Which patient would most likely have an infection that is resistant to antibiotics therapy?

Which infection would be classified as a superinfection?

Which are not valid reasons for prescribing combinations of antibiotics?

Which is an acceptable reason for giving antibiotic prophylaxis?

Which assessment is of greatest priority for the nurse to complete before administering penicillin antibiotics?

Parents ask why their son has been prescribed amoxicillin and clavulanate if amoxicillin has been ineffective in the past. The nurse’s response is based on the addition of clavulanate?

What does the nurse do when assisting with skin testing for penicillin allergy?

The nurse would be concerned about the increased possibility of an allergic reaction when administering which antibiotic if the patient’s allergy record includes penicillin allergy?

Which is the drug of choice for MRSA?

Which result would be of greatest priority to report to the prescriber of cefotaxime?

Which result would be of greatest priority to report to the prescriber of ceftriaxone?

An alert and oriented patient with a history of penicillin allergy is prescribed cefixime. Which is the priority intervention for the nurse?

Cefazolin has been prescribed at discharge for a patient with pelvic inflammatory disease. Due to the possibility of a disulfiram-like reaction, during discharge teaching it is important for the nurse to teach the patient to avoid consuming what?

Ceftriaxone 1 g intramuscular is ordered for a 130 lb woman. The drug is reconstituted to a solution of 250 mg/mL. How should the nurse administer it?

A patient who was admitted with severe abdominal pain has been diagnosed with Helicobacter pylori- associated peptic ulcer. Tetracycline 500 mg, metronidazole 250 mg, and bismuth subsalicylate 524 mg have been prescribed 4 times a day. The nurse notes that the patient’s 24-hour fluid intake has been approximately 2500 mL and urine output has been 600-800 mL for each of the past 2 days. Which intervention should the nurse implement?

Tetracycline can cause esophageal ulceration. What can the nurse teach to minimize the risk of this adverse effect?Tetracycline can cause esophageal ulceration. What can the nurse teach to minimize the risk of this adverse effect?

A patient is prescribed a tetracycline antibiotic. Which patient information is a reason for the medication to be withheld by the nurse and the prescriber consulted?

The nurse providing education on which drug would well the patient they can take the drug with or without food, as absorption is not reduced by food?

Because of the risk of prolonged QT interval and torsades de pointes, the nurse would consult the prescriber before administering erythromycin to a patient who has experienced

What is the priority nursing action before administering an aminoglycoside to a patient with an estimated glomerular filtration rate (eGFR) of 50 ml/min?

When aminoglycosides are prescribed IV as a once daily dose to adult patient, it is important to monitor trough levels

The nurse is caring for a patient who is receiving gentamicin twice a day. Peak and trough levels were drawn after the fourth dose. Results were peak 4 mcg/mL and trough 0.6 mcg/mL. What should the nurse do?

Which of these laboratory tests would be a priority for the nurse to assess when a patient is receiving an aminoglycoside?

A patient received a neuromuscular blocking agent during surgery. In the post-anesthesia care unit (PACU), the prescriber orders gentamicin 40 mg IV STAT. What is the most appropriate nursing action?

Which signs would most likely indicate the start of Stevens-Johnson syndrome when a patient is receiving sulfonamides?

Sulfonamides can cause the adverse effect of kernicterus. How does this present?

A patient who takes glyburide for type 2 diabetes mellitus (T2DM) is prescribed trimethoprim sulfamethoxazole (TMP/SMZ) for a urinary tract infection (UTI). Because of the possibility of intensifying the effect of glyburide, the nurse should assess for

Which international normalized ratio (INR) result would be a reason to contact the provider in a patient with atrial fibrillation taking warfarin who has also been prescribed sulfonamide?

Because of the risk of hyperkalemia when prescribed trimethoprim, it is a priority for the nurse to teach the patient to report which symptom?

The nurse is caring for a patient who has repeated episodes of UTIs (caused by E. coli) treated with trimethoprim-sulfamethoxazole (TMP/SMZ). What is the priority action to prevent recurrence of infection?

A female patient has been prescribed an antibiotic for 3 days. What is not an advantage of shorter course therapy?

A prescriber’s orders for a new admission include urine culture and sensitivity and ciprofloxacin 400 mg intravenously (IV) every 12 hours. Which is the priority nursing intervention?

A patient is receiving 50mg of nitrofurantoin at bedtime for prophylaxis of recurrent cystitis. This means that the patient

What is true about nitrofurantoin?

A male patient who has been diagnosed with active TB has been prescribed isoniazid, rifampin, ethambutol, and pyrazinamide. The patient asks the nurse why he must take so many drugs. The basis of the nurse’s response should include that this multidrug therapy has which effect?

A male patient asks the nurse why he must continue to take medication after completion of the initial induction phase if his sputum is “clean”. Which would be an appropriate nursing response?

An HIV-infected patient who is receiving drug therapy, including delavirdine and saquinavir, is diagnosed with an active TB infection. Because of the drug interaction that decreases the effect of these drugs for HIV infection, this patient should not be prescribed which drug?

A nurse is receiving isoniazid therapy for latent TB. It would be of greatest priority to contact the prescriber if the nurse experiences

It is of greatest priority to teach a patient who is prescribed ethambutol to

The nurse is preparing to administer intravenous ciprofloxacin to a patient with septic arthritis after arthroscopic surgery. It would be a priority to review which diagnostic test result as soon as it is available?

All patients are risk for developing tendon rupture when prescribed a fluoroquinolone. Which patient has an increased risk?

A consulting urologist orders ciprofloxacin 250 mg twice a day for a 72-year-old woman with a UTI. The patient is also receiving ferrous sulfate 300mg for anemia and calcium carbonate 400 mg 4 times a day for osteopenia. Which action should the nurse implement?

Which goal is most appropriate when a patient is prescribed metronidazole for Clostridium difficile?

The nurse is preparing to administer daptomycin. When should the nurse withhold the medication and contact the prescriber?

At what point is the patient most likely to experience fever, chills, rigor, nausea, and headache when receiving amphotericin B?

A patient experiences sudden onset shaking chills after receiving a dose of amphotericin B. Which drug, ordered as needed for this patient, should the nurse administer?

The nurse is reviewing laboratory tests before preparing to administer a dose of amphotericin B. Before administering the drug, it is a priority to review which lab result?

The nurse is reviewing test results for a patient who is prescribed itraconazole. Which result would warrant immediate consultation with the prescriber?

The nurse reviews the complete blood count (CBC) of a patient who is prescribed flucytosine and notes neutrophils 27%. This patient is especially at risk for which issue? (Typically, normal range of neutrophil is 50 to 70% of WBC)

The nurse is preparing to administer intravenous acyclovir. It could be a priority for the nurse to provide nursing interventions for which assessment finding?

The nurse would withhold ganciclovir and notify the prescriber if patient laboratory test results included

The nurse is discussing planned care with the certified nursing assistant (CNA), who is assigned to a patient receiving ganciclovir. Because of possible serious adverse effects, which precaution would the nurse include in instructions regarding care?

It is important for the nurse to assess for suicidal ideation if a patient is prescribed which drug?

Which assessment finding would be of greatest priority to report to the prescriber if identified in a patient who is receiving lamivudine for hepatitis B because it suggests possible lactic acidosis?

The prescriber has informed a patient who has been prescribed a nucleoside/nucleotide reverse transcriptase inhibitor (NRTI) of the risk of hepatic steatosis. The patient asks the nurse “What is hepatic steatosis?” The nurse should explain that this is a possible severe adverse effect involving

Which nursing assessment would be most significant if a patient was receiving didanosine?

An HIV-positive patient who has recently been prescribed efavirenz calls the prescriber’s office and reports experiencing drowsiness and dizziness. An appropriate recommendation by the telephone triage nurse is for the patient to do what?

It would be of greatest priority to consult the prescriber of enfuvirtide if the patient experienced

A patient who is HIV-positive is receiving maraviroc, reports to the nurse that he has vomited and is experiencing severe abdominal pain. Which nursing intervention is appropriate?

Why would doxycycline not be prescribed for a female patient for whom pregnancy status is unknown?

A patient who is receiving intramuscular ceftriaxone 250 mg once, plus azithromycin 1g by mouth for disseminated gonococcal infection complains of a stiff neck. Which of these nursing actions should be performed first?

A 35-year-old woman report a yellow-green vaginal discharge. She is diagnosed with trichomoniasis and prescribed metronidazole. It is important for the nurse to teach the patient the importance of not consuming

Why does long-acting clindamycin cream require only one vaginal dose to treat bacterial vaginosis?

What is the major goal of therapy with acyclovir for genital herpes?

Which is an example of sterilization?

To ensure effectiveness of ethyl alcohol as an antiseptic, the nurse should do what?

When the nurse is preparing to clean a wound, which preparation would be most appropriate and effective?

What is the surgical scrub that is fast-acting and antibacterial and remains active on the skin after rinsing?

The nursing professor is orienting student nurses to the intensive care unit. Hygiene instructions should include which directive?