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Medsurg2 Final Pharm Anti-infective
Terms in this set (55)
A patient has been recommended 1500 mg of sulfasalazine oral suspension every 24 hours. The available drug is in the form of a 500 mg tablet. To meet the recommended dose, the nurse will administer _______ tablets each day.
What are sulfonamides classified as?
A nurse is monitoring a patient on sulfonamide therapy. Which of the following symptoms should the nurse assess to find out if the patient has thrombocytopenia?
Failure to complete a course of therapy may result in a recurrence of the infection.
Some patients stop taking their prescribed sulfonamide once symptoms disappear. What should the nurse tell the patient when first teaching about this medication to prevent the early discontinuation of the drug?
The patient is ordered sulfasalazine 500 mg QID. The drug comes in 1000-mg tablets. How much should the nurse adminster to the patient at each dose?
Drugs that destroy the bacteria are known as which of the following? (Choose one)
Drugs that slow or retard the multiplication of bacteria are known as which of the following? (Choose one)
The nurse instructs a patient on sulfonamide therapy to drink a full glass of water when taking the medication and to also drink at least 8 large glasses of water each day until therapy is finished. The nurse is trying to prevent which of the following complications associated with sulfonamide therapy?
• Patients with a hypersensitivity to sulfonamides
• Women who are lactating
• Children younger than 2 months
The nurse has learned that some patients should not take sulfonamides. These include which of the following patients? (Select all that apply.)
Burning sensation or pain
The nurse understands that the most frequent adverse reaction seen with the topical application of a sulfonamide is which of the following?
Ask the patient if he or she has ever had an allergic reaction to a penicillin.
A nurse is preparing to give a patient an initial dose of a penicillin preparation. What is the first action the nurse should take?
a bacteria resistant to certain antibiotics
MRSA can best be defined as which of the following?
Cephalosporins are structurally and chemically related to which classes of antibiotics? (Choose one)
A disulfiram-like reaction may occur if what is consumed within 72 hours after administration of certain cephalosporins?
Penicillins may trigger an anaphylactic reaction in some patients. During what period following injection of a penicillin is anaphylaxis most likely to occur?
It inhibits cell wall synthesis.
A patient is administered penicillin V orally for a strep throat. What is the action of this medication?
A patient has just received a first dose of intravenous nafcillin when he immediately begins to have difficulty breathing and loses consciousness. The nurse takes the patient's vital signs: blood pressure is 88/50 with a pulse oxygenation of 88%.W hat should the nurse suspect?
Mr. Green has developed a superinfection because the antibiotic has destroyed the normal bacterial flora in his body.
Mr. Green, age 64, is admitted to your unit with exacerbation of chronic heart failure and pneumonia. Mr. Green is started on cefixime. On the third hospital day, you are assessing Mr. Green and note white patches in his mouth, and he is complaining of diarrhea. What would be the most likely reason for these symptoms?
Use a type of barrier birth control while you are taking this antibiotic.
The nurse is caring for a 23-year-old female client who uses oral contraceptives and has been prescribed ampicillin for treatment of a respiratory infection. What information is most important for the nurse to share with this client?
The color of her teeth
Your client was given tetracycline as a young child. You can tell this by changes in:
A patient with a history of rheumatic fever is scheduled for dental surgery. The primary care provider orders this patient to take penicillin for 3 days before and for 3 days after surgery. This is a case of which type of therapy?
A critical care nurse is caring for a client taking aminoglycosides. What should the nurse monitor closely to determine whether dosage adjustment is required?
Avoid sun exposure
A patient has been prescribed doxycycline (Vibramycin). Which of the following teaching instructions is important with this medication?
It will interfere with enamel development.
What is the rationale for not administering tetracycline (Sumycin) in children under the age of 8 years?
Hold the next scheduled dose of gentamicin until the physician has been consulted.
Mr. Thiessen is a 60-year-old man whose bacteremia is being treated with intravenous gentamicin. After 4 days of treatment, the care team is pleased with the improvement in Mr. Thiessen's condition and the effect of the drug treatment on his blood cultures. During morning care, he has told the nurse that he is having ringing in his ears and woke up this morning with a pounding headache. How should the nurse respond to this patient's complaints?
Nausea, vomiting, and diarrhea
The nurse is administering erythromycin to a patient. For what common side effects should the nurse monitor the patient?
The nurse receives a call from a client who is taking clindamycin (Cleocin) and reports of a burning feeling when swallowing. The nurse knows that the client has developed which adverse reaction related to this medication?
Macrolides must be used with caution in clients who have which of the following conditions?
Inhibiting bacterial protein synthesis
Tetracyclines treat infection by which of the following effects? (Choose one)
Increase fluid intake
The client has been prescribed a fluoroquinolone. The nurse knows that nursing interventions for clients taking fluoroquinolones include to:
Fluoroquinolones treat infection by which of the following effects? (Choose one)
Which of the following classes of antibiotics is a direct inhibitor of DNA synthesis in bacteria?
The client has been started on levofloxacin (Levaquin) for a respiratory infection. The client is now experiencing sores in his mouth. The nurse suspects this is due to what type of superinfection?
One hour prior to a meal or two hours after the meal
The client has been prescribed a drug that must be taken on an empty stomach. The nurse knows that, to administer a medication on an empty stomach, it is given in which of the following ways?
A client is prescribed ciprofloxacin for an acute sinus infection. This drug belongs to what category of anti-infective medications?
Do not take antacids while taking fluoroquinolones
The nurse should advise the client which of the following in regards to the administration of fluoroquinolones? (Choose one)
A patient has developed Clostridium difficile associated with pseudomembranous colitis. Which of the following medications is effective in the treatment of Clostridium difficile?
Red man syndrome
What is the most common adverse reaction to IV vancomycin?
The use of over-the-counter and herbal remedies can cause potentially harmful interactions with some medications.
Why is it important for clients to disclose the use of herbal remedies to their health care providers?
An elderly patient is admitted to the medical floor with a fever, cough, sore throat, and stuffy nose. What virus should the nurse suspect this patient to have?
Human immunodeficiency virus (HIV)
Highly active antiretroviral therapy (HAART) is used to treat which of the following infections? (Choose one)
The nursing instructor is giving memory aids to the students to help them to better remember the different drug classifications. Which of the following syllables would the nurse instruct the students to look for when learning the antivirals?
Viruses are tiny and replicate inside cells, changing how cells work.
The nursing student asks the instructor why it is more difficult to develop antiviral drugs than anti-infectives. The nursing instructor's best reply would be which of the following?
Acyclovir is useful to treat which infection?
A patient with AIDS is infected with a retrovirus. This virus is better known as:
An elderly patient is admitted to the medical floor with pustules on her body that travel along the nerve route in her legs and arms. The physician prescribes the drug acyclovir (Zovirax). What disease is this patient demonstrating?
Each medication is only effective against a small number of specific viral infections.
There are many antiviral medications on the market. What is the clinical reason for this?
A client taking metronidazole should avoid alcohol intake.
If she and her boyfriend have been sexually active they need to be treated simultaneously.
A 19-year-old client tells the nurse she is sexually active. She informs the nurse that her boyfriend is being treated for trichomoniasis. She asks if she needs to be treated as well. What is the nurse's best response?
the potential exposure to infectious agents.
The nurse should inquire about any foreign travel of a client with a suspected lymphatic or hematologic disorder in order to determine:
"Taking this drug could damage my kidneys."
A nurse is teaching an 82-year-old client about amphotericin B, an antifungal ordered by the physician. Which client statement would suggest that teaching has been effective?
A patient develops itching and burning of the vaginal vault while taking an anti-infective to treat strep throat. What fungal agent has caused the burning and itching?
A teacher in a preschool is diagnosed with giardiasis. Which medication will be administered to treat the diarrhea and abdominal distention?
"Have you drunk any water that might have been contaminated?"
A client who is receiving drug therapy for treatment of giardiasis asks the nurse about how she may have gotten this infection. The nurse would incorporate knowledge of transmission into what assessment question?
on an empty stomach 1 hour before or 2 hours after taking any meals or other drugs.
A patient has been prescribed oral tetracycline. The nurse will instruct the patient to take the drug
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