Font size
WorksheetsPHARM DAY 3 PRE/POST TEST ANTIMICROBIALS
Total questions: 17
Worksheet time: 9mins
Which nursing actions promote accurate antibiotic therapy and prevention of resistance? SELECT ALL THAT APPLY
Collect cultures before starting antibiotics.
Complete the entire course as prescribed.
Save leftover antibiotics for future infections.
Avoid using antibiotics for viral infections.
Discontinue antibiotics as soon as symptoms improve.
A client receiving sulfamethoxazole-trimethoprim (Bactrim) for a urinary tract infection reports widespread rash. What is the nurse’s priority action?
Apply topical antibiotic ointment to lesions.
Continue the medication and monitor progression.
Discontinue the drug and notify the provider immediately.
Administer acetaminophen for fever and discomfort.
Which client would most likely require prophylactic antibiotic therapy?
A client with a viral upper respiratory infection
A client undergoing bowel surgery
A client admitted for dehydration
A client with well-controlled hypertension
A nurse is teaching a client about antibiotic therapy. The client asks why they developed a vaginal yeast infection after taking antibiotics for a sinus infection. Which explanation by the nurse is most accurate?
“The antibiotic was too strong for your body.”
“The antibiotic destroyed protective bacterial flora, allowing other organisms to grow.”
“You must have been reinfected by someone else.”
“This means the bacteria causing your infection became resistant to the antibiotic.”
A nurse notes an order for ceftriaxone in a client with a documented penicillin allergy (hives and shortness of breath). What is the most appropriate nursing action?
Hold the medication and call the provider.
Administer as prescribed and observe for reaction.
Give a test dose to evaluate sensitivity.
Premedicate with an antihistamine.
A client reports that they stopped taking antibiotics once their symptoms improved. The nurse explains that this behavior contributes to resistance because:
The bacteria are completely eliminated early in treatment.
The remaining bacteria mutate and become resistant.
The immune system becomes dependent on the drug.
The antibiotic becomes toxic over time.
To prevent nephrotoxicity in a client on gentamicin, the nurse should:
Encourage hydration and monitor BUN and creatinine.
Administer with NSAIDs to prevent inflammation.
Give with food to reduce stomach irritation.
Give frequent small doses throughout the day.
Which nursing teaching should be included for women of childbearing age prescribed tetracycline?
“It’s safe to use during early pregnancy.”
“Use a reliable form of birth control while taking this medication.”
“If you become pregnant, continue the medication.”
“Tetracycline helps improve fetal bone strength.”
A client taking tetracycline asks why it can’t be given to children. Which is the best nursing response?
“It causes sleepiness and dizziness in young children.”
“It can interfere with tooth and bone development.”
“It causes dehydration in children.”
“It has no effect in children under 8 years old.”
A nurse is providing discharge teaching to a client prescribed tetracycline. Which statement by the client indicates a need for further teaching?
“I’ll use sunscreen and avoid tanning beds while on this medication.”
“I’ll take it with a full glass of water.”
“I can drink milk when I take this pill to reduce stomach upset.”
“I’ll finish the full prescription even if I feel better.”
Which assessment finding most clearly indicates Red Man Syndrome in a client receiving vancomycin?
Hives and wheezing
Red rash on the upper body with hypotension
Swelling of lips and tongue
Fever and chills after infusion
The nurse is preparing to administer vancomycin 1 g IV. To prevent Red Man Syndrome, the infusion should run over:
15–20 minutes
30 minutes
60 minutes or more
5 minutes
A client prescribed isoniazid (INH) for tuberculosis also receives a prescription for pyridoxine (vitamin B6). The nurse understands that the purpose of vitamin B6 is to:
Prevent peripheral neuropathy caused by INH
Enhance absorption of INH
Prevent hepatic toxicity of INH
Reduce the risk of superinfection
A client with active tuberculosis is prescribed rifampin as part of a multidrug regimen. The nurse provides teaching about the medication. Which statement by the client indicates a need for further teaching?
“I know this medicine might turn my urine and tears orange.”
“I’ll use an alternative form of birth control while taking this medication.”
“If my urine turns orange, I should stop taking the medication and call my provider.”
“I’ll take this medicine on an empty stomach for best absorption.”
A client diagnosed with influenza A calls the clinic 48 hours after symptom onset asking about oseltamivir. What is the nurse’s best response?
“It can still be effective if started within 48 hours of symptom onset.”
“Oseltamivir must be started immediately for best effectiveness; 48 hours is too late.”
“It is only given as a single dose, regardless of symptom onset.”
“It will prevent any future flu infections.”
Which assessment finding indicates a client may be developing antiviral-induced nephrotoxicity?
Increased urine output and thirst
Elevated serum creatinine and BUN
Headache and dizziness
Rash and pruritus
A client asks why the provider prescribed acyclovir. Which condition is acyclovir primarily used to treat?
Influenza
Herpes simplex virus (HSV) infections
HIV infection
Hepatitis B
