Antibiotic Medication Education & Adverse Effects
40 Questions
1 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

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?

  • 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?

  • 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?

  • 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?

<p>I can take this medication with antacids if I experience stomach upset. (A)</p> Signup and view all the answers

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?

<p>Client's urine output has decreased significantly over the past 24 hours. (A)</p> Signup and view all the answers

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?

<p>Avoid consuming alcohol during and for 3 days after completing the medication. (D)</p> Signup and view all the answers

When administering gentamicin, which intervention is MOST critical for the nurse to prevent adverse effects?

<p>Monitoring serum medication levels regularly. (D)</p> Signup and view all the answers

A nurse is educating a group of nursing students about antibiotic sensitivities. Which infection should the nurse explain is MOST appropriately treated with metronidazole?

<p>Trichomoniasis vaginalis. (A)</p> Signup and view all the answers

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?

<p>Administer the two medications at least 5 minutes apart. (D)</p> Signup and view all the answers

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?

<p>Allopurinol. (D)</p> Signup and view all the answers

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?

<p>Ask the client to explain their reasons for refusing the medication. (C)</p> Signup and view all the answers

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?

<p>Amoxicillin-clavulanate. (D)</p> Signup and view all the answers

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?

<p>Encouraging increased fluid and fiber intake. (C)</p> Signup and view all the answers

A client with a known penicillin allergy has a prescription for amoxicillin. What is the most appropriate nursing action?

<p>Verify the prescription with the provider. (B)</p> Signup and view all the answers

A patient is receiving a neuromuscular-blocking agent. Which assessment is the highest priority for the nurse?

<p>Respiratory assessment for patent airway. (D)</p> Signup and view all the answers

A nurse is preparing to administer cephalexin oral suspension to an older adult client who has difficulty swallowing pills. Which action is most important?

<p>Check the client for a penicillin allergy. (D)</p> Signup and view all the answers

A client with multiple sclerosis has a new prescription for dantrolene. Which statement indicates correct understanding of the teaching?

<p>I need to apply a sunscreen when I go outside. (A)</p> Signup and view all the answers

A nurse is educating staff about antibiotic sensitivity. For which infection is vancomycin indicated?

<p>Methicillin-resistant Staphylococcus aureus (MRSA). (B)</p> Signup and view all the answers

Before administering the seasonal inactivated influenza vaccine, the nurse must confirm the client is not allergic to which substance?

<p>Shellfish. (B)</p> Signup and view all the answers

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?

<p>Potassium. (C)</p> Signup and view all the answers

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?

<p>Encourage the client to consume at least 2-3 liters of fluid daily. (B)</p> Signup and view all the answers

A nurse is caring for a client receiving gentamicin. Which of the following findings requires the nurse to immediately contact the provider?

<p>Decreased urine output and elevated creatinine levels. (B)</p> Signup and view all the answers

A client taking mydriatic eye drops reports constipation. Which mechanism explains this adverse effect?

<p>Anticholinergic effects of the drops decrease digestion and bowel motility. (B)</p> Signup and view all the answers

A nurse assesses a client receiving oxacillin. Which finding most strongly suggests an allergic reaction to the medication?

<p>Complaints of generalized pruritus. (D)</p> Signup and view all the answers

Before administering amphotericin B for a fungal infection, which lab value should the nurse prioritize reporting to the provider?

<p>BUN level of 50 mg/dL. (A)</p> Signup and view all the answers

A nurse is teaching a client about diphenhydramine. Which of the following should the nurse include as a potential adverse effect?

<p>Constipation (B)</p> Signup and view all the answers

A nurse discovers a medication vial is expired. What is the most appropriate action?

<p>Return the medication to the pharmacy for proper disposal and replacement. (A)</p> Signup and view all the answers

A client is prescribed ciprofloxacin for a UTI. Which instruction is most important for the nurse to emphasize?

<p>Report any new tendon pain or discomfort immediately. (B)</p> Signup and view all the answers

A client with gout is newly prescribed allopurinol. Which statement indicates effective teaching?

<p>I will need to drink more fluids while taking this medication. (C)</p> Signup and view all the answers

A nurse is preparing to administer cephalexin to a client with a penicillin allergy. Which action is most appropriate?

<p>Withhold the cephalexin and notify the provider of the penicillin allergy. (D)</p> Signup and view all the answers

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?

<p>Severe allergy to amoxicillin. (B)</p> Signup and view all the answers

A nurse is reviewing guidelines for prophylactic antibiotics. For which of the following clients is prophylactic antibiotic therapy NOT typically recommended?

<p>A client who has a fever of unknown origin. (D)</p> Signup and view all the answers

A nurse is teaching a client about the application of gentamicin topical cream for a skin infection. Which instruction should the nurse include?

<p>Wash the affected area with soap and water before applying cream. (B)</p> Signup and view all the answers

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?

<p>&quot;Let me check your medication order again.&quot; (D)</p> Signup and view all the answers

A nurse is caring for a client who is receiving mydriatic eye drops. Which manifestation indicates the client has developed a systemic anticholinergic effect?

<p>Dry mouth (B)</p> Signup and view all the answers

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'?

<p>Infuse the medication over at least 60 minutes. (B)</p> Signup and view all the answers

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?

<p>Constipation (C)</p> Signup and view all the answers

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?

<p>The client reports pain at the IV insertion site. (B)</p> Signup and view all the answers

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?

<p>A nonsteroidal anti-inflammatory drug (NSAID) for arthritis (C)</p> Signup and view all the answers

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?

<p>Information about expected mild reactions and how to manage them at home. (C)</p> Signup and view all the answers

Flashcards

Gentamicin administration

Gentamicin does not need to be taken with food; it's typically given via injection.

Narrow therapeutic index

The small difference between a safe dose and a toxic dose of a drug.

Nephrotoxicity prevention

Ensure adequate hydration to prevent kidney damage from gentamicin.

Monitoring medication levels

Regularly check serum levels to keep gentamicin in a safe range.

Signup and view all the flashcards

Metronidazole use

Effective treatment for Trichomoniasis vaginalis, not for bacteria or fungi.

Signup and view all the flashcards

Eye drop administration timing

When using multiple eye drops, apply them at least 5 minutes apart.

Signup and view all the flashcards

Allopurinol for gout

Medication used to decrease uric acid in gout treatment.

Signup and view all the flashcards

Metronidazole Adverse Effects

Common side effect of metronidazole is a metallic taste.

Signup and view all the flashcards

Ototoxicity from Erythromycin

Erythromycin can cause ringing in the ears, known as tinnitus.

Signup and view all the flashcards

Erythromycin Side Effects

Yellow skin is more related to liver issues, not erythromycin.

Signup and view all the flashcards

Grapefruit Juice Interaction

Grapefruit juice can increase erythromycin levels, causing side effects.

Signup and view all the flashcards

Monitoring Gentamicin

Serum medication levels should be monitored to prevent toxicity.

Signup and view all the flashcards

Peripheral Neuropathy

Alterations in touch may occur with metronidazole but are less common.

Signup and view all the flashcards

Amphotericin B

An antifungal medication used to treat serious fungal infections.

Signup and view all the flashcards

Cross-reactivity in antibiotics

Potential allergic reaction between similar drug classes, e.g., penicillins and cephalosporins.

Signup and view all the flashcards

Neuromuscular-blocking agents

Medications that cause paralysis of muscles, including respiratory muscles.

Signup and view all the flashcards

Cephalexin

A cephalosporin antibiotic, requires checking for penicillin allergies before administration.

Signup and view all the flashcards

Dantrolene

A medication for muscle spasms that may cause photosensitivity.

Signup and view all the flashcards

Vancomycin

An antibiotic effective against MRSA, not effective against gram-negative bacteria.

Signup and view all the flashcards

Seasonal influenza vaccine

A vaccine made from virus grown in eggs; check for egg allergies.

Signup and view all the flashcards

Methicillin-resistant Staphylococcus aureus (MRSA)

A type of bacteria resistant to many antibiotics, treatable with vancomycin.

Signup and view all the flashcards

Antibiotic side effects

Common effects may include diarrhea with antibiotics, rarely constipation.

Signup and view all the flashcards

Cefoxitin contraindication

Severe allergy to amoxicillin is a contraindication for cefoxitin.

Signup and view all the flashcards

Prophylactic antibiotics

Not recommended for clients with fever of unknown origin.

Signup and view all the flashcards

Gentamicin application

Wash the area with soap and water before applying gentamicin cream.

Signup and view all the flashcards

Medication verification

Always check medication orders if client is confused about pills.

Signup and view all the flashcards

Mydriatic eye drops

Systemic anticholinergic effects can occur with mydriatic use.

Signup and view all the flashcards

Prophylactic antibiotics for surgery

Recommended for clients with prosthetic heart valves undergoing dental surgery.

Signup and view all the flashcards

Phlebitis history

Not a contraindication for cefoxitin, but veins should be assessed.

Signup and view all the flashcards

Diarrhea monitoring

Recent diarrhea isn’t a contraindication for cefoxitin but needs monitoring.

Signup and view all the flashcards

Emergency cesarean section

Prophylactic antibiotics may be used to prevent post-operative infections.

Signup and view all the flashcards

Total hip arthroplasty

Prophylactic antibiotics are often given to prevent surgical site infection.

Signup and view all the flashcards

Constipation causes

Caused by anticholinergic effects from medications like diphenhydramine.

Signup and view all the flashcards

Anticholinergic drugs

Medications blocking acetylcholine's action, affecting body functions.

Signup and view all the flashcards

Allergic reaction symptoms

Common symptoms include rash, hives, and pruritus from medications.

Signup and view all the flashcards

BUN in medications

Blood Urea Nitrogen level indicating kidney function, higher levels mean risk.

Signup and view all the flashcards

Diphenhydramine side effects

Common adverse effects include dry mouth, urinary retention, and constipation.

Signup and view all the flashcards

Expired medication protocol

Returning expired medication to pharmacy for replacement is recommended.

Signup and view all the flashcards

Tendon discomfort risk

Ciprofloxacin may cause tendon problems; report discomfort immediately.

Signup and view all the flashcards

Allopurinol usage

Decreases uric acid levels; increase fluid intake while taking it.

Signup and view all the flashcards

Study Notes

Medication Adverse Effects and Instructions

  • Metronidazole: Metallic taste is a documented side effect. Hearing loss is not a typical adverse effect.

  • 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.

  • 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.

  • Metronidazole (infections): Metronidazole is effective against Trichomoniasis vaginalis (a protozoan infection). It is not effective against Pseudomonas aeruginosa, Klebsiella, or Candida.

  • 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.

  • Gout: Allopurinol is used to treat gout by reducing uric acid production.

  • Medication Refusal: Ask the client why they are refusing the medication and involve education about the medication purpose, benefits, and side effects.

  • Penicillin Allergy: Verify prescriptions of amoxicillin-clavulanate if the client has a penicillin allergy due to potential cross-reactivity.

  • Neuromuscular Blocking Agent: Ensure respiratory assessment, as neuromuscular blocking agents paralyze respiratory muscles, and place suction equipment at the client's bedside.

  • Cephalexin Suspension: Store in the refrigerator. Ensure to shake the suspension before administration. Check for penicillin allergies due to potential cross-sensitivity.

  • 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.

  • Vancomycin (infections): vancomycin is effective against methicillin-resistant Staphylococcus aureus (MRSA).

  • Influenza Vaccine: Confirm allergy to eggs.

  • 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

  • Expired Medication: Return expired medication to the pharmacy.

  • Client Medication Confusion: Verify the medication order to ensure the correct medication is being administered.

Oral Medications

  • Ciprofloxacin (UTI): Inform the client to report any tendon discomfort.

  • Allopurinol (Gout): Increase fluid intake.

  • 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.

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Quiz Team

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.

More Like This

Use Quizgecko on...
Browser
Browser