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Exam 26: Antibacterials

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Question 1

Multiple Choice

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The nurse is preparing to give trimethoprim-sulfamethoxazole (TMP-SMX) to a patient and notes a petechial rash on the patient's extremities.The nurse will perform which action?

A) Hold the dose and notify the provider.
B) Request an order for a blood glucose level.
C) Request an order for a BUN and creatinine level.
D) Request an order for diphenhydramine (Benadryl) .

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Question 2

Multiple Choice

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Which actions can contribute to bacterial resistance to antibiotics?

A) Frequent use of antibiotics
B) Giving large doses of antibiotics
C) Skipping doses
D) Taking a full course of antibiotics
E) Treating viral infections with antibiotics

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Question 3

Multiple Choice

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The nurse is preparing to administer amoxicillin (Amoxil) to a patient and learns that the patient previously experienced a rash when taking penicillin.Which action will the nurse take?

A female patient who is taking trimethoprim-sulfamethoxazole (TMP-SMZ) (Bactrim,Septra) to treat a urinary tract infection reports vaginal itching and discharge.The nurse will perform which action?

A female patient who is allergic to penicillin will begin taking an antibiotic to treat a lower respiratory tract infection.The patient tells the nurse that she almost always develops a vaginal yeast infection when she takes antibiotics and that she will take fluconazole (Diflucan) with the antibiotic being prescribed.Which macrolide order would the nurse question for this patient?

The nurse is reviewing a patient's chart prior to administering gentamicin (Garamycin) and notes that the last serum peak drug level was 9 mcg/mL and the last trough level was 2 mcg/mL.What action will the nurse take?

The patient will begin taking penicillin G procaine (Wycillin) .The nurse notes that the solution is milky in color.What action will the nurse take?

The nurse is preparing to administer trimethoprim-sulfamethoxazole (TMP-SMX) to a patient who is being treated for a urinary tract infection.The nurse learns that the patient has type 2 diabetes mellitus and takes a sulfonylurea oral antidiabetic drug.The nurse will monitor this patient closely for which effect?

A patient taking trimethoprim-sulfamethoxazole (TMP-SMX) to treat a urinary tract infection complains of a sore throat.The nurse will contact the provider to request an order for which laboratory test(s) ?

The nurse is caring for a 7-year-old patient who will receive oral antibiotics.Which antibiotic order will the nurse question for this patient?

The nurse is preparing to begin a medication regimen for a patient who will receive intravenous ampicillin and gentamicin.Which is an important nursing action?

The nurse is preparing to administer the first dose of intravenous ceftriaxone (Rocephin) to a patient.When reviewing the patient's chart,the nurse notes that the patient previously experienced a rash when taking amoxicillin.What is the nurse's next action?

The nurse is preparing to administer an antibiotic to a patient who has been receiving the antibiotic for 2 days after a culture was obtained.The nurse notes increased erythema and swelling,and the patient has a persistent high fever of 39° C.What is the nurse's next action?

The nurse is preparing to give a dose of oral clindamycin (Cleocin) to a patient who is being treated for a skin infection caused by Staphylococcus aureus.The patient has had several doses of the medication and reports having nausea.Which action will the nurse take next?

The nurse is caring for a patient who is taking trimethoprim-sulfamethoxazole (TMP-SMX) .The nurse learns that the patient takes an angiotensin-converting enzyme (ACE) inhibitor.To monitor for drug interactions,the nurse will request an order for which laboratory test(s) ?

The nurse is teaching a nursing student about the minimal effective concentration (MEC) of antibiotics.Which statement by the nursing student indicates understanding of this concept?

The nurse is caring for a patient who is receiving an intravenous antibiotic.The patient has a serum drug trough of 1.5 mcg/mL.The normal trough for this drug is 1.7 to 2.2 mcg/mL.What will the nurse expect the patient to experience?

The nurse is caring for several patients who are receiving antibiotics.Which order will the nurse question?

The nurse is caring for a 70-kg patient who is receiving gentamicin (Garamycin) 85 mg 4 times daily.The patient reports experiencing ringing in the ears.The nurse will contact the provider to discuss

The nurse is preparing to administer intravenous gentamicin to an infant through an intermittent needle.The nurse notes that the infant has not had a wet diaper for several hours.The nurse will perform which action?