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Antibiotics 4

Total questions: 15

Worksheet time: 8mins

Name
Class
Date
1.

A patient develops an infection 3 days after hospital admission. This infection is best classified as:

a)

Community-acquired infection

b)

Health care–associated infection

c)

Secondary infection

d)

Opportunistic infection

2.

Which action is most effective in preventing health care–associated infections?

a)

Using sterile gloves for all care

b)

Handwashing before and after all care

c)

Wearing a mask for all procedures

d)

Double-gloving during wound care

3.

Which mechanism of action is shared by penicillins and cephalosporins?

a)

Interfere with bacterial cell wall synthesis

b)

Inhibit protein synthesis

c)

Alter DNA replication

d)

Interfere with folic acid metabolism

4.

Which are beta-lactam antibiotics? (Select all that apply.)

a)

Penicillins

b)

Cephalosporins

c)

Carbapenems

d)

Macrolides

e)

Monobactams

5.

A patient on warfarin begins sulfamethoxazole/trimethoprim. The nurse anticipates:

a)

No interaction

b)

Decreased bleeding risk

c)

Increased anticoagulant effect

d)

Shortened PT

6.

Which statements about sulfonamides are true? (Select all that apply.)

a)

Bactericidal

b)

Inhibit folic acid synthesis

c)

Treat UTIs

d)

Cause photosensitivity

e)

Effective against viruses

7.

A patient on penicillin reports SOB and facial swelling after first dose. What is the first action?

a)

Document the reaction

b)

Stop drug and notify provider

c)

Give acetaminophen

d)

Encourage rest

8.

A patient with hives after penicillin should avoid which drug?

a)

Erythromycin

b)

Ciprofloxacin

c)

Cefazolin

d)

Doxycycline

9.

What teaching should the nurse include for oral antibiotics? (Select all that apply.)

a)

Take all doses

b)

Stop when better

c)

Take around the clock

d)

Double missed doses

e)

Report superinfection

10.

Which adverse effect is common with erythromycin?

a)

Hypotension

b)

GI upset

c)

Hearing loss

d)

Photosensitivity

11.

The nurse should withhold tetracycline from which patient?

a)

Adult with acne

b)

Pregnant woman

c)

Adult with HTN

d)

Teen with pneumonia

12.

Which precautions apply for doxycycline? (Select all that apply.)

a)

Avoid milk/antacids

b)

Use sunscreen

c)

Expect orange urine

d)

Avoid in pregnancy

e)

Take with iron

13.

The nurse is giving imipenem/cilastatin. Which finding needs attention?

a)

Nausea

b)

Dizziness

c)

Seizure history

d)

Mild diarrhea

14.

Which nursing action takes priority before starting antibiotics?

a)

Assess for nausea

b)

Obtain cultures

c)

Check temp

d)

Educate patient

15.

A patient on broad-spectrum antibiotics reports white patches in the mouth and itching. Best response?

a)

Expected effect

b)

Continue med

c)

Notify provider

d)

Reduce dose