Pharm chapter 86 (quiz 3)

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it would eb a priority to mount which lab test when a pt is prescribed zyvox

CBC and differnientail

when used to treat colonized MRSA bactrian is administered in which way

intranasally

immediately report which symptom of a rare adverse effect that has been associated with prolonged therapy

numbness or tinging in any extremity

regrind administration of antibiotics that helps decrease the development of resistance

when presided take the full course as directed even if the symptoms are gone

pt 24 hour fluid intake has been approx. 2500ml and urine output has been 600-800 ml for each of the past 2 days. what should the nurse do

withhold the med and notify the prescriber of the changes

the prisoners ALT levels at 287 international units/ L what is a priority teaching for this pt

you should never take this drug again

the pt should be instructed to avoid consuming what substance while on this antibiotic

Aged cheese

tetracycline easily crosses mammalian cell membrane

F

What does the nurse identify as an adverse effect of clindamycin [Cleocin] therapy?

Frequent loose, watery stools with mucus and blood

what is a major advantage of tygvacil in trading VRE

decreased development of antibiotic resistance

the nurse would consult the presider regarding oral adminsterion of zyvox fin the nurse discovered the pt has a history of which disorder

phenylketonuria

a pt is presided a tetracycline antibiotic which pt info is a reason for the med to be withheld by the nurse and the prescibered consulted

pregnancy status of pt in unknown

a pt is presibered tetracycline for chylmaida trachoma's. which change in assessment findings would a priority to report to the presider

watery stool

low does of doxycycline can be used to prevent destruction of gingival connective tissue

T

lab result is id in a pt who's is receiving synercid should nurse report to the prescriber immediately

AlT 250 international units/l

resistance to tetracycline is increasing

T

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

the nursing unit around 0800 lunch as 1230 and dinner at 1720 . the pt does not receive antacids what should the nurse do

administer the drug at 0730 within the acceptable time frame

Which instruction should a nurse include in the discharge teaching for a patient who is to start taking tetracycline?

Use sunscreen and protective clothing when outdoors."

tetracycline can cause esophageal ulceration. what can the nurse teach to minimize the risk of this adverse effect

stay uprights for at least 30 minutes after taking the medication

the nurse would consult the presider before administering erthryoumyocin to a pt who has experience

unexplained fainting

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.

A nurse assessing a patient who is 12 years old should associate which complication with the patient's receiving tetracycline as a younger child?

Discoloration of the teeth

tetracycline are bactericidal

F

tetracycline are the 1st drug of choose for most non septic infections

F

tetracycline is narrow spectrum antibiotic

F

tetracycline should be taken on an empty stomach

F

tetracycline should be used for mild acne

F

it is important for the nurse to monitor which lab test when the pt is prescibered azithromycin or erythromycin and warfin

INR

Which laboratory result should a nurse monitor more frequently when a patient is receiving clarithromycin [Biaxin] and warfarin [Coumadin]?

International normalized ratio (INR)

Which statements about CDAD associated with clindamycin therapy does the nurse identify as true? (Select all that apply.)

It is a potentially fatal condition. Patients usually experience abdominal pain. Clindamycin therapy should be discontinued and vancomycin started.

Which cardiovascular finding does the nurse identify as a possible adverse effect of erythromycin [Ery-Tab] therapy?

Prolonged QT interval

minocycline reduces symptoms of rheumatoid arthritis

T

tetracycline is active against the bacilli that cause anthrax

T

The nurse identifies which drug as a short-acting tetracycline?

Tetracycline (generic)

The nurse identifies tigecycline [Tygacil] as a derivative of what?

Tetracyclines

on the 2nd day of therapy the pt complains that he does not like taking the drug because it causes heartburn. what would be a apportprtie intervention by the nurse

administer the drug with food

the nurse teaches a pt who's has been prescribed oral tetracycline that the medication should not the taken with the over the counter medications (select all that apply)

centrum silver ferrous sulfate tums

which drug if also taken by this pt could decrease bowel motility and prevent the body attempt to rid the colon on overgrowth of c diff

detrol

what is 1 reason why careful review of all drugs this pt is preserved is important

erythromycin can increase levels of earrings and cause bleeding

the nurse teaches that to be well absorbed which for of niacin must be administered with food

extended release tablets

the nurse should assess for adverse effects of lightheadness and dizziness when a pt is receiving which med

minocycline

how should an enteric coated erythromycin base be administered (select all that apply)

on empty stomach whole not chewed with a full glass of water

thatch assessment finding would be priority to report ti the presicber relating to adminstration of this drug

pallor


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