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Anti-infectives 23 Flashcards | StudBud
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Anti-infectives 23
Anti-infectives 23
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1
Acyclovir is commonly used to treat herpes zoster.
False
True
2
All oral antibiotics can and should be taken with food to prevent GI upset
False
True
3
How fast should vancomycin be administered when given intravenously?
Over a minimum of 15 minutes
Over 2- 6 hours
Over 60-90 minutes
Over 30 minutes
4
A culture should be obtained before initiating any antibiotics.
True
False
5
What can contribute to antibiotic resistance?
Eating meat that from animals not treated with antibiotics
Overprescribing of antibiotics
Taking the entire course of antibiotics
Bacteria just are resistant to antibiotics
6
Cephalosporins always cause an allergic reaction in client's with a history of PCN allergy.
True
False
7
Sudden onset of watery stools and abdominal cramping is an expected side effect of antibiotics and is not concerning.
True
False
8
A female client of child-bearing age is prescribed PCN. What education should the nurse provide?
Oral contraceptives are not as effective while on PCN
PCN should never be taken while pregnant
GI upset is not likely with the PCN antibiotics.
Fluid intake does not need to be increased while on PCN
9
What currently prescribed drug can have an interaction with aminoglycosides?
Metformin
Propranolol
Ibuprofen
Morphine
10
CD4 count is <200 cells/mm3 and viral load is >50 copies/mL demonstrates the HAART therapy is effective.
False
True
11
Vancomycin is infusing. Pt has pruritus, flushing and BP 80/41. What adverse effect does the nurse suspect?
Angioedema
Anaphylaxis
Blood Dyscrasia
Redman Syndrome
12
Rifampin can cause permanent staining of soft contact lenses and clothing.
True
False
13
What teaching is important with sulfonamides?
Drink at least 2 liters of fluid every day
Only urinate when your bladder feels full
Sulfonamides have very few adverse effects
Limit sun exposure to 4 hours per day
14
Isoniazid is prescribed for TB. What other medication is often prescribed with INH to prevent side effect?
Pyridoxine
Promethazine
Prednisone
Acetaminophen
15
Which nursing intervention is a high priority for the client who is taking cefepime?
Instruct the client to take the drug for 5 days only.
Monitor the client for signs and symptoms of a superinfection.
Administer IV cephalosporins over 2 hours to prevent phlebitis
Wait until culture results are received before initiating antibiotic.
16
To decrease the risk of reaction to amphotericin B, the nurse would plan to administer which medications as prescribed?
Methylprednisolone
Ondansetron
Ibuprofen
Morphine
17
The black box warning for fluoroquinolone antibiotics includes QT prolongation.
False
True
18
The nurse is educating a patient prescribed Metronidazole to avoid alcohol. Which side effects does this prevent?
Cardiac dysrhythmias, hypokalemia, hypomagnesemia
Redman syndrome, nephrotoxicity, loss of balance
Photosensitivity, tinnitus, otoxicity
Headaches, nausea, vomiting
19
What teaching should the nurse include for a client with diabetes prescribed ciprofloxacin?
You will need to double your insulin doses
You will need to decrease your insulin doses to half the normal amount
Check your blood sugar more often
There is not impact on blood glucose when on ciprofloxacin
20
Sulfonamides can be used to treat urinary tract infections.
False
True
21
What are some general side effects of antibiotics?
Allergy/hypersensitivity
Superinfection
Tendon rupture
Steven's Johnson Syndrome
22
When would a broad-spectrum antibiotic be prescribed?
after a patient’s culture is positive for Clostridium Difficile (CDAD)
while a culture and sensitivity test are pending
when the bacteria is gram-negative only
to treat a drug-resistant bacterial infection
23
What teaching will the nurse provide with nystatin swish and swallow?
Do not shake the bottle as it will damage the medication
Drink water after taking the swish and swallow to help it reach the stomach
Swish the medication around your mouth, coating all surfaces, then swallow
You must never gargle this drug as it can cause esophageal obstructions
24
Amphotericin B is a relatively safe anti-fungal medication.
False
True
25
Macrolides can be given orally, intramuscularly, intravenously, and topically.
False
True
26
A client will be taking levofloxacin and ondansetron. Which statement indates they understood the education?
I will not drive a motor vehicle when taking these medications.
I will monitor my blood pressure while taking this medications.
Taking these medications can increase the risk of cardiac arrythmias.
Administration of these medications can cause discoloration of teeth.
27
Vancomycin is the drug of choice for MRSA infections.
False
True
28
Who should not take tetracycline antibiotics?
People prescribed digoxin
People with sexually transmitted infections
Women of childbearing age
Children under 8 years old
29
What should the nurse assess for in a client taking a PCN and warfarin?
Increased platelet count
Increased infection
Signs of bleeding
Decreased INR level
30
Beta-lactamase inhibitors can be used alone or in combination with PCN.
True
False
31
PCN and cephalosporins have the same half-life and dosing schedules.
False
True
32
The nurse is to administer a cephalosporin IV to a neonate. What information would cause the nurse the most concern?
TPN infusion is prescribed
Urine output is 1.5 ml/kg /hour
Blood glucose has been low 2 times in 48 hours
Mother is allergic to PCN
33
What objective data would be the best indicator the antibioltics are effective?
WBC is decreasing
Blood pressure is 120/80
Abscence of pain
Temperature is 99.2
34
When a client wants to take an antacid with antibiotics, what is the appropriate teaching?
You should take the antacid 1-2 hours after the antibiotic
You cannot take an antacid while presribed antibiotics
You should take the antacid 1 hour before the antibiotic
You must take the antacid with the antibiotic to help the GI distress
35
A client is prescribed ceftriaxone. What concurrently prescribed medication would concern the nurse?
Metoprolol
Metformin
Atorvastatin
Furosemide
36
A client is prescribed gentamicin. What assessment would be most concerning to the nurse?
The patient is unsteady on their feet and struggles with balance
The patient hears the nurse speaking clearly
Urine is clear, light yellow and aromatic
Urine output of 1000 mL per day
