EAQ #15, Exam 3
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Questions and Answers

A condition that occurs when the normal flora are disturbed during antibiotic therapy is known as

  • organ toxicity.
  • superinfection (correct)
  • hypersensitivity
  • allergic reaction
  • which mechanism of action describes how penicillin destroys bacteria?

  • it interferes with cell wall synthesis (correct)
  • It binds irreversibly to the cell wall
  • it interrupts bacterial DNA processes
  • it interrupts bacterial RNA processes
  • what type of antibiotic treatment is the patient likely receiving when administered intravenous ceftriaxone before an open cholecystomy ?

  • empiric
  • definitive
  • prophylactic (correct)
  • colonization
  • which statement describes how superinfection occur?

    <p>when the antibiotic eliminates the normal flora.</p> Signup and view all the answers

    which condition may the patient have when reporting flushing, itching, hives, anxiety and throat tongue swelling after taking an antibiotic?

    <p>an allergic anaphylactic reaction</p> Signup and view all the answers

    which medication is added to enhance the effectiveness of the ampicillin?

    <p>Clavulanic acid</p> Signup and view all the answers

    What is the principal indication for sulfamethoxazole-trimethoprim (SMZ-TMP)?

    <p>Urinary tract infection</p> Signup and view all the answers

    Which medication may sometimes be overlooked when considering penicillin allergies in patients?

    <p>piperacillin/ tazobactam (zosyn)</p> Signup and view all the answers

    which drug does the nurse anticipate the health care provider will order for a patient diagnosed with legionnaires disease

    <p>erythromycin</p> Signup and view all the answers

    which statement by the nurse explains the mechanism of bacteriostatic action of tetracycline?

    <p>&quot;tetracycline inhibits protein synthesis&quot;</p> Signup and view all the answers

    which time range is the elimination half-life of amoxicillin?

    <p>1 to 1.5 hrs</p> Signup and view all the answers

    which antibiotic will the nurse expects to administer to this patient as empiric therapy for a serious intra-abdominal infection?

    <p>ticarcillin-calvulanic acid</p> Signup and view all the answers

    which nursing assessment is most important for a patient who has been prescribed cefazolin sodium?

    <p>history, including allergies</p> Signup and view all the answers

    which intervention would be included when planning care for a patient receiving a sulfonamide antibiotic?

    <p>force fluid to at least 2000 mL/day</p> Signup and view all the answers

    which instruction does the nurse give to the patient to prevent complication associated with sulfamethoxazole/trimethoprim SMZ-TMP?

    <p>&quot;Avoid exposure to sunlight&quot;</p> Signup and view all the answers

    which instruction does the nurse give to the patient to ensure safe and effective administration of demeclocycline?

    <p>&quot;avoid the consumption of dairy products&quot;</p> Signup and view all the answers

    the nurse would question the prescription of tetracycline for which patient?

    <p>A 6 year old patient with heamophilus influenza.</p> Signup and view all the answers

    Which drug allergy may indicate the need for change of a new prescription for cefuroxime?

    <p>penicillin V potassium</p> Signup and view all the answers

    which action can cause reduction in the therapeutic effect of doxycycline?

    <p>the patient took the medication with a glass of milk</p> Signup and view all the answers

    which test would the nurse anticipate for a patient recently treated with antibiotics who has developed watery diarrhea?

    <p>Clostridium difficile test</p> Signup and view all the answers

    which statement describes the nurses primary intervention for a patient prescribed suflamethoxazole/trimethoprim (SMZ-TMP)?

    <p>instruct the patient to increase fluid intake</p> Signup and view all the answers

    which group of antibiotics would require the patient to use suncreen and wear a hat to avoid the sun between 10:00 am and 4:00 pm?

    <p>Sulfonamides</p> Signup and view all the answers

    which intervention is important for the nurse to perform for a female patient who has been prescribed amoxicillin?

    <p>assess whether the patient is on oral contraceptives</p> Signup and view all the answers

    which over the counter drugs will the nurse advise a patient to avoid while the patient is taking doxycycline? SATA

    <p>calcium citrate</p> Signup and view all the answers

    Which condition is an adverse effect of sulfonamide antibiotics? SATA

    <p>urticaria</p> Signup and view all the answers

    Which nursing intervention is a necessary priority for a patient with type 2 diabetes mellitus who is started on sulfamethoxazole/trimethoprim?

    <p>Assess blood sugar</p> Signup and view all the answers

    Which response is indicated when the nurse learns a patient taking sulfadiazine has glucose-6-phosphate dehydrogenase(G6PD)

    <p>the nurse contacts the primary heath care provide before administration of the drug.</p> Signup and view all the answers

    Which medication does the nurse will be prescribed for a patient on long-term antibiotics therapy who complain of watery diarrhea, abdominal pain and has a body temperature of 39.0 (102.2)

    <p>Fidaxomicin</p> Signup and view all the answers

    Which action would the nurse take after a patient taking sulfonamides reports bruises on the leg and arms?

    <p>Asses the patient platelet counts</p> Signup and view all the answers

    Which action is the nurse highest priority when discovering a patient started on sulfamethoxazole/ trimethoprim has a viral infection?

    <p>Contact the health care provider to discuss the medication</p> Signup and view all the answers

    Which statement is the priority instruction for the nurse to give to a patient with a history of kidney stones who has just been prescribed sulfamethoxazole/trimethoprim?

    <p>&quot;take this medication with a full glass of fluid&quot;</p> Signup and view all the answers

    Which medication would the nurse anticipate for a patient who is taking amoxicillin and develops wheezing, difficuty breathing, swealling of the throat and has a fast, irregular pulse on assessment?

    <p>Epinephrine</p> Signup and view all the answers

    Which statement describes what the nurse would interpret from a patient on cefotetan therapy who reports stomach cramps, vomiting, diaphoresis, itching, headaches and who has hypotension on assessment?

    <p>the patient had taken ethanol (alcohol)in addition to the cefotetan.</p> Signup and view all the answers

    Which parameter would the nurse monitor in a patient taking sulfamethoxazole with trimethoprim(SMX-TMP) for a urinary tract infection to prevent complications?

    <p>Complete blood count</p> Signup and view all the answers

    Which information would the nurse include about the adverse effects when educating a patient who is newly prescribed erythromycin for an ear infection?

    <p>palpitation</p> Signup and view all the answers

    Which instruction would the nurse provide to a patient taking doxycycline daily for the treatment of acne to prevent complications?

    <p>avoid midday sun</p> Signup and view all the answers

    Which finding in the patient who has been taking antibiotics for a week would indicate the need for referral to the primary health care provider?

    <p>jaundice</p> Signup and view all the answers

    which action would the nurse take for a patient who is being administered oral sulfamethoxazole/ trimethoprim four time per day?

    <p>Call the health care provider to discuss changing the frequency of the dose.</p> Signup and view all the answers

    which patient would the nurse monitor for atypical signs of infection?

    <p>a 78 year old patient with urinary incontinence</p> Signup and view all the answers

    Which finding does the nurse report to the primary health care provider to prevent complications from taking sulfamethoxazole/ tomethoprim(SMZ-TMP)

    <p>Diarrhea</p> Signup and view all the answers

    A patient with pain and urinary tract develops fever, chills, and sore on the tongue. In the chart, the nurse finds an allergy to sulfonamide. Which drug does the nurse suspect is responsible for patients reaction?

    <p>celecoxib</p> Signup and view all the answers

    Which parameter needs to be assessed to ensure safe drug administration of azithromycin?

    <p>liver function</p> Signup and view all the answers

    Which time frame is recommended for alcohol avoidance for a patient taking cefotetan?

    <p>During drug therapy and for 3 days afterward</p> Signup and view all the answers

    which reason explains why fluid intake should be increased up to 3000 ml per day for a patient taking sulfamethoxazole/ trimethoprim (SMZ-TMP)

    <p>to prevent drug -related crystalluria</p> Signup and view all the answers

    which instruction does the nurse give to the patient before the administration of sulfamethoxazole/trimethoprin (SMZ-TMP)

    <p>&quot;use any other method other than oral contraception for birth control&quot;</p> Signup and view all the answers

    which antibiotic is used for prophylaxis against infections in surgical patients?

    <p>cefazolin</p> Signup and view all the answers

    Which drug is contraindicated for a patient who is receiving erythromycin therapy?

    <p>Warfarin</p> Signup and view all the answers

    Which question would the nurse ask the patient to determine the cause of an unimproved infection after a patient has completed a course of tetracycline?

    <p>&quot;were you using iron supplements while taking the drug?&quot;</p> Signup and view all the answers

    Which biochemical parameter does the nurse assess before administering sulfamethoxazole/trimethoprim(SMZ-TMP)

    <p>Red Blood cell count</p> Signup and view all the answers

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