Podcast
Questions and Answers
What does the minimal effective concentration (MEC) of an antibiotic refer to?
What does the minimal effective concentration (MEC) of an antibiotic refer to?
- The serum drug level that broadens the spectrum of the drug
- The serum drug level that increases the therapeutic index
- The serum drug level that is sufficient to halt the growth of the microorganism (correct)
- The serum drug level that ensures the drug is bacteriostatic
What is the most likely cause of a patient's infection not responding to an antibiotic that has been used successfully several times before?
What is the most likely cause of a patient's infection not responding to an antibiotic that has been used successfully several times before?
- Cross-resistance
- Inherent bacterial resistance
- Transferred resistance
- Acquired bacterial resistance (correct)
A patient has previously experienced a severe rash when taking penicillin. What action should the nurse take when preparing to administer amoxicillin to this patient?
A patient has previously experienced a severe rash when taking penicillin. What action should the nurse take when preparing to administer amoxicillin to this patient?
- Contact the provider to discuss using a different antibiotic (correct)
- Administer the amoxicillin and have epinephrine available
- Request an order for a beta-lactamase-resistant drug
- Ask the provider to order an antihistamine
A patient has been receiving an antibiotic for 2 days after a culture was obtained. What is the nurse's understanding of this situation?
A patient has been receiving an antibiotic for 2 days after a culture was obtained. What is the nurse's understanding of this situation?
Which of the following statements best describes the concept of cross-resistance in relation to antibiotics?
Which of the following statements best describes the concept of cross-resistance in relation to antibiotics?
What is the most likely reason for a patient's infection not responding to an antibiotic that has been successfully used before?
What is the most likely reason for a patient's infection not responding to an antibiotic that has been successfully used before?
What is the nurse's next best action based on the patient's increased erythema, swelling, and persistent high fever?
What is the nurse's next best action based on the patient's increased erythema, swelling, and persistent high fever?
Which action is most important before administering the first dose of an antibiotic to a patient admitted for a urinary tract infection?
Which action is most important before administering the first dose of an antibiotic to a patient admitted for a urinary tract infection?
Which antibiotic will the nurse expect the provider to order for a patient admitted with pneumonia who was unable to produce sputum for a culture?
Which antibiotic will the nurse expect the provider to order for a patient admitted with pneumonia who was unable to produce sputum for a culture?
Which statement by the nurse is correct when teaching a patient who will be discharged home from the hospital to take amoxicillin twice daily for ten days?
Which statement by the nurse is correct when teaching a patient who will be discharged home from the hospital to take amoxicillin twice daily for ten days?
What is the nurse's next action when reviewing the patient's chart and noting that the patient previously experienced a rash when taking amoxicillin, before administering the first dose of intravenous ceftriaxone?
What is the nurse's next action when reviewing the patient's chart and noting that the patient previously experienced a rash when taking amoxicillin, before administering the first dose of intravenous ceftriaxone?
Which action will the nurse take when preparing to give a dose of cephalosporin medication to a patient who has received the antibiotic for two weeks and the nurse notes ulcers on the patient's tongue and buccal mucosa?
Which action will the nurse take when preparing to give a dose of cephalosporin medication to a patient who has received the antibiotic for two weeks and the nurse notes ulcers on the patient's tongue and buccal mucosa?
Which statement by the patient indicates a need for further teaching when the nurse is providing teaching to a patient who will begin taking cephalosporin to treat an infection?
Which statement by the patient indicates a need for further teaching when the nurse is providing teaching to a patient who will begin taking cephalosporin to treat an infection?
What is the most important reason for obtaining a urine specimen for culture and sensitivity before starting antibiotic therapy for a urinary tract infection?
What is the most important reason for obtaining a urine specimen for culture and sensitivity before starting antibiotic therapy for a urinary tract infection?
Why is a broad-spectrum antibiotic frequently used to treat pneumonia when the offending organism is not identified by culture and sensitivity?
Why is a broad-spectrum antibiotic frequently used to treat pneumonia when the offending organism is not identified by culture and sensitivity?
What is the nurse's primary concern when a patient reports developing a rash while taking amoxicillin?
What is the nurse's primary concern when a patient reports developing a rash while taking amoxicillin?
If a patient develops a rash while taking an antibiotic, the nurse should instruct them to:
If a patient develops a rash while taking an antibiotic, the nurse should instruct them to:
Which of the following foods should a patient avoid while taking amoxicillin?
Which of the following foods should a patient avoid while taking amoxicillin?
If a nurse notices that a penicillin G procaine solution has a milky color, what action should they take?
If a nurse notices that a penicillin G procaine solution has a milky color, what action should they take?
If a patient is taking azithromycin for an exacerbation of chronic bronchitis and also takes digoxin and warfarin, the nurse should expect:
If a patient is taking azithromycin for an exacerbation of chronic bronchitis and also takes digoxin and warfarin, the nurse should expect:
If a patient reports having had a rash when taking penicillin, the nurse should contact the provider to:
If a patient reports having had a rash when taking penicillin, the nurse should contact the provider to:
If a patient is receiving a high dose of intravenous azithromycin and also taking acetaminophen, which lab values should the nurse monitor for side effects?
If a patient is receiving a high dose of intravenous azithromycin and also taking acetaminophen, which lab values should the nurse monitor for side effects?
Which of the following actions does NOT contribute to bacterial resistance to antibiotics?
Which of the following actions does NOT contribute to bacterial resistance to antibiotics?
If a patient is taking penicillin and reports having had a rash in the past, the nurse should NOT:
If a patient is taking penicillin and reports having had a rash in the past, the nurse should NOT:
Which of the following foods is safe for a patient to consume while taking amoxicillin?
Which of the following foods is safe for a patient to consume while taking amoxicillin?
According to the instructions, when should antacids be taken in relation to azithromycin?
According to the instructions, when should antacids be taken in relation to azithromycin?
Why should azithromycin be taken 1 hour before or 2 hours after meals?
Why should azithromycin be taken 1 hour before or 2 hours after meals?
If a patient experiences watery diarrhea while taking azithromycin, what should they do?
If a patient experiences watery diarrhea while taking azithromycin, what should they do?
If a patient is taking warfarin and needs to start clarithromycin, what action should the nurse take?
If a patient is taking warfarin and needs to start clarithromycin, what action should the nurse take?
Which macrolide order should the nurse question for a patient who is allergic to penicillin and plans to take fluconazole?
Which macrolide order should the nurse question for a patient who is allergic to penicillin and plans to take fluconazole?
Why are serum drug peak and trough levels necessary for certain drugs?
Why are serum drug peak and trough levels necessary for certain drugs?
If a patient's serum drug trough level is below the normal range, what can the nurse expect?
If a patient's serum drug trough level is below the normal range, what can the nurse expect?
When should doxycycline be taken in relation to meals?
When should doxycycline be taken in relation to meals?
What is the recommended timing for taking antacids in relation to tetracyclines?
What is the recommended timing for taking antacids in relation to tetracyclines?
Why might a high tetracycline dose be prescribed?
Why might a high tetracycline dose be prescribed?
Which laboratory values should the nurse monitor for a patient receiving high doses of tetracycline?
Which laboratory values should the nurse monitor for a patient receiving high doses of tetracycline?
What advice should the nurse give to a patient taking oral contraceptives while being prescribed doxycycline?
What advice should the nurse give to a patient taking oral contraceptives while being prescribed doxycycline?
If an infant receiving intravenous gentamicin has not had a wet diaper for several hours, what should the nurse do?
If an infant receiving intravenous gentamicin has not had a wet diaper for several hours, what should the nurse do?
A 70-kg patient receiving gentamicin reports ringing in the ears. What should the nurse discuss with the provider?
A 70-kg patient receiving gentamicin reports ringing in the ears. What should the nurse discuss with the provider?
When administering intravenous ampicillin and gentamicin, what is an important nursing action?
When administering intravenous ampicillin and gentamicin, what is an important nursing action?
If a patient's serum gentamicin peak level is 9 mcg/mL and trough level is 2 mcg/mL, what action should the nurse take?
If a patient's serum gentamicin peak level is 9 mcg/mL and trough level is 2 mcg/mL, what action should the nurse take?
Which statement about administering intravenous gentamicin is correct?
Which statement about administering intravenous gentamicin is correct?
What is a potential adverse effect of gentamicin that the nurse should monitor for?
What is a potential adverse effect of gentamicin that the nurse should monitor for?
When administering intravenous ampicillin and gentamicin, what action should the nurse take to prevent mixing the drugs?
When administering intravenous ampicillin and gentamicin, what action should the nurse take to prevent mixing the drugs?
What should the nurse do if a patient reports ringing in the ears while receiving gentamicin?
What should the nurse do if a patient reports ringing in the ears while receiving gentamicin?
According to the concept of minimal effective concentration (MEC) of antibiotics, which statement indicates the nursing student's understanding?
According to the concept of minimal effective concentration (MEC) of antibiotics, which statement indicates the nursing student's understanding?
What is the most likely cause of a patient's infection not responding to an antibiotic that has been used successfully several times before?
What is the most likely cause of a patient's infection not responding to an antibiotic that has been used successfully several times before?
If a patient previously experienced a severe rash when taking penicillin, what action should the nurse take when preparing to administer amoxicillin?
If a patient previously experienced a severe rash when taking penicillin, what action should the nurse take when preparing to administer amoxicillin?
If a patient has been receiving an antibiotic for 2 days after a culture was obtained, what is the nurse's understanding of this situation?
If a patient has been receiving an antibiotic for 2 days after a culture was obtained, what is the nurse's understanding of this situation?
Which statement about administering intravenous gentamicin is correct?
Which statement about administering intravenous gentamicin is correct?
Which of the following foods should a patient avoid while taking amoxicillin?
Which of the following foods should a patient avoid while taking amoxicillin?
Which statement by the patient indicates an understanding of the teaching regarding azithromycin?
Which statement by the patient indicates an understanding of the teaching regarding azithromycin?
When the nurse learns that a patient taking warfarin will begin taking clarithromycin, which action should the nurse take?
When the nurse learns that a patient taking warfarin will begin taking clarithromycin, which action should the nurse take?
Which macrolide order would the nurse question for a patient allergic to penicillin who plans to take fluconazole?
Which macrolide order would the nurse question for a patient allergic to penicillin who plans to take fluconazole?
For which type of drug are serum drug peak and trough levels necessary?
For which type of drug are serum drug peak and trough levels necessary?
If a patient's serum drug trough is below the normal range, what will the nurse expect the patient to experience?
If a patient's serum drug trough is below the normal range, what will the nurse expect the patient to experience?
How should the nurse plan to give doxycycline to a patient?
How should the nurse plan to give doxycycline to a patient?
Which statement by the nurse is correct when teaching a patient who will be discharged home from the hospital to take amoxicillin twice daily for ten days?
Which statement by the nurse is correct when teaching a patient who will be discharged home from the hospital to take amoxicillin twice daily for ten days?
What is the most likely reason for a patient's infection not responding to an antibiotic that has been successfully used before?
What is the most likely reason for a patient's infection not responding to an antibiotic that has been successfully used before?
If a patient is taking azithromycin for an exacerbation of chronic bronchitis and also takes digoxin and warfarin, the nurse should expect:
If a patient is taking azithromycin for an exacerbation of chronic bronchitis and also takes digoxin and warfarin, the nurse should expect:
Which antibiotic will the nurse expect the provider to order for a patient admitted with pneumonia who was unable to produce sputum for a culture?
Which antibiotic will the nurse expect the provider to order for a patient admitted with pneumonia who was unable to produce sputum for a culture?
What should a patient do if they develop a rash while taking an antibiotic?
What should a patient do if they develop a rash while taking an antibiotic?
Which of the following foods should a patient avoid while being treated with amoxicillin?
Which of the following foods should a patient avoid while being treated with amoxicillin?
What is the appearance of Penicillin G procaine and how should a nurse respond to it?
What is the appearance of Penicillin G procaine and how should a nurse respond to it?
What effect can azithromycin have on the effectiveness of digoxin and warfarin?
What effect can azithromycin have on the effectiveness of digoxin and warfarin?
If a patient has had a rash when taking penicillin, what alternative drug may be used?
If a patient has had a rash when taking penicillin, what alternative drug may be used?
Which lab values should be monitored when a patient is taking high doses of intravenous azithromycin along with acetaminophen?
Which lab values should be monitored when a patient is taking high doses of intravenous azithromycin along with acetaminophen?
Which laboratory values will the nurse expect to monitor while caring for a patient receiving high doses of tetracycline?
Which laboratory values will the nurse expect to monitor while caring for a patient receiving high doses of tetracycline?
When teaching a female patient about taking doxycycline to treat a sexually transmitted infection (STI), what important information should the nurse include?
When teaching a female patient about taking doxycycline to treat a sexually transmitted infection (STI), what important information should the nurse include?
If an infant receiving intravenous gentamicin has not had a wet diaper for several hours, what should the nurse do?
If an infant receiving intravenous gentamicin has not had a wet diaper for several hours, what should the nurse do?
A 70-kg patient is receiving gentamicin 85 mg 4 times daily and reports experiencing ringing in the ears. What should the nurse discuss with the provider?
A 70-kg patient is receiving gentamicin 85 mg 4 times daily and reports experiencing ringing in the ears. What should the nurse discuss with the provider?
When preparing to administer intravenous ampicillin and gentamicin to a patient, what is an important nursing action?
When preparing to administer intravenous ampicillin and gentamicin to a patient, what is an important nursing action?
The nurse reviews a patient's chart and notes that the last serum peak gentamicin level was 9 mcg/mL and the last trough level was 2 mcg/mL. What action should the nurse take?
The nurse reviews a patient's chart and notes that the last serum peak gentamicin level was 9 mcg/mL and the last trough level was 2 mcg/mL. What action should the nurse take?
Which of the following is the most likely cause of a patient's infection not responding to an antibiotic that has been used successfully several times before?
Which of the following is the most likely cause of a patient's infection not responding to an antibiotic that has been used successfully several times before?
What is a potential adverse effect of gentamicin that the nurse should monitor for?
What is a potential adverse effect of gentamicin that the nurse should monitor for?
Why might a high tetracycline dose be prescribed?
Why might a high tetracycline dose be prescribed?
If a patient's serum gentamicin trough level is below the normal range, what can the nurse expect?
If a patient's serum gentamicin trough level is below the normal range, what can the nurse expect?
What is the nurse's best action when preparing to give a dose of cephalosporin medication to a patient who has received the antibiotic for two weeks and the nurse notes ulcers on the patient's tongue and buccal mucosa?
What is the nurse's best action when preparing to give a dose of cephalosporin medication to a patient who has received the antibiotic for two weeks and the nurse notes ulcers on the patient's tongue and buccal mucosa?
What is the most important reason for obtaining a urine specimen for culture and sensitivity before starting antibiotic therapy for a urinary tract infection?
What is the most important reason for obtaining a urine specimen for culture and sensitivity before starting antibiotic therapy for a urinary tract infection?
Which statement by the patient indicates a need for further teaching when the nurse is providing instructions to a patient who will begin taking cephalosporin to treat an infection?
Which statement by the patient indicates a need for further teaching when the nurse is providing instructions to a patient who will begin taking cephalosporin to treat an infection?
What should the nurse do if a patient reports ringing in the ears while receiving gentamicin?
What should the nurse do if a patient reports ringing in the ears while receiving gentamicin?
Which action will the nurse take when reviewing the patient's chart and noting that the patient previously experienced a rash when taking amoxicillin, before administering the first dose of intravenous ceftriaxone?
Which action will the nurse take when reviewing the patient's chart and noting that the patient previously experienced a rash when taking amoxicillin, before administering the first dose of intravenous ceftriaxone?
Why is a broad-spectrum antibiotic frequently used to treat pneumonia when the offending organism is not identified by culture and sensitivity?
Why is a broad-spectrum antibiotic frequently used to treat pneumonia when the offending organism is not identified by culture and sensitivity?
What should a patient do if diarrhea occurs while taking amoxicillin?
What should a patient do if diarrhea occurs while taking amoxicillin?
What is the nurse's next action based on the patient's increased erythema, swelling, and persistent high fever?
What is the nurse's next action based on the patient's increased erythema, swelling, and persistent high fever?
Which intervention is most important before administering an antibiotic to a patient admitted for a urinary tract infection?
Which intervention is most important before administering an antibiotic to a patient admitted for a urinary tract infection?
What will the nurse expect if a patient admitted for pneumonia could not produce sputum for culture?
What will the nurse expect if a patient admitted for pneumonia could not produce sputum for culture?
What is the minimal effective concentration (MEC) of antibiotics primarily responsible for?
What is the minimal effective concentration (MEC) of antibiotics primarily responsible for?
Why might a patient's current urinary tract infection not respond to an antibiotic that was previously effective?
Why might a patient's current urinary tract infection not respond to an antibiotic that was previously effective?
What action should a nurse take when a patient with a history of penicillin allergy needs to take amoxicillin?
What action should a nurse take when a patient with a history of penicillin allergy needs to take amoxicillin?
What should be the nurse's understanding when preparing to administer an antibiotic after 2 days of culture-based treatment?
What should be the nurse's understanding when preparing to administer an antibiotic after 2 days of culture-based treatment?
Which laboratory values will the nurse expect to monitor while caring for a patient receiving high doses of tetracycline?
Which laboratory values will the nurse expect to monitor while caring for a patient receiving high doses of tetracycline?
When teaching a female patient about taking doxycycline for a sexually transmitted infection, what information will the nurse include?
When teaching a female patient about taking doxycycline for a sexually transmitted infection, what information will the nurse include?
If an infant receiving intravenous gentamicin has not had a wet diaper for several hours, what should the nurse do?
If an infant receiving intravenous gentamicin has not had a wet diaper for several hours, what should the nurse do?
A 70-kg patient is receiving gentamicin 85 mg 4 times daily and reports experiencing ringing in the ears. What should the nurse discuss with the provider?
A 70-kg patient is receiving gentamicin 85 mg 4 times daily and reports experiencing ringing in the ears. What should the nurse discuss with the provider?
When preparing to administer intravenous ampicillin and gentamicin to a patient, what is an important nursing action?
When preparing to administer intravenous ampicillin and gentamicin to a patient, what is an important nursing action?
The nurse reviews a patient's chart and notes that the last serum peak gentamicin level was 9 mcg/mL and the last trough level was 2 mcg/mL. What action should the nurse take?
The nurse reviews a patient's chart and notes that the last serum peak gentamicin level was 9 mcg/mL and the last trough level was 2 mcg/mL. What action should the nurse take?
If a patient is taking azithromycin for an exacerbation of chronic bronchitis and also takes digoxin and warfarin, the nurse should expect:
If a patient is taking azithromycin for an exacerbation of chronic bronchitis and also takes digoxin and warfarin, the nurse should expect:
Which statement by the patient indicates a need for further teaching when the nurse is providing instructions to a patient who will begin taking cephalosporin to treat an infection?
Which statement by the patient indicates a need for further teaching when the nurse is providing instructions to a patient who will begin taking cephalosporin to treat an infection?
If a patient has been receiving an antibiotic for 2 days after a culture was obtained, what is the nurse's understanding of this situation?
If a patient has been receiving an antibiotic for 2 days after a culture was obtained, what is the nurse's understanding of this situation?
What is the most important reason for obtaining a urine specimen for culture and sensitivity before starting antibiotic therapy for a urinary tract infection?
What is the most important reason for obtaining a urine specimen for culture and sensitivity before starting antibiotic therapy for a urinary tract infection?
A patient is prescribed azithromycin and reports developing watery diarrhea while taking it. What should the patient do?
A patient is prescribed azithromycin and reports developing watery diarrhea while taking it. What should the patient do?
A patient taking warfarin is prescribed clarithromycin. What action should the nurse take?
A patient taking warfarin is prescribed clarithromycin. What action should the nurse take?
A patient allergic to penicillin is prescribed erythromycin and plans to take fluconazole for a potential yeast infection. What should the nurse question?
A patient allergic to penicillin is prescribed erythromycin and plans to take fluconazole for a potential yeast infection. What should the nurse question?
Why are serum drug peak and trough levels necessary for certain antibiotics?
Why are serum drug peak and trough levels necessary for certain antibiotics?
If a patient's serum drug trough level is below the normal range, what can the nurse expect?
If a patient's serum drug trough level is below the normal range, what can the nurse expect?
When should doxycycline, a tetracycline antibiotic, be taken in relation to meals?
When should doxycycline, a tetracycline antibiotic, be taken in relation to meals?
If a patient reports ringing in the ears while receiving gentamicin, what should the nurse discuss with the provider?
If a patient reports ringing in the ears while receiving gentamicin, what should the nurse discuss with the provider?
A patient is prescribed azithromycin and plans to take antacids for heartburn. When should the antacids be taken in relation to azithromycin?
A patient is prescribed azithromycin and plans to take antacids for heartburn. When should the antacids be taken in relation to azithromycin?
What is the most likely cause of a patient's infection not responding to an antibiotic that has been used successfully before?
What is the most likely cause of a patient's infection not responding to an antibiotic that has been used successfully before?
When administering intravenous ampicillin and gentamicin, what action should the nurse take to prevent mixing the drugs?
When administering intravenous ampicillin and gentamicin, what action should the nurse take to prevent mixing the drugs?
What is the appropriate action if a patient develops a rash while taking an antibiotic?
What is the appropriate action if a patient develops a rash while taking an antibiotic?
Which food should a patient avoid while being treated with amoxicillin?
Which food should a patient avoid while being treated with amoxicillin?
What should the nurse do if penicillin G procaine appears milky in color?
What should the nurse do if penicillin G procaine appears milky in color?
What effect can azithromycin have on digoxin and warfarin when taken together?
What effect can azithromycin have on digoxin and warfarin when taken together?
If a patient has previously experienced a rash with penicillin, what is the preferred alternative drug?
If a patient has previously experienced a rash with penicillin, what is the preferred alternative drug?
When should antibiotics be stopped if a rash develops?
When should antibiotics be stopped if a rash develops?
What is the nurse's next best action based on the patient's increased erythema, swelling, and persistent high fever?
What is the nurse's next best action based on the patient's increased erythema, swelling, and persistent high fever?
Which action is most important before administering the first dose of an antibiotic to a patient admitted for a urinary tract infection?
Which action is most important before administering the first dose of an antibiotic to a patient admitted for a urinary tract infection?
Why is a broad-spectrum antibiotic frequently used to treat pneumonia when the offending organism is not identified by culture and sensitivity?
Why is a broad-spectrum antibiotic frequently used to treat pneumonia when the offending organism is not identified by culture and sensitivity?
Which statement by the patient indicates a need for further teaching when the nurse is providing teaching to a patient who will begin taking cephalosporin to treat an infection?
Which statement by the patient indicates a need for further teaching when the nurse is providing teaching to a patient who will begin taking cephalosporin to treat an infection?
What action will the nurse take when preparing to give a dose of cephalosporin medication to a patient who has received the antibiotic for two weeks and the nurse notes ulcers on the patient's tongue and buccal mucosa?
What action will the nurse take when preparing to give a dose of cephalosporin medication to a patient who has received the antibiotic for two weeks and the nurse notes ulcers on the patient's tongue and buccal mucosa?
What is the most important reason for obtaining a urine specimen for culture and sensitivity before starting antibiotic therapy for a urinary tract infection?
What is the most important reason for obtaining a urine specimen for culture and sensitivity before starting antibiotic therapy for a urinary tract infection?
If a patient has had a rash when taking penicillin, what alternative drug may be used?
If a patient has had a rash when taking penicillin, what alternative drug may be used?
What should the nurse do if a patient reports ringing in the ears while receiving gentamicin?
What should the nurse do if a patient reports ringing in the ears while receiving gentamicin?
Which laboratory values will the nurse expect to monitor while caring for a patient receiving high doses of tetracycline?
Which laboratory values will the nurse expect to monitor while caring for a patient receiving high doses of tetracycline?
What is the appearance of Penicillin G procaine and how should a nurse respond to it?
What is the appearance of Penicillin G procaine and how should a nurse respond to it?
