Pharm chapter 86 (quiz 3)
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
