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WorksheetsNUR 311 Antibacterial/Antimycobacterial F25
Total questions: 15
Worksheet time: 6mins
A nurse is providing education on antibiotic sensitivity to bacterial infections. The education should include that oral vancomycin is indicated for which of the following infections?
Pseudomonas aeruginosa
Klebsiella
Candida
Clostridiodes difficile
A nurse is providing education to a patient who has a urinary tract infection and is taking a fluoroquinolone ciprofloxacin. Which of the following instructions should the nurse give to the client? Select all that apply.
"If the medicine causes an upset stomach, take an antacid at the same time."
"Limit your daily fluid intake while taking this medication."
"This medication can cause photophobia, so be sure to wear sunglasses outdoors."
"You should report any tendon discomfort you experience while taking this medication."
A nurse is caring for a patient who is receiving an aminoglycocide gentamicin intermittent IV bolus every 8 hours. A peak and trough level is required with the next dose. Which of the following actions should the nurse take to obtain an accurate gentamicin serum level?
Draw a trough level at 0900 and a peak level at 2100.
Draw a peak level 90 min prior to administering the medication and a trough level 90 min after the dose.
Draw a trough level 30-60min prior to administering the medication and a peak level 30 min after the dose.
Draw a peak level at 0900 and a trough level at 2100.
A nurse is caring for a patient who has a bacterial infection and is receiving vancomycin. Which of the following actions should the nurse take to minimize the risk of an adverse effect of the medication?
Limit the client's fluid intake.
Instruct the client to report agitation.
Monitor peak and trough levels.
Administer the medicine with food.
A nurse is assessing a patient who is receiving IV vancomycin. The nurse notes a flushing of the neck and tachycardia. Which of the following actions should the nurse take?
Document that the client experienced an anaphylactic reaction to the medication.
Change the IV infusion site.
Decrease the infusion rate on the IV.
Apply cold compresses to the neck area.
A nurse is reviewing the medication record for a patient who has chronic kidney disease. Which of the following medications should the nurse identify as having the potential to cause nephrotoxicity? Select all that apply.
vancomycin
erythromycin
gentamicin
tetracycline
A nurse is preparing to administer a cephalosporin cephalexin oral suspension to an older adult patient who has difficulty swallowing pills. Which of the following actions should the nurse take?
Check the patient for a penicillin allergy/
Monitor the patient for constipation.
Store the medication at room temperature.
Administer via IV push.
When providing education to a patient concerning antibiotics which of the following instructions should the nurse provide? Select all that apply.
Take all of the medication as prescribed
Drink plenty of water
Always take antibiotics with food
Do not share antibiotics with others
The physician has ordered a third generation cephalosporin to treat a patient with meningitis. What is the best explanation for this choice?
later generation cephalosporins cross the blood brain barrier
later generation cephalosporins are low cost
later generation cephalosporins rarely cause superinfections
later generation cephalosporins have less adverse reactions
A nurse providing education to a female patient for a tetracycline prescription should discuss which of the following? Select all that apply?
possibility of current pregnancy
use alternate types of contraception
use sunscreen and wear a hat
avoid taking with dairy products
Macrolides are contraindicated in patients with which of the following?
liver impairment
prolonged QT
GI disorders
visual impairment
A nurse is administering an IV aminoglycoside to a client. The nurse should expect to monitor all of the following lab values except?
peak and trough
BUN
CBC
serum creatinine
A nurse is providing education to a patient for an aminoglycoside. Which of the following should the patient report to the physician?
new onset hearing loss
heart palpitations
pregnancy
excess bleeding
A patient is receiving an antitubercular rifampin for treatment of tuberculosis. The nurse should include education on which of the following? Select all that apply.
Discolored bodily fluids
Jaundice
Sweating
alternative contraception
The antimycobacterial isoniazid is contraindicated in patients with which of the following?
Hearing loss
Chronic liver disease
Pregnancy
Milk allergy
