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OLD ONE Anti-infectives Flashcards | StudBud
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OLD ONE Anti-infectives
OLD ONE Anti-infectives
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1
What are some general side effects of antibiotics? SATA
Superinfection
Tendon rupture
Allergy/hypersensitivity
Steven's Johnson Syndrome
2
To decrease the risk of reaction to amphotericin B, the nurse would plan to administer which medications as prescribed?
Morphine
Ibuprofen
Methylprednisolone
Ondansetron
3
What teaching is important with sulfonamides?
Sulfonamides have very few adverse effects
Only urinate when your bladder feels full
Drink at least 2 liters of fluid every day
Limit sun exposure to 4 hours per day
4
A female patient of child-bearing age is prescribed PCN. What education should the nurse provide?
Fluid intake does not need to be increased while on PCN
PCN should never be taken while pregnant
GI upset is not likely with the PCN antibiotics.
Oral contraceptives are not as effective while on PCN
5
Which nursing intervention is a priority for the client who is taking cefepime?
Administer IV cephalosporins over 2 hours to prevent phlebitis
Wait until culture results are received before initiating antibiotic.
Instruct the client to take the drug for 5 days only.
Monitor the client for signs and symptoms of a superinfection.
6
What teaching should the nurse include for a patient 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
7
Sudden onset of watery stools and abdominal cramping is an expected side effect of antibiotics and is not concerning.
True
False
8
The nurse is to administer a cephalosporin IV to a neonate. What information would cause the nurse the most concern?
TPN infusion is prescribed
Blood glucose has been low 2 times in 48 hours
Urine output is 1.5 ml/kg /hour
Mother is allergic to PCN
9
When would a broad-spectrum antibiotic be prescribed?
to treat a drug-resistant bacterial infection
when the bacteria is gram-negative only
while a culture and sensitivity test are pending
after a patient’s culture is positive for Clostridium Difficile (CDAD)
10
Who should NOT take tetracycline antibiotics?
People prescribed digoxin
Women of childbearing age
Children under 8 years old
People with sexually transmitted infections
11
What teaching will the nurse provide with nystatin swish and swallow?
You must never gargle this drug as it can cause esophageal obstructions
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
12
What currently prescribed drug can have an interaction with aminoglycosides?
Ibuprofen
Metformin
Propranolol
Morphine
13
Rifampin can cause permanent staining of soft contact lenses and clothing.
False
True
14
Cephalosporins always cause an allergic reaction in patient's with a history of PCN allergy.
False
True
15
Vancomycin is the drug of choice for MRSA infections.
True
False
16
Isoniazid is prescribed for TB. What other medication is often prescribed with INH to prevent side effect?
Pyridoxine
Promethazine
Acetaminophen
Prednisone
17
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
Headaches, nausea, vomiting
Photosensitivity, tinnitus, otoxicity
18
CD4 count is < 200 cells/ mm3 and viral load is > 50 copies/mL demonstrates the HAART therapy is effective.
True
False
19
A pt is prescribed ceftriaxone. What concurrently prescribed medication would concern the nurse?
Metoprolol
Furosemide
Metformin
Atorvastatin
20
Macrolides can be given orally, intramuscularly, intravenously, and topically.
True
False
21
Amphotericin B is a relatively safe anti-fungal medication.
True
False
22
How fast should vancomycin be administered when given intravenously?
Over 60-90 minutes
Over a minimum of 15 minutes
Over 2- 6 hours
Over 30 minutes
23
A pt will be taking levofloxacin and ondansetron. Which statement indicates the pt understood the education?
Administration of these medications can cause discoloration of teeth.
Taking these medications can increase the risk of cardiac arrythmias.
I will not drive a motor vehicle when taking these medications.
I will monitor my blood pressure while taking this medications.
24
What can contribute to antibiotic resistance?
Eating meat that from animals not treated with antibiotics
Bacteria just are resistant to antibiotics
Taking the entire course of antibiotics
Overprescribing of antibiotics
25
Acyclovir is commonly used to treat herpes zoster.
True
False
26
Vancomycin is infusing. Pt has pruritus, flushing and BP 80/41. What adverse effect does the nurse suspect?
Anaphylaxis
Blood Dyscrasia
Angioedema
Redman Syndrome
27
When a patient wants to take an antacid with antibiotics, what is the appropriate teaching?
You should take the antacid 1 hour before the antibiotic
You should take the antacid 1-2 hours after the antibiotic
You cannot take an antacid while presribed antibiotics
You must take the antacid with the antibiotic to help the GI distress
28
Beta-lactamase inhibitors can be used alone or in combination with PCN.
False
True
29
What objective data would be the best indicator the antibiotics are effective?
Temperature is 98.9
Absence of pain
WBC is decreasing
Blood pressure is 120/80
30
The black box warning for fluoroquinolone antibiotics includes QT prolongation.
True
False
31
What should the nurse assess for in a patient taking a PCN and warfarin?
Increased platelet count
Increased infection
Decreased INR level
Signs of bleeding
32
A pt is prescribed gentamicin. What assessment would be most concerning to the nurse?
The patient hears the nurse speaking clearly
The patient is unsteady on their feet and struggles with balance
Urine is clear, light yellow and aromatic
Urine output of 1000 mL per day