient take the medication.
