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WorksheetsPharm: Antiboitcs
Total questions: 93
Worksheet time: 2hrs 32mins
Penicillin G has been prescribed for a patient. Which nursing intervention(s) should the nurse perform for this patient? (Select all that apply)
Collect culture and sensitivity before the first dose.
Monitor the patient's I&Os.
Instruct the patient to limit fluid intake to 1000 ml/day.
Have epinephrine on hand for potential severe allergic reaction.
Which instruction should the nurse give a 21-year-old female patient being treated with ampicillin?
Stop taking oral contraceptives because serious adverse effects could occur
Use oral contraceptives as prescribed because antibiotics do not react with birth control
The antibiotics may decrease the effectiveness of oral contraceptives
The antibiotic, when taken with oral contraceptives, causes toxicity
Match the following patient symptoms or conditions with the most likely cause related to imipenem-cilastatin therapy.
Hypersensitivity reaction
Shortness of breath, mouth and tongue swelling, and generalized itching after imipenem-cilastatin administration
Blood dyscrasias
Abnormal blood cell counts following imipenem-cilastatin therapy
Beta-lactamase induction
Development of resistance due to enzyme production during imipenem-cilastatin use
Drug toxicity
Symptoms due to excessive levels of imipenem-cilastatin in the body
The LPN enters a patient's room to find that his heart rate is 120, blood pressure 70/50, and has red blotching of his face and neck. Vancomycin is running intravenously. What action will the LPN take?
Stop the infusion and call the health care provider
Report onset of Stevens-Johnson syndrome to the health care provider
Encourage the patient to drink more fluids
Notify the RN immediately
A patient is receiving tetracycline. Which advice should the nurse include when teaching this patient about tetracycline?
Take an antacid with the drug to prevent severe gastrointestinal distress
Obtain frequent hearing tests for early detection of hearing loss
Obtain frequent eye checkups for early detection of retinal damage
Take sunscreen precautions when at the beach
A patient is prescribed erythromycin. Which home drug would the nurse be concerned about?
metoprolol (Lopressor)
prazosin (Minipress)
warfarin (Coumadin)
metformin (Glucophage)
Match each laboratory result with the clinical scenario that would most likely prompt the nurse to consult with the prescriber before administering gentamicin for a postoperative wound infection.
Decreased blood urea nitrogen (BUN) level
A patient with a low BUN result prior to gentamicin administration
Elevated serum creatinine level
A patient with a high serum creatinine result prior to gentamicin administration
Increased white blood cell (WBC) count
A patient with an increased WBC count prior to gentamicin administration
Elevated serum iron level
A patient with an elevated serum iron result prior to gentamicin administration
The nurse is instructing a diabetic patient on a new prescription for ciprofloxacin (Cipro) and will include which instructions? Select all that apply.
Notify your provider for any pain in your heel, elbows, knees, or wrists.
Monitor your blood sugars frequently. The antibiotic can cause hyperglycemia
This antibiotic can make you dizzy or confused
Avoid prolonged exposure to sunlight.
Your patient has been prescribed trimethoprim-sulfamethoxazole. What should the nurse include in the patient teaching?
Drink plenty of fluids
Go for a walk every afternoon
stop taking the antibiotic once you feel better
Do not pass go, do not collect $200
clindamycin belongs to what antibacterial class?
Tetracyclines
Lincosamides
Cephalosporins
Macrolides
Cephalosporins are used in the treatment of what bacteria?
Gram-negative bacteria
Gram-positive bacteria
Dont click me
It's not me
Chose the correct statement:
It's not this one
It is not me
It is definitely me
It's definitely not me
Penicillin G has been prescribed for a patient. Which nursing intervention(s) should the nurse perform for this patient? (Select all that apply)
Collect culture and sensitivity before the first dose.
Monitor the patient's I&Os.
Instruct the patient to limit fluid intake to 1000 ml/day.
Have epinephrine on hand for potential severe allergic reaction.
A bacterium, virus, or other microorganism that can cause disease is a __________________.
antibody
pathogen
host
vaccine
Which of the following is NOT part of the human body's 1st line of defense against pathogens?
skin
mucus lining of the nose
white blood cells
stomach acid
Antibiotics (chemicals created in a lab designed to kill disease-causing living things) (a) destroy viruses.
Can antibiotics (chemicals created in a lab designed to kill disease-causing living things) destroy bacteria?
yes
no
Penicillin, amoxicillin and azithromycin are examples of ________________.
antibodies
antibiotics
vaccines
Overuse of antibiotics can lead to (a)
How do humans benefit from bacteria living in the digestive system?
Bacteria clean up oil spills.
Bacteria help break down food.
Bacteria fix nitrogen.
Bacteria produce oxygen via photosynthesis.
Your patient has tested positive for Chlamydia. The Macrolide antibiotic you might expect to be prescribed is (a) .
Why is it important to save certain antibiotics for highly resistant infections?
To lower the risk for resistance to a "last-resort" medication
Because infectious disease doctors are stingy
It is not important
So patients won't complain about their hospital bill
Your patient was just prescribed antibiotics. Though diarrhea and upset stomach are common side effects, C-Diff can also cause similar symptoms. What are you going to tell your patient to watch for?
Cough and Nasal Congestion
Rash in the shape of a target or bull's eye
Watery diarrhea that occurs more than 10 times per day
The sudden urge to dance to Drake's Tootsie Slide
Your patient has just been prescribed Gentamicin, which is an aminoglycocide. Since these medications can be ototoxic, what are you going to teach your patient is NOT a normal side effect?
Bad Headache for 2 days, followed by nausea and vertigo
Diarrhea and nausea
Dizziness for 2 days, following by a bad headache and nausea
Feeling of "fullness" in the ear
Why is it important to closely monitor blood levels of aminoglycosides?
Infectious disease doctors like to make more work for nurses
It's not. The same dose produces the same blood levels in different patients.
The same dose can produce very different blood levels in different patients
You are a nurse working on the Med-Surg floor. The ED is sending you a new patient with pneumonia. During handoff, the ED nurse tells you that they have already started antibiotics as ordered, BUT the blood cultures have NOT been done. Is this appropriate?
YES
NO
What could be a reason antibiotics are prescribed to a patient?
What is the generic name for Amoxil ?
What is the generic name for Cipro?
What is the generic name for Levaquin?
The vaccines trigger the immune system creating specific ______________ for the pathogen.
Antigens
Antibodies
Medicine
Cells
(a) has an outer membrane (2nd cell membrane).
Select the example of something which does not cause antibiotic resistance.
Not finishing a course of antibiotics.
Giving antibiotics to live stock (animals we eat).
Using antibiotics when we don't need them.
Finishing a course of antibiotics.
Antibiotic resistance is a huge problem because the antibiotics we have now to fight bacteria will not work. Therefore we will need to make new kinds of .......... to fight the new types of ...........
antibiotics, bacteria
bacteria, antibiotics
antibodies, bacteria
antibiotics, viruses
Penicillins do not share cross reactions or the potential for causing allergic reactions.
True
False
Antibiotics that retard the growth of bacteria are known as (a) agents.
Which are classified as Anti-Infectives?
Penicillins
Cephalosporins
Aminoglycosides
Narcotic Antagonist
Penicillins do not share cross reactions or the potential for causing allergic reactions.
True
False
To ensure accurate C&S results, when should the patient start to receive antibiotic therapy?
before specimen is obtained and sent to lab
after specimen is obtained and sent to lab
at the time of specimen collection
when the specimen is sent to lab
When is the best time to administer an Azithromycin oral suspension or Erythromycin?
Select all that apply
1hr before a meal
with a meal
2-3hrs after a meal
on an empty stomach
The nurse should never instruct the client to take the full prescribed dose of any antibiotic, even though symptoms subside.
True
False
Which type of antibiotics are most likely to cause side-effects?
Narrow spectrum antibiotics
Broad spectrum antibiotics
Antibiotics made from plants
Antibiotics made from animals
What is antibiotic resistance?
The ability of antibiotics to fight viral infections
The ability of bacteria to multiply rapidly
The ability of previously sensitive species of bacteria to resist the effects of antibiotics
The ability of antibiotics to cure all types of infections
In general, what is the common mechanism of action of antifungals?
stop cell wall synthesis
stop protein synthesis
stop nucleic acid synthesis
they target sterols in the plasma membrane
What drug is the most versatile and effective antifungal and is often used to treat systemic fungal infections?
Amphotericin B
Vancomycin
miconazole
tetracycline
Why is it necessary to practice HAART when treating HIV?
the antiviral drugs are broad spectrum
there are few points in the replication cycle where we can target HIV
HIV replicates very rapidly
to decrease the development of drug resistant virus
Selective toxicity means that
the drug kills only a small subset of microbes
the drug kills bacteria but not helminths
the drug kills microbes but is not harmful to the host
the drug can be used at a wide range of concentrations
The first discovered antibiotic was
tetracycline
novobiocin
penicillin
azithromycin
Over half of the antibiotics are made by
bacteria
fungi
helminths
protozoa
Which of the following are mechanisms of action of antimicrobial drugs (choose all that apply)
damaging the plasma membrane
inhibit nucleic acid synthesis
altering cell surface receptors on the bacteria
inhibit metabolic pathways
Beta-lactamases are enzymes that (choose all that apply)
make penicillin
cleave the ring structure of penicillins
are made by humans
are made by some bacteria
Ampicillin and amoxicillin
are used to treat fungal infections
are effective only against Gram positive bacteria
are effective against Gram positive and Gram negative bacteria
target nucleic acid synthesis of bacteria
Carbapenems
are used to treat fungal infections
are effective against most organisms isolated from hospital patients
are effective antivirals
are used to treat ear infections
This term describes when the effect of two drugs together is greater than the effect of either alone
synergism
selective toxicity
broad spectrum
commensalism
Which is NOT one of the antibiotics typically contained in over the counter antibiotic cream?
bacitracin
erythromycin
neomycin
polymyxin B
Erythromycin and Azithromycin are used to treat
fungal infections
influenza
ear and respiratory infections and others commonly caused by Staph and Strep
malaria
Tetracycline (choose all that apply)
is a broad spectrum antibiotic
is useful for intracellular infections such as Rocky Mt. Spotted Fever
can be used to treat Lyme disease
is commonly added to animal feed
Antibiotic that inhibits cell wall formation causing water to rush in and the cell to burst
Penicillins
Tetracyclines
Fluoroquinolones
Sulfonamides
If there is a clear zone where no bacteria are growing around an antibiotic disc, is the bacteria sensitive or resistant?
Sensitive
Resistant
The type of bacteria that has a thin cell wall, an outer protective membrane & stains pink
Gram Postive
Gram Negative
What kind of bacteria is this?
Gram positive
Gram negative
Antibiotic that disrupts DNA gyrase making DNA replication impossible
Penicillins
Tetracyclines
Fluoroquinoline
Sulfonamides
Antibiotic that inhibits the folic acid pathway making folic acid unavailable to the cell
Penicillins
Tetracyclines
Fluoroquinolones
Sulfanamides
If there is bacterial growth all the way up to the edge of an antibiotic disc, is the bacteria sensitive or resistant?
Sensitive
Resistant
What type of bacteria is this?
Gram Postive
Gram Negative
Antibiotic that inhibits cell wall formation causing water to rush in and the cell to burst
Penicillins
Tetracyclines
Fluoroquinolones
Sulfonamides
Antibiotic that disrupts the 30s ribosome making protein synthesis stop
Penicillins
Tetracyclines
Fluoroquinolones
Sulfonamides
Which class is primarily used to treat gram negative bacteria?
Tetracycline
Cephalosporins
Aminoglycosides
Macrolides
Match the following antibiotics with the diseases they are used to treat.
Ciproflafloxacin
Treatment for Anthrax
Azithromycin
Treatment for Chlamydia
Cefadroxil
Treatment for Urinary Tract Infection
Levofloxacin
Treatment for Community-acquired Pneumonia
Idunnoanswermycin
Treatment for Unknown Disease
Dark urine is a side effect for what antibiotic?
Tetracycline
Cephalosporins
Flouroquinolones
Macrolides
Which antibiotic is usually in a drop form?
Gentamicin
Neomycin
Duricef
Erythromycin
Which Boi will save your life if you have septicemia?
Keflex
Doxycycline
Vamcomycin
Streptomycin
Which antibiotic class increases the effects of anticoagulants?
Levaquin
Omnicef
Tetracyclines
Flouroquinolones
Which of the antibiotics in the picture increase light sensitivity?
A,B
C,D
B,E
A,F
Correct combination is not here
Select all that are Aminoglycosides
Streptomycin
Erythromycin
Gentamicin
Neomycin
Azithromycin
What all is true about cephalosporins?
It’s a first choice antibiotic
It’s broad spectrum
High chance of cross allergic reactions with Penicillin
It can harm a developing fetus
What is true about Sulfonamides?
Usually used for dermatological
Adding TMP makes Bactrim
You take it until the infection goes away
Causes urine color change
Has a low allergy rate
The word “antibiotic” means
"against growth"
"against disease"
"against all odds"
“against life”
This class of drugs is contraindicated for those with an allergy to Sulfa
penicillin
macrolides
Sulfonamides
quinolones
In which drug class is there a warning of leg tendon's possibly rupturing while taking.
Quinolones
macrolides
Tetracyclines
sulfonamides
A common side effect when taking antibiotics is
headaches
blurred vision
dry mouth
GI upset
Of the following antibiotic class, (a) may cause immediate and delayed hypersensitivity reactions.
Cephalosporins and Penicillin MOA (mechanism of action) is:
inhibit protein synthesis
destroys cell wall
inhibit growth or multiplication
What is the common stem for penicillins?
-mycin
-cef
-cillin
-cycline
Bacteriostatic means to:
stop the growth and multiplication
destroy the cell wall
inhibit protein synthesis
Fluoroquinolones commonly have this stem?
-mycin
-ceph, -cef
-floxacin
-vir
-cycline
Which of the following is a potential side effect of aminoglycoside antibiotics like gentamicin?
Increased appetite
Hearing loss
Improved vision
Weight gain
What is the main reason for completing the full course of prescribed antibiotics?
To prevent the development of antibiotic-resistant bacteria
To save money on future prescriptions
To avoid allergic reactions
To increase the effectiveness of vaccines
Which of the following drugs is commonly used to treat systemic fungal infections?
Cephalexin
Azithromycin
Penicillin
Amphotericin B
