Pharm. Ch. 87, 88, 89, & 91
A patient will be discharged from the hospital with a prescription for TMP/SMZ [Bactrim]. When providing teaching for this patient, the nurse will tell the patient that it will be important to: a.drink 8 to 10 glasses of water each day. b.eat foods that are high in potassium c.take the medication with food. d.take folic acid supplements.
a.drink 8 to 10 glasses of water each day.
A nurse is caring for a patient who takes an ACE inhibitor and an ARB medication who will begin taking TMP/SMZ to treat a urinary tract infection. Which serum electrolyte will the nurse expect to monitor closely? a. Calcium b. Chloride c. Potassium d. Sodium
c. Potassium
A nurse is explaining to nursing students why a cephalosporin is used in conjunction with an aminoglycoside for a patient with an infection. Which statement by a student indicates understanding of the teaching? a."Cephalosporins enhance the actions of aminoglycosides by weakening bacterial cell walls." b."Cephalosporins prevent neuromuscular blockade associated with ahminoglycosides." c."Cephalosporins prolong the postantibiotic effects of the aminoglycosides so doses can be decreased." d."Cephalosporins reduce bacterial resistance to aminoglycosides."
a."Cephalosporins enhance the actions of aminoglycosides by weakening bacterial cell walls."
A pregnant patient with fever, flank pain, and chills has a history of two previous bladder infections before getting pregnant. She is allergic to several antibiotics. She reports having taken methenamine successfully in the past. What will the nurse tell her? a."This agent is not effective against infections of the upper urinary tract." b."This antiseptic agent is safe for use during pregnancy and has no drug resistance." c."This drug is linked to many serious birth defects and is not recommended during pregnancy." d."You will need to take this medication with meals to avoid gastric upset."
a."This agent is not effective against infections of the upper urinary tract."
A patient is admitted to the unit for treatment for an infection. The patient receives IV amikacin [Amikin] twice a day. When planning for obtaining a peak aminoglycoside level, when should the nurse see that the blood is drawn? a.30 minutes after the IV infusion is complete b.1 hour after the IV infusion is complete c.1 hour before administration of the IV infusion d.A peak level is not indicated with twice-daily dosing
a.30 minutes after the IV infusion is complete
Which antibiotics may be administered topically? (Select all that apply.) a.Bacitracin b.Daptomycin c.Ofloxacin d.Polymyxin B e.Rifampin
a.Bacitracin d.Polymyxin B
A patient is receiving tobramycin three times daily. A tobramycin peak level is 4.5 and the trough is 1.2. What will the nurse do? a.Give the next dose as ordered. b.Hold the next dose and notify the provider. c.Monitor the patient for signs of nephrotoxicity. d.Tell the patient to report tinnitus
a.Give the next dose as ordered.
A patient with a history of renal calculi has fever, flank pain, and bacteriuria. The nurse caring for this patient understands that it is important for the provider to: a.begin antibiotic therapy after urine culture and sensitivity results are available. b.give prophylactic antibiotics for 6 weeks after the acute infection has cleared. c.initiate immediate treatment with broad-spectrum antibiotics. d.refer the patient for intravenous antibiotics and hospitalization
a.begin antibiotic therapy after urine culture and sensitivity results are available.
A nurse is preparing to administer a dose of gentamicin to a patient who is receiving the drug 3 times daily. The nurse will monitor ____ levels. a.peak b.peak and trough c.serum drug d.trough
b.peak and trough
The parent of a 5-year-old child who has had four urinary tract infections in the past year asks the nurse why the provider doesn't just order an antibiotic for the child's current symptoms of low-grade fever, flank pain, and dysuria since these are similar symptoms as before. Which is the most important reason given by the nurse? a."Your child may need to be hospitalized for treatment." b."Your child may need a urine culture before and after treatment." c."Your child may need tests to assess for urinary tract abnormalities." d."Your child may need additional medications, such as urinary
c."Your child may need tests to assess for urinary tract abnormalities."
A patient is receiving tobramycin 3 times daily. The provider has ordered a trough level with the 8:00 AM dose. The nurse will ensure that the level is drawn at what time? a.4:00 AM b.7:00 AM c.7:45 AM d.8:45 AM
c.7:45 AM
Which patient with a urinary tract infection will require hospitalization and intravenous antibiotics? a.A 5-year-old child with a fever of 100.5° F, dysuria, and bacteriuria b.A pregnant woman with bacteriuria, suprapubic pain, and fever c.A young man with dysuria, flank pain, and a previous urinary tract infection d.An older adult man with a low-grade fever, flank pain, and an indwelling catheter
d.An older adult man with a low-grade fever, flank pain, and an indwelling catheter
The nurse is caring for a patient who will begin receiving intravenous ciprofloxacin [Cipro] to treat pyelonephritis. The nurse learns that the patient has a history of myasthenia gravis. Which action by the nurse is correct? a.Administer the ciprofloxacin and monitor the patient for signs of muscle weakness. b.Ask the provider whether the ciprofloxacin can be given orally. c.Request an order for concurrent administration of metronidazole [Flagyl]. d.Suggest that the provider order a different antibiotic for this patient.
d.Suggest that the provider order a different antibiotic for this patient.
A nurse is obtaining a drug history from a patient about to receive sulfadiazine. The nurse learns that the patient takes warfarin, glipizide, and a thiazide diuretic. Based on this assessment, the nurse will expect the provider to: a.change the antibiotic to TMP/SMZ. b.increase the dose of the glipizide. c.monitor the patient's electrolytes closely. d.monitor the patient's coagulation levels.
d.monitor the patient's coagulation levels.
A nurse preparing to administer intravenous gentamicin to a patient notes that the dose is half the usual dose for an adult. The nurse suspects that this is because this patient has a history of: a.antibiotic resistance. b.interpatient variation. c.liver disease. d.renal disease.
d.renal disease.
