Podcast
Questions and Answers
A nurse is teaching a client who is taking metronidazole. Which of the following sensory alterations should the nurse include as a potential adverse effect of this medication?
A nurse is teaching a client who is taking metronidazole. Which of the following sensory alterations should the nurse include as a potential adverse effect of this medication?
- Alterations in touch
- Metallic taste (correct)
- Olfactory changes
- Hearing loss
A nurse is providing education to a client with a new prescription for erythromycin. Which instruction should the nurse include in the teaching?
A nurse is providing education to a client with a new prescription for erythromycin. Which instruction should the nurse include in the teaching?
- Monitor for ringing in your ears. (correct)
- Increase fiber intake to prevent constipation.
- Take this medication with a glass of grapefruit juice.
- Expect your skin to turn yellow.
A nurse is caring for a client with a bacterial infection who is receiving gentamicin. Which of the following actions should the nurse take to minimize the risk of adverse effects from the medication?
A nurse is caring for a client with a bacterial infection who is receiving gentamicin. Which of the following actions should the nurse take to minimize the risk of adverse effects from the medication?
- Monitor the serum medication levels. (correct)
- Limit the client’s fluid intake.
- Administer the medicine with food.
- Instruct the client to report agitation.
A client is prescribed erythromycin for a respiratory infection. Which of the following client statements would indicate a need for further teaching regarding this medication?
A client is prescribed erythromycin for a respiratory infection. Which of the following client statements would indicate a need for further teaching regarding this medication?
A nurse is reviewing the medication administration record of a client receiving gentamicin. Which of the following findings should the nurse report to the provider immediately?
A nurse is reviewing the medication administration record of a client receiving gentamicin. Which of the following findings should the nurse report to the provider immediately?
A client is started on metronidazole for treatment of bacterial vaginosis. Which of the following instructions is most important for the nurse to emphasize to the client?
A client is started on metronidazole for treatment of bacterial vaginosis. Which of the following instructions is most important for the nurse to emphasize to the client?
When administering gentamicin, which intervention is MOST critical for the nurse to prevent adverse effects?
When administering gentamicin, which intervention is MOST critical for the nurse to prevent adverse effects?
A nurse is educating a group of nursing students about antibiotic sensitivities. Which infection should the nurse explain is MOST appropriately treated with metronidazole?
A nurse is educating a group of nursing students about antibiotic sensitivities. Which infection should the nurse explain is MOST appropriately treated with metronidazole?
When teaching a client with open-angle glaucoma about using timolol and pilocarpine eye drops, which instruction should the nurse emphasize to ensure proper administration and absorption?
When teaching a client with open-angle glaucoma about using timolol and pilocarpine eye drops, which instruction should the nurse emphasize to ensure proper administration and absorption?
A client experiencing a gout flare-up is prescribed medication. Which of the following medications should the nurse prepare to administer to address the underlying cause of gout?
A client experiencing a gout flare-up is prescribed medication. Which of the following medications should the nurse prepare to administer to address the underlying cause of gout?
A nurse is about to administer medication to a client, but the client says, 'I don't want to take those drugs.' What is the MOST appropriate first action for the nurse to take?
A nurse is about to administer medication to a client, but the client says, 'I don't want to take those drugs.' What is the MOST appropriate first action for the nurse to take?
A child with a documented penicillin allergy has a prescription for an antibiotic. Which of the following prescriptions should the nurse verify with the provider due to potential cross-reactivity?
A child with a documented penicillin allergy has a prescription for an antibiotic. Which of the following prescriptions should the nurse verify with the provider due to potential cross-reactivity?
A nurse is caring for a client receiving opioid analgesics for chronic pain. Which of the following interventions is MOST crucial to prevent a common side effect of opioid medications?
A nurse is caring for a client receiving opioid analgesics for chronic pain. Which of the following interventions is MOST crucial to prevent a common side effect of opioid medications?
A client with a known penicillin allergy has a prescription for amoxicillin. What is the most appropriate nursing action?
A client with a known penicillin allergy has a prescription for amoxicillin. What is the most appropriate nursing action?
A patient is receiving a neuromuscular-blocking agent. Which assessment is the highest priority for the nurse?
A patient is receiving a neuromuscular-blocking agent. Which assessment is the highest priority for the nurse?
A nurse is preparing to administer cephalexin oral suspension to an older adult client who has difficulty swallowing pills. Which action is most important?
A nurse is preparing to administer cephalexin oral suspension to an older adult client who has difficulty swallowing pills. Which action is most important?
A client with multiple sclerosis has a new prescription for dantrolene. Which statement indicates correct understanding of the teaching?
A client with multiple sclerosis has a new prescription for dantrolene. Which statement indicates correct understanding of the teaching?
A nurse is educating staff about antibiotic sensitivity. For which infection is vancomycin indicated?
A nurse is educating staff about antibiotic sensitivity. For which infection is vancomycin indicated?
Before administering the seasonal inactivated influenza vaccine, the nurse must confirm the client is not allergic to which substance?
Before administering the seasonal inactivated influenza vaccine, the nurse must confirm the client is not allergic to which substance?
A patient is prescribed amphotericin B for a systemic fungal infection. Which laboratory value is most important for the nurse to monitor during the infusion?
A patient is prescribed amphotericin B for a systemic fungal infection. Which laboratory value is most important for the nurse to monitor during the infusion?
A nurse is preparing to administer a medication known to cause nephrotoxicity. Which of the following actions should the nurse prioritize to minimize the risk of kidney damage?
A nurse is preparing to administer a medication known to cause nephrotoxicity. Which of the following actions should the nurse prioritize to minimize the risk of kidney damage?
A nurse is caring for a client receiving gentamicin. Which of the following findings requires the nurse to immediately contact the provider?
A nurse is caring for a client receiving gentamicin. Which of the following findings requires the nurse to immediately contact the provider?
A client taking mydriatic eye drops reports constipation. Which mechanism explains this adverse effect?
A client taking mydriatic eye drops reports constipation. Which mechanism explains this adverse effect?
A nurse assesses a client receiving oxacillin. Which finding most strongly suggests an allergic reaction to the medication?
A nurse assesses a client receiving oxacillin. Which finding most strongly suggests an allergic reaction to the medication?
Before administering amphotericin B for a fungal infection, which lab value should the nurse prioritize reporting to the provider?
Before administering amphotericin B for a fungal infection, which lab value should the nurse prioritize reporting to the provider?
A nurse is teaching a client about diphenhydramine. Which of the following should the nurse include as a potential adverse effect?
A nurse is teaching a client about diphenhydramine. Which of the following should the nurse include as a potential adverse effect?
A nurse discovers a medication vial is expired. What is the most appropriate action?
A nurse discovers a medication vial is expired. What is the most appropriate action?
A client is prescribed ciprofloxacin for a UTI. Which instruction is most important for the nurse to emphasize?
A client is prescribed ciprofloxacin for a UTI. Which instruction is most important for the nurse to emphasize?
A client with gout is newly prescribed allopurinol. Which statement indicates effective teaching?
A client with gout is newly prescribed allopurinol. Which statement indicates effective teaching?
A nurse is preparing to administer cephalexin to a client with a penicillin allergy. Which action is most appropriate?
A nurse is preparing to administer cephalexin to a client with a penicillin allergy. Which action is most appropriate?
A nurse is reviewing a client's medical record before administering cefoxitin. Which finding is a contraindication that the nurse should report to the provider?
A nurse is reviewing a client's medical record before administering cefoxitin. Which finding is a contraindication that the nurse should report to the provider?
A nurse is reviewing guidelines for prophylactic antibiotics. For which of the following clients is prophylactic antibiotic therapy NOT typically recommended?
A nurse is reviewing guidelines for prophylactic antibiotics. For which of the following clients is prophylactic antibiotic therapy NOT typically recommended?
A nurse is teaching a client about the application of gentamicin topical cream for a skin infection. Which instruction should the nurse include?
A nurse is teaching a client about the application of gentamicin topical cream for a skin infection. Which instruction should the nurse include?
A nurse is administering oral medication to an older adult client. The client states, "The pill I always take is green. I don't take an orange pill." Which response should the nurse make first?
A nurse is administering oral medication to an older adult client. The client states, "The pill I always take is green. I don't take an orange pill." Which response should the nurse make first?
A nurse is caring for a client who is receiving mydriatic eye drops. Which manifestation indicates the client has developed a systemic anticholinergic effect?
A nurse is caring for a client who is receiving mydriatic eye drops. Which manifestation indicates the client has developed a systemic anticholinergic effect?
A nurse is preparing to administer vancomycin IV to a client. Which of the following actions is most important for the nurse to take to prevent 'red man syndrome'?
A nurse is preparing to administer vancomycin IV to a client. Which of the following actions is most important for the nurse to take to prevent 'red man syndrome'?
A client is prescribed an opioid analgesic for chronic pain. What common side effect should the nurse educate the client about to minimize its impact on their quality of life?
A client is prescribed an opioid analgesic for chronic pain. What common side effect should the nurse educate the client about to minimize its impact on their quality of life?
A nurse is caring for a client receiving intravenous potassium chloride (KCl). Which assessment finding requires the nurse to immediately slow the infusion rate and notify the provider?
A nurse is caring for a client receiving intravenous potassium chloride (KCl). Which assessment finding requires the nurse to immediately slow the infusion rate and notify the provider?
Before administering a newly prescribed antihypertensive medication, the nurse reviews the client's medication list. Which medication interaction is of greatest concern and needs to be addressed with the provider?
Before administering a newly prescribed antihypertensive medication, the nurse reviews the client's medication list. Which medication interaction is of greatest concern and needs to be addressed with the provider?
A nurse is preparing to administer a vaccine to a child. What information should the nurse provide to the parents regarding potential adverse effects and their management?
A nurse is preparing to administer a vaccine to a child. What information should the nurse provide to the parents regarding potential adverse effects and their management?
Flashcards
Gentamicin administration
Gentamicin administration
Gentamicin does not need to be taken with food; it's typically given via injection.
Narrow therapeutic index
Narrow therapeutic index
The small difference between a safe dose and a toxic dose of a drug.
Nephrotoxicity prevention
Nephrotoxicity prevention
Ensure adequate hydration to prevent kidney damage from gentamicin.
Monitoring medication levels
Monitoring medication levels
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Metronidazole use
Metronidazole use
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Eye drop administration timing
Eye drop administration timing
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Allopurinol for gout
Allopurinol for gout
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Metronidazole Adverse Effects
Metronidazole Adverse Effects
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Ototoxicity from Erythromycin
Ototoxicity from Erythromycin
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Erythromycin Side Effects
Erythromycin Side Effects
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Grapefruit Juice Interaction
Grapefruit Juice Interaction
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Monitoring Gentamicin
Monitoring Gentamicin
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Peripheral Neuropathy
Peripheral Neuropathy
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Amphotericin B
Amphotericin B
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Cross-reactivity in antibiotics
Cross-reactivity in antibiotics
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Neuromuscular-blocking agents
Neuromuscular-blocking agents
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Cephalexin
Cephalexin
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Dantrolene
Dantrolene
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Vancomycin
Vancomycin
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Seasonal influenza vaccine
Seasonal influenza vaccine
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Methicillin-resistant Staphylococcus aureus (MRSA)
Methicillin-resistant Staphylococcus aureus (MRSA)
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Antibiotic side effects
Antibiotic side effects
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Cefoxitin contraindication
Cefoxitin contraindication
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Prophylactic antibiotics
Prophylactic antibiotics
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Gentamicin application
Gentamicin application
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Medication verification
Medication verification
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Mydriatic eye drops
Mydriatic eye drops
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Prophylactic antibiotics for surgery
Prophylactic antibiotics for surgery
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Phlebitis history
Phlebitis history
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Diarrhea monitoring
Diarrhea monitoring
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Emergency cesarean section
Emergency cesarean section
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Total hip arthroplasty
Total hip arthroplasty
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Constipation causes
Constipation causes
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Anticholinergic drugs
Anticholinergic drugs
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Allergic reaction symptoms
Allergic reaction symptoms
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BUN in medications
BUN in medications
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Diphenhydramine side effects
Diphenhydramine side effects
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Expired medication protocol
Expired medication protocol
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Tendon discomfort risk
Tendon discomfort risk
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Allopurinol usage
Allopurinol usage
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Study Notes
Medication Adverse Effects and Instructions
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Metronidazole: Metallic taste is a documented side effect. Hearing loss is not a typical adverse effect.
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Erythromycin: Tinnitus (ringing in the ears) can occur due to ototoxicity. Do not take with grapefruit juice. Constipation is not a typical side effect; diarrhea is.
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Gentamicin: Monitor serum medication levels closely due to a narrow therapeutic index. Adequate hydration is important to prevent nephrotoxicity. Agitation is not a typical adverse effect.
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Metronidazole (infections): Metronidazole is effective against Trichomoniasis vaginalis (a protozoan infection). It is not effective against Pseudomonas aeruginosa, Klebsiella, or Candida.
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Glaucoma Medications (Timolol & Pilocarpine): Administer drops at least 5 minutes apart. Apply pressure to the nasolacrimal duct area (inner canthus) for 1-2 minutes after instillation.
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Gout: Allopurinol is used to treat gout by reducing uric acid production.
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Medication Refusal: Ask the client why they are refusing the medication and involve education about the medication purpose, benefits, and side effects.
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Penicillin Allergy: Verify prescriptions of amoxicillin-clavulanate if the client has a penicillin allergy due to potential cross-reactivity.
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Neuromuscular Blocking Agent: Ensure respiratory assessment, as neuromuscular blocking agents paralyze respiratory muscles, and place suction equipment at the client's bedside.
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Cephalexin Suspension: Store in the refrigerator. Ensure to shake the suspension before administration. Check for penicillin allergies due to potential cross-sensitivity.
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Multiple Sclerosis and Dantrolene: Dantrolene should be taken regularly, not just when spasms occur. Apply sunscreen due to photosensitivity. Avoid taking over-the-counter antihistamines with dantrolene.
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Vancomycin (infections): vancomycin is effective against methicillin-resistant Staphylococcus aureus (MRSA).
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Influenza Vaccine: Confirm allergy to eggs.
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Cefoxitin: A severe allergy to amoxicillin (a beta-lactam antibiotic) is a contraindication.
Prophylactic Antibiotics
- Prophylactic antibiotics are not recommended for fever of unknown origin, as this does not necessarily indicate an infection.
Topical Gentamicin Cream
- Wash the affected area with soap and water before applying.
Medication Administration Issues
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Expired Medication: Return expired medication to the pharmacy.
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Client Medication Confusion: Verify the medication order to ensure the correct medication is being administered.
Oral Medications
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Ciprofloxacin (UTI): Inform the client to report any tendon discomfort.
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Allopurinol (Gout): Increase fluid intake.
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Enteric-Coated Aspirin: Do not crush enteric-coated aspirin.
Medication Absorption
- Sublingual/Buccal Medications: Rapid absorption due to direct passage into the bloodstream through the mucous membranes in the mouth.
Tuberculosis Medications (Rifampin & Pyrazinamide)
- Monitor liver function tests (LFTs).
Medications and Clients in the PACU
- Place suction equipment and equipment at the client's bedside for a client receiving a competitive neuromuscular blocking agent.
Ophthalmic Solutions
- Administer ophthalmic solution into the conjunctival sac, not the cornea. Do not hold the eyedropper above the eye. Avoid placing the eyedropper into the eye.
Timolol (Glaucoma)
- Timolol eye drops are used to decrease the production of aqueous humor.
- Use on a regular schedule for life (as required by the physician)
Amoxicillin-Clavulanate (Pharyngitis)
- Take medication until the infection is gone, not until the symptoms resolve.
Rifampin (Tuberculosis)
- Red-coloured urine is a possible side effect, not a cause for concern.
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Description
Questions about antibiotic medications Metronidazole, Erythromycin & Gentamicin and their side effects. Includes teaching points for clients prescribed these medications and actions a nurse should take to minimize adverse effects. Also includes signs a patient needs further teaching.