Reference no: EM133845393

Questions

1. A client with no significant past medical history, who is in good health, is scheduled for colorectal surgery. The nurse's assessment findings indicate no fever, a normal WBC count. and no other signs of infection. The nurse prepares to administer an antibiotic before surgery. What is the indication for this antibiotic?

To provide prophylactic therapy

To provide empiric therapy

To treat a secondary infection

To reduce the number of resistant organisms

2. Which adverse drug effect is the most important for the nurse to monitor for when administering sulfamethoxazole-trimethoprim (Bactrim) to a client with a urinary tract infection (UTI)?

ototoxicity

urticaria and rash

low blood pressure

gastroinestional bleeding

3. The nurse is providing teaching for a client about to begin treatment for tuberculosis (TB). Based on the usual length of therapy for a client with a drug-resistant strain of tuberculosis, how long will the nurse teach the client to take their antibiotics?

1 month

3 months

18-24 months

12 months

4. A client who is taking long term antibiotic therapy develops a superinfection. What statement by the nurse provides the best explanation of this complication?

"You will require treatment with multiple antimicrobial agents to treat your infection."

"You were exposed to a new infection and will require additional antimicrobial therapy".

"The superinfection developed from an overgrowth of flora because their competitors were killed off by the antibiotic your were taking."

"You have developed a high level of resistance and will need treatment with Vancomycin."

5. A client is taking penicillin G (Bicillin). What is the priority teaching for the nurse to provide at discharge?

If you develop a rash, or itchiness report this immediately.

Once the symptoms of the infection improve, you can decrease dose to once daily to reduce side effects.

The most common side effect is constipation so increase your fluid intake.

Take the medication orally twice a day but avoid milk.

6. When checking the client's labs, the nurse notes that the liver function tests (LFTs) are elevated in a client has been taking isoniazid (INH) therapy for 2 months. What is the priority action the nurse should take based on this finding?

Discuss the results with the health care provider, and ask to stop the medication immediately and prescribe another drug.

Call the health care provider and ask if the drug can be halted for several weeks, then restarted if the liver function returns to normal.

Because it is the best choice to treat TB, tell the client to continue the drug for now, but that the liver function tests should be repeated in one week.

Tell him to continue the drug unless jaundice, nausea, or itching develops.

7. The nurse teaches the client taking tetracycline not to have dairy foods with tetracycline. The nurse evaluates the teaching as successful if the client reports states:

"Tetracycline is unpredictable when taken with dairy products."

"Tetracycline taken with dairy products can produce stomach upset."

"I know dairy products can reduce absorption of tetracycline."

"Dairy products can make tetracycline more potent."

8. The nurse evaluates a client who is prescribed isoniazid (INH) and rifampin for active tuberculosis. Which assessment findings would indicate that the client achieved the therapeutic effect of the drug therapy?

A protein purified derivative (PPD) skin test is negative within 4 weeks after therapy is started.

The client has a negative Quantiferon -TB Gold blood test two weeks after therapy starts.

The chest X-ray shows improvement in the lung tissue by three months after therapy started.

The client has no further cough or symptoms 8 weeks after therapy is started.

9. Which action is the HIGHEST priority for the nurse to complete before preparing to administer a prescribed dosage of penicillin G to a client?

Evaluate the white blood cell count.

Check the clients oral temperature.

Record a list of drugs the client is currently taking.

Check the patient for allergy to penicillin or cephalosporin.

10. What is the priority intervention for a client who is taking cephalexin (Keflex) and reports nausea?

Provide the client with a few saltines to take with the medication.

Stop the drug immediately, as this is an indication of a serious and potentially fatal side effect.

Advise the client this side effect is only temporary and will decline with continued use.

Obtain an order from the health care provider to reduce the dose.

11. A client has been prescribed tetracycline. When providing teaching regarding this drug, the nurse would include that tetracycline:

Can increase the risk for sunburn

Is classified as a narrow-spectrum antibiotic

Has been identified to be safe during pregnancy and in children

Is a common drug used to treat a wide variety of diseases

12. What is the priority teaching when educating a client who is taking gentamycin?

It is a broad spectrum antibiotic used to treat anaerobic bacterial infections from gram positive organisms.

The client should report signs of edema or a decrease in urine output immediately.

A client should report signs of hearing loss or tinnitus at the office visit the following week.

It is used primarily to treat cardiac and CNS infections.

13. The nurse is preparing to administer cefaclor (Ceclor), a second-generation cephalosporin, to a newly admitted client who reports a history of an anaphylactic allergy to penicillin. What is the priority nursing action?

Administer the drug with an antihistamine to reduce the risk of an allergic reaction.

Call the physician to clarify the order because of the patient's allergy history.

Give the medication and monitor closely for adverse effects, since the client is allergic to other antibiotics.

Ask the pharmacy to change the order to a first-generation cephalosporin.

14. What is the priority teaching for the nurse to teach an older teenaged client who is taking a tetracycline drug for severe acne?

"The medication may be discontinued, within one week because the acne will clear up."

"This medication should be taken with antacids to reduce GI upset."

"You should observe your teeth closely for signs of mottling or other color changes."

"You will need to use sunscreen or avoid sun exposure because this drug may cause photosensitivity."

15. What is the priority teaching for the nurse educating a client about erythromycin?

The drug should be taken with an antacid to avoid GI upset.

The patient should take each dose with a sip of water.

If GI upset occurs, the drug will have to be stopped.

The patient may take the drug with a small snack to reduce GI upset.