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WorksheetsAntibacterials
Total questions: 45
Worksheet time: 26mins
A nurse is teaching a patient about common side effects of antibacterial medications. Which findings should the nurse include as expected side effects?
Select all that apply.
Nausea
Vomiting
Diarrhea
Tinnitus
Anaphylaxis
A patient receiving piperacillin/tazobactam (Zosyn) develops shortness of breath, facial swelling, hypotension, and wheezing. What is the nurse’s priority action?
Administer an antihistamine
Slow the IV infusion
Stop the medication and administer epinephrine
Document the reaction as a side effect
A patient on long-term antibacterial therapy develops severe watery diarrhea. Which complication should the nurse suspect?
Hepatotoxicity
Nephrotoxicity
Superinfection
Ototoxicity
Which instruction is most important for a patient taking amoxicillin who uses oral contraceptives?
Use an additional non-hormonal form of birth control
Take the antibiotic at bedtime
Avoid dairy products
Increase vitamin K intake
A patient taking amoxicillin is also prescribed warfarin. What should the nurse monitor closely?
Blood glucose
Platelet count
INR
Potassium level
Before administering piperacillin/tazobactam, which assessment is most critical?
History of sulfa allergy
Recent bowel movements
Current potassium level
History of penicillin or cephalosporin allergy
Which patients are at highest risk for renal failure when receiving piperacillin/tazobactam?
Young adults
Patients with asthma
Critically ill patients and those with renal impairment
Patients with diabetes
The nurse should monitor for DRESS syndrome in a patient receiving piperacillin/tazobactam. Which findings indicate DRESS?
Select all that apply.
Fever
Rash
Hypoglycemia
Facial Swelling
Lymphadenopathy
A third-generation cephalosporin would be appropriate for which infections?
Select all that apply.
Meningitis
Bone and joint infections
Otitis media
Viral pneumonia
Septicemia
Which route(s) may be used for third-generation cephalosporins?
Oral only
IV only
IM and IV
Subcutaneous
Which lab value is most important to monitor in a patient receiving linezolid?
Platelet Count
BUN
Creatine Levels
INR
Linezolid increases risk of hypoglycemia in diabetic patients
True
False
False, Linezolid increases the risk of Hypertension in patiens
Which adverse effect is associated with rapid IV infusion of vancomycin?
Stevens-Johnson syndrome
Red man syndrome
Tendon rupture
Bone marrow suppression
Which assessments are priority for a patient receiving IV vancomycin?
Select all that apply.
Intake and output
Hearing changes
BUN and creatinine
Visual acuity
Urine color
When should a vancomycin trough level be drawn?
Immediately after infusion
1 hour after Infusion
30 minutes before next dose
At the midpoint of therapy
Which trough level is considered therapeutic for vancomycin?
1–5 mcg/mL
5–15 mcg/mL
25–40 mcg/mL
>50 mcg/mL
When should Peak Levels be drawn?
5-15 minutes after Infusion
20-30 minutes after Infusion
Peak levels should not be drawn
30-60 minutes after Infusion
Which two major toxicities are associated with aminoglycosides?
Select all that apply.
Cardiotoxicity
Ototoxicity
Nephrotoxicity
Hepatotoxicity
Which medication interaction increases the risk of ototoxicity when given with aminoglycosides?
Penicillin
Ethacrynic Acid
Insulin
Acetaminophen
Penicillins decrease aminoglycoside effectiveness.
False
True
Which instruction is most important for a patient taking levofloxacin?
Take with iron supplements
Avoid sunlight
Drink grapefruit juice
Increase calcium intake
What drug causes photosensitivity?
Levofloxacin
Gentamycin
Vancomycin
Linezolid
Which condition may be exacerbated by fluoroquinolones?
Asthma
Myasthenia Gravis
Hypothyroidism
Crohn's Disease
Why should levofloxacin not be taken with antacids, iron, or sucralfate?
Increased toxicity
Increased bleeding risk
Decreased drug absorption
Risk of hypoglycemia
Which laboratory tests are essential when monitoring patients on antibacterial therapy?
Select all that apply.
CBC
C&S
LFTs
Bun and Creatine
Troponin
A patient receiving vancomycin has an elevated BUN and creatinine. What does this indicate?
Dehydration
Hepatic Dysfunction
Renal impairment
Bone marrow suppression
Why is a Culture & Sensitivity (C&S) ordered before starting antibiotics?
To monitor kidney function
To identify the organism and best antibiotic
To check for allergic reactions
To measure drug levels
The nurse understands that starting antibiotics before obtaining a C&S may result in:
Increased toxicity
Increased resistance
Higher peak levels
False-negative culture results
Which medication is classified as a penicillin?
Gentamicin
Vancomycin
Amoxicillin
Levofloxacin
Which medication is an aminoglycosides?
Levofloxacin
Gentamicin
Piperacilin
Cysteamine
Which medications are classified as fluoroquinolones?
Select all that apply.
Ciprofloxacin
Levofloxacin
Ceftriaxone
Cephalosporins
Which serious adverse effect is associated with fluoroquinolones?
Red man syndrome
Bone marrow suppression
photosensitivity
Tendon Rupture/Tendinitis
Which medication belongs to the glycopeptide class?
Linezolid
Vancomycin
Ceftriaxone
Gentamicin
Which antibiotics requires peak and trough monitoring?
Gentamicin
Levofloxacin
Vancomycin
Amoxicillin
Which finding indicates ototoxicity?
Elevated AST
Diarrhea
Tinnitus
Rash
The nurse should monitor intake and output closely when administering which medications?
Select all that apply.
Vanomycin
Gentamicin
Piperacilin/Tazobactam
Linezolid
Which infections are commonly treated with gentamicin?
Viral respiratory infections
Serious gram-negative bacterial infections
Fungal infections
Mild skin infections only
Which laboratory values should the nurse closely monitor in a patient receiving gentamicin?
Select all that apply.
Blood urea nitrogen (BUN)
Creatinine
ALT
Urine output
AST
Why are peak and trough levels monitored with gentamicin therapy?
To ensure therapeutic response
To monitor liver metabolism
To prevent anaphylactic reactions
To prevent nephrotoxicity and ototoxicity
A patient has liver and kidney disease. He is given a medication with a half-life of 30 hours. What is the expected duration of this medication?
Increase
Decrease
Remain Unchanged
Dissipate
When assessing older adults and those with renal dysfunction, the nurse would expect the creatinine clearance to be which of the following?
substantially increased.
slightly increased.
decreased.
in the normal range.
A patient is taking piperacillin–tazobactam. Which nursing interventions are most appropriate for this drug? (Select all that apply.)
A.Give with an aminoglycoside.
B.Send specimen to lab for C&S before antibiotic therapy is started.
C.Instruct patient to take entire prescribed drug.
D.Instruct patient to restrict fluid intake.
E.Monitor for symptoms of superinfection, including stomatitis and vaginitis.
Send specimen to lab for C&S before antibiotic therapy is started.
Give with an aminoglycoside.
Instruct patient to take entire prescribed drug.
Monitor for symptoms of superinfection, including stomatitis and vaginitis.
Instruct patient to restrict fluid intake.
Which statement will the nurse include when teaching a patient about cephalosporin therapy?
Avoid ingesting buttermilk or yogurt when taking this medication
Stop taking the medication when you feel better.
Immediately stop taking the medication if you develop nausea
Inform your health care provider if you develop mouth ulcers
Which antibacterial drug has the potential to cause adverse reactions of tendinitis, tendon rupture, and peripheral neuropathy?
Cephalosporins
Fluouroquinolones
Aminoglycosides
Tetracyclines
The nurse is administering vancomycin to a patient. Which nursing interventions are appropriate? Monitor the patient for _______.
(Select all that apply.)
A.adequate hearing
B.appropriate IV rate
C.Clostridium difficile–associated diarrhea
D.Stevens-Johnson syndrome
E.hypotension and tachycardia
F.redness of the face, neck, and chest
adequate hearing
appropriate IV rate
.Clostridium difficile–associated diarrhea
Stevens-Johnson syndrome
hypotension and tachycardia
