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WorksheetsAntibacterial/Antiulcer Basics
Total questions: 21
Worksheet time: 11mins
The primary purpose of antibacterials (antibiotics) is to:
Fight bacterial infections
Treat viral infections
Treat fungal infections
Suppress the immune system
What is the difference between bactericidal and bacteriostatic antibiotics?
Bactericidal stops growth; bacteriostatic kills bacteria
Both kill bacteria immediately
Bactericidal kills bacteria; bacteriostatic stops bacterial growth
Both only prevent infection
A patient with a known penicillin allergy requires antibiotics. The nurse should:
Administer penicillin as prescribed
Avoid penicillin and cephalosporins, and notify the provider
Give a higher dose to overcome allergy
Give aspirin to prevent reaction
Which laboratory tests are important to monitor in a patient taking antibiotics for the first time?
CBC, Blood glucose, Liver function tests
C&S only
CBC only
Culture & sensitivity, BUN, creatinine, liver function tests
Which symptom should a nurse recognize as a superinfection from broad-spectrum antibiotic use
Select all that apply:
Rash on hands
Black, furry tongue
vaginal itching
diarrhea with mucus/blood
nausea
Tinnitus is an early sign of ototoxicity, a serious adverse effect
Aminoglycosides
Cehalosporins
PPIs
Prostaglandin
Which of the following is important patient teaching for all antibiotics?
Take only when feeling sick
Stop when symptoms improve
Double the dose if symptoms persist
Complete the full course, take as directed, do not share
A patient is receiving broad-spectrum antibiotics for a severe infection. Which nursing intervention is the highest priority?
Encourage the patient to drink 8–10 glasses of water daily and monitor I&O
Monitor bowel function for diarrhea, abdominal cramping, fever, and bloody stools, and report signs of C. difficile infection
Administer antacids with the antibiotic to reduce GI upset
Hold the next dose if the patient reports mild nausea
An ulcer is best defined as:
Heartburn after meals
Erosion of the stomach or duodenal lining
Acid reflux
Infection of the small intestine
A patient on chronic NSAIDs requires prophylaxis against gastric ulcers. Which medication is most appropriate?
Omeprazole
Misoprostol
Maalox
Famotidine
A patient complains of persistent upper abdominal pain and occasional bloody stools. Which definition best describes the condition suspected by the provider?
Gastroesophageal reflux disease, caused by acid backup into the esophagus
Gastritis, inflammation of the stomach lining without tissue loss
Peptic ulcer, erosion of the stomach or duodenal mucosa due to acid and/or H. pylori
Duodenitis, superficial irritation of the duodenum without full-thickness tissue loss
A patient is admitted with a severe bacterial infection. The culture and sensitivity results are pending. Which is the best nursing action before administering the first dose of an antibiotic?
Wait to start antibiotics until culture results return
Administer a broad-spectrum antibiotic as ordered and obtain culture prior to the next dose
Administer the first dose immediately and obtain a culture afterward
Delay treatment until the patient’s symptoms worsen
A patient develops rash, pruritus, and mild wheezing after the second dose of a penicillin antibiotic. What is the most appropriate nursing action?
Continue the antibiotic and monitor
Administer an antacid to reduce side effects
Stop the antibiotic, assess airway, and notify the provider
Hold the next dose and check liver function tests
A patient is receiving gentamicin for a serious infection. Which assessment finding would require immediate intervention?
Urine output of 40 mL/hr
Creatinine increase from 0.9 to 1.6 mg/dL
Mild nausea
tinnitus
A patient is prescribed vancomycin IV for MRSA infection. Which lab is most critical to check before the next dose?
CBC
BUN/creatinine
Peak and trough levels
A patient has been taking omeprazole daily for 12 months. Which finding requires priority follow-up?
steven-johnson syndrome
red man syndrome
Leg cramps and irregular heartbeat
cancer
A patient taking sucralfate complains of new-onset constipation. Which action is most appropriate?
Stop the medication immediately
Encourage increased fluid and dietary fiber intake
Administer a PPI instead
Give an antacid with sucralfate
A patient is receiving gentamicin therapy: 100 mg intravenously at 0800, 1600, and 2400. At 0730, the nurse is informed that peak and trough levels need to be drawn. When is the best time to obtain the peak level?
0800
0900
1600
2330
A patient asks the nurse why she gets yeast infections after a course of antibiotics. The nurse explains
The antibiotics lower your white blood cell count
People are poorly nourished and hydrated after an infection
Yeast infections happen if the antibiotic is not taken for the full course
Yeast infections are common when the normal body flora are disrupted
Which nursing actions would be most appropriate for ensuring patient safety with a medication that has a low therapeutic index?
monitoring a patient's urine output
assessing vital signs hourly
maintaining strict isolation precautions
monitoring serum peak and trough levels
A patient sustains significant burns to the skin and is experiencing fluid shift associated with edema in the fluid overload phase. The nurse would anticipate that this will interfere most with which phase of pharmacodynamics?
Absorption
Distribution
Metabolism
Excretion
