EAQ 16, exam 3
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Questions and Answers

Which function is measured by a patient's serum creatinine level before starting antibiotic therapy?

  • Liver
  • Renal (correct)
  • Cardiac
  • Neurologic

Which interaction is caused by administering divalent minerals such as a calcium supplement within an hour of a quinolone such as levofloxacin?

  • Impaired levofloxacin absorption (correct)
  • Increased serum concentration of levofloxacin
  • Reduced antibacterial activity of levofloxacin
  • Altered intestinal flora

Which laboratory reports would the nurse evaluate if the patient is administered vancomycin and tobramycin?

  • Serum glucose
  • Serum creatinine (correct)
  • Prothrombin time
  • Serum electrolytes

Which instruction would the nurse give a patient about administering topical clindamycin?

<p>&quot;Apply a thin layer to the affected area after it has been cleansed.&quot; (D)</p> Signup and view all the answers

Which foods will the nurse instruct the patient to avoid during levofloxacin therapy?

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

Which instruction would the nurse give a patient about allergic reactions to an antibacterial drug?

<p>&quot;Stop taking the medication immediately at the first sign of an allergic reaction&quot; (D)</p> Signup and view all the answers

Which adverse drug effect would the nurse need to monitor for a patient with a tobramycin serum drug concentration greater than 2 mcg/mL?

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

Which antibiotic binds to 30S ribosomes to prevent protein synthesis in bacteria?

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

Which microbe is included in the spectrum of antimicrobial activity for the drug amikacin?

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

Which antibiotic is used in patients who have infections of the eyes, ears, or skin and for suppressing bowel flora before bowel surgery?

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

Which antibiotic is the drug of choice for the treatment of anthrax?

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

Which solution would the nurse administer with quinupristin?

<p>5% dextrose in water (D5W) (D)</p> Signup and view all the answers

Flashcards

Serum Creatinine test before antibiotics

A blood test to measure kidney function before starting antibiotic therapy.

Calcium & Quinolone interaction

Calcium supplements taken close to quinolones like levofloxacin can reduce the absorption of the quinolone.

Vancomycin & Tobramycin monitoring

Serum creatinine levels need to be monitored during vancomycin and tobramycin treatment, to assess for kidney damage.

Topical Clindamycin application

Apply a thin layer of topical clindamycin to the affected area after cleaning it.

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Levofloxacin diet restrictions

Avoid dairy products while taking levofloxacin to avoid impaired absorption.

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Antibiotic allergic reaction

Stop taking the medication immediately if you experience any allergic reaction symptoms.

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Tobramycin serum level > 2 mcg/mL

A serum concentration of tobramycin greater than 2 mcg/mL may indicate a risk of hearing impairment.

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Mechanism of Gentamicin

Gentamicin is an antibiotic that affects protein production within bacteria by binding to 30S ribosomes.

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Amikacin spectrum

Amikacin is effective against microorganisms like Escherichia coli.

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Neomycin uses

Neomycin is used for eye, ear, or skin infections, and suppressing bowel bacteria before surgery.

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Anthrax treatment

Ciprofloxacin is the recommended treatment for anthrax infections.

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Solution with Quinupristin

Quinupristin should be diluted/administrated with 5% dextrose in water (D5W).

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