pharm quiz 4

Vancomycin

A patient develops CDAD. Which antibiotic is recommended for treating this infection?

oral acyclovir zovirax may be used during the pregnancy

a pt who is pregnant has a history of recurrent genital herpes virus. the patient asks the nurse what will be done to suppress an outbreak when she is near term, the nurse will tell the patient that

age, immunity system status, infection site

The nurse is teaching a pharmacology refresher course to a group of nurses. A student asks what host factors affect the choice of agents in antimicrobial therapy. The nurse will tell the students that such host factors include what? (Select all that apply.)

creatinine level

a patient is receiving amphotericin B. It is most important for the nurse to monitor whoch lab result

hemolytic anemia.

A nurse is caring for an African American patient who has been admitted to the unit for long-term antibiotic therapy with sulfonamides. The patient develops fever, pallor, and jaundice. The nurse would be correct to suspect that the patient has developed

Request an order for a different class of antibiotic.

A nurse is reviewing the culture results of a patient receiving an aminoglycoside. The report reveals an anaerobic organism as the cause of infection. What will the nurse do?

"Your child should come to the clinic to have a throat culture done today."

A parent asks a nurse if the provider will prescribe an antibiotic for a child who attends school with several children who have strep throat. The child is complaining of a sore throat and has a fever. What will be the nurse's response?

250 mg at 0800 the next day

A patient received 500 mg of azithromycin [Zithromax] at 0800 as a first dose. What are the usual amount and time of the second dose of azithromycin?

The patient should stop taking the clindamycin now and contact the provider immediately.

A patient recently began receiving clindamycin [Cleocin] to treat an infection. After 8 days of treatment, the patient reports having 10 to 15 watery stools per day. What will the nurse tell this patient?

Withhold the dose and notify the provider of the symptoms.

A patient with bronchitis is taking TMP/SMZ, 160/800 mg orally, twice daily. Before administering the third dose, the nurse notes that the patient has a widespread rash, a temperature of 103°F, and a heart rate of 100 beats per minute. The patient looks ill and reports not feeling well. What will the nurse do?

I should stop taking this drug when my symptoms are gone

a nurse teaches a patient sulfonamides. which by the patient indicates a need for further teaching?

nosocomial infection

nurse has been caring for a patient who has been taking antibiotics for 3 weeks upon assessing the patient, the nurse notices the individual has developed oral thrush. what describes the etiology of the thrush

Red-orange-tinged urine

nurse is performing a physical assessment on a patient with tuberculosis who takes rifampin [Rifadin]. What would be an expected finding?

Cephalosporins have increased activity against gram-negative bacteria with each generation."

A nurse is teaching a nursing student what is meant by "generations" of cephalosporins. Which statement by the student indicates understanding of the teaching?

Red man syndrome

The nurse is caring for a patient who is receiving vancomycin [Vancocin]. The nurse notes that the patient is experiencing flushing, rash, pruritus, and urticaria. The patient's heart rate is 120 beats per minute, and the blood pressure is 92/57 mm Hg. The nurse understands that these findings are consistent with:

spontaneous mutation leads to resistance to only one antimicrobial agent

a nursing student asks a nurse to clarify the differences between the mechanisms of spontaneous mutation and conjugation in acquired resistance of microbes. what will the nurse say?

narrow topical by a gram - positive

a patient has locized skin infection, which is most likely caused by a gram-positive cocci. until the culture and sensitivity results are available, the nurse will expect the provider to order a ____ , _____

begin antibiotic therapy urine culture and sensitivity results are available

a patient with a history of renal calcui has a fever, flank pain and bacteriuria. the nurse caring for this patient understands that it is important for the provider to