Carbapenems: Antibiotic Action and Side Effects
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Questions and Answers

What is the mechanism of action of carbapenems?

  • Inhibit cell wall synthesis (correct)
  • Inhibit RNA synthesis
  • Inhibit DNA replication
  • Inhibit protein synthesis

Why are carbapenems considered last resort drugs?

  • They have severe side effects
  • They are used when other antibiotics fail (correct)
  • They are not bactericidal
  • They are ineffective against gram-negative infections

Which side effect is NOT commonly associated with carbapenems?

  • Seizures
  • Electrolyte imbalances
  • Constipation (correct)
  • Nausea and vomiting

What is a significant nursing intervention related to carbapenems?

<p>Reporting persistent watery diarrhea (B)</p> Signup and view all the answers

What can be a potential complication associated with carbapenem use?

<p>C-diff infection (B)</p> Signup and view all the answers

What is the most appropriate nursing intervention related to the administration of carbapenems?

<p>Monitor for persistent watery diarrhea and report it immediately (A)</p> Signup and view all the answers

Which side effect is commonly associated with carbapenem use?

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

What is a key feature of carbapenems that distinguishes them from other antibiotics?

<p>They inhibit cell wall synthesis (B)</p> Signup and view all the answers

Which infection is NOT commonly associated with carbapenem use as a complication?

<p>Fungal Meningitis (A)</p> Signup and view all the answers

Why are carbapenems recommended to be infused over 60 minutes during administration?

<p>To enhance the bactericidal action of the drug (B)</p> Signup and view all the answers

What is the primary mode of action of carbapenems?

<p>Inhibit cell wall synthesis (A)</p> Signup and view all the answers

Which of the following is a common side effect associated with carbapenem use?

<p>Nausea and vomiting (A)</p> Signup and view all the answers

What is a major reason for carbapenems being classified as last resort drugs?

<p>They have a high risk of seizures as a side effect (A)</p> Signup and view all the answers

What is the recommended duration for the infusion of carbapenems?

<p>60 minutes (A)</p> Signup and view all the answers

Which infection is a potential complication associated with carbapenem use?

<p>C-diff (D)</p> Signup and view all the answers

Which of the following is a black box warning associated with fluoroquinolones?

<p>Higher likelihood of tendonitis and tendon rupture (D)</p> Signup and view all the answers

What is the Pregnancy Category for fluoroquinolones?

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

Which side effect is NOT commonly associated with fluoroquinolones?

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

In which population group are fluoroquinolones contraindicated due to the risk of tendonitis and tendon rupture?

<p>Adolescents between 12-18 years old (A)</p> Signup and view all the answers

What baseline assessment is required before initiating fluoroquinolone therapy?

<p>Electrocardiogram (EKG) (D)</p> Signup and view all the answers

Which of the following is a common side effect associated with fluoroquinolones but NOT listed in the text?

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

What is a potential complication associated with fluoroquinolone use mentioned in the text?

<p>Super-infection with C-diff (A)</p> Signup and view all the answers

What population group should avoid fluoroquinolones due to the risk of tendonitis and tendon rupture based on the text?

<p>Pediatric patients below 12 years (B)</p> Signup and view all the answers

What is a notable side effect mentioned in the text that requires patients to take the full course of fluoroquinolone medication?

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

Which adverse effect warrants a Black Box Warning for fluoroquinolones according to the text?

<p>Tendonitis and tendon rupture (D)</p> Signup and view all the answers

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