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Why is it important to avoid killing off normal flora with antibacterial drugs?
Which type of bacteria cause infection when a patients immune system is impaired?
How are bactericidal drugs different from bacteriostatic drugs?
A patient has a bacterial infection, but the causative organism is not known. Which type of antibacterial drug will most likely be prescribed?
The nurse is teaching a patient in whom a wound infection developed after surgery about antibiotic therapy. Which statement made by the patient indicates a correct understanding of the therapy?
A patient with a respiratory bacterial infection asks why a sputum sample is being collected before starting antibacterial drug therapy. What is the nurses best response?
A patient receiving antibiotics for 3 days reports a skin rash over the chest, back, and arms. What is the nurses first action?
A patient who has been on antibiotic therapy for 3 weeks has a cottage cheeselike coating on the teeth, gums, and roof of the mouth. What is the nurses best action?
What is the most important nursing action when a patient is first started on an intravenous (IV) antibacterial drug?
A patient experiences facial angioedema after receiving a dose of a new antibacterial drug. Which assessment does the nurse perform first?
A patient with a bacterial infection has been placed on antibacterial therapy. Which assessment finding in the patient indicates to the nurse that the therapy is effective?
A patient is having an anaphylactic reaction to an intravenous (IV) antibacterial drug. Which action does the nurse perform first?
A patient who has been prescribed cephalexin (Keflex) reports having a severe allergic reaction to penicillin in the past. What is the nurses best response?
A patient who has been prescribed amoxicillin (Amoxil) 250 mg orally every 8 hours asks the nurse if a higher dose of the drug just once a day can be taken instead. What is the nurses best response?
A patient who has been prescribed oral cephalexin (Keflex) also takes aluminum hydroxide (Mylanta) 1 hour after each meal. What is the nurses best action?
A patient is to receive penicillin G benzathine (Bicillin LA) 2,400,000 units intramuscularly. The drug on hand is penicillin G benzathine 600,000 units/mL. How many milliliters does the nurse prepare?
A patient prescribed vancomycin (Vancocin) has developed redness on the face, neck, chest, back, and arms. The family asks the nurse if the drug should be stopped because of this response. What is the nurses best answer?
A patient is prescribed intravenous ertapenem (Invanz). Which question is most important for the nurse to ask before giving the first dose of this drug?
A patient is receiving intravenous gentamicin. Which change in condition does the nurse report to the prescriber immediately?
A patient taking erythromycin reports experiencing nausea and upset stomach. What is the nurses best action?
An older adult patient is prescribed amikacin (Amikin). Which assessment technique is most important for the nurse to perform daily?
For which patient with a bacterial infection does the nurse question a prescription for tetracycline (Tetracon)?
An older adult patient has been prescribed oral erythromycin tablets. Which precaution is most important for the nurse to teach?
A patient is prescribed minocycline (Dynacin) 750 mg orally. What is the nurses best action before giving the first dose?
Why should tetracycline drugs be avoided during pregnancy and lactation?
The nurse is to administer doxycycline (Doxy) intravenously to a patient who is also receiving intravenous (IV) penicillin. Which action is most important for the nurse to implement?
An older adult patient is prescribed linezolid (Zyvox) 500 mg oral suspension. The drug on hand is 100 mg/5 mL. How many mL does the nurse prepare?
Which laboratory blood test result for a patient taking clarithromycin (Biaxin) and warfarin (Coumadin) does the nurse report immediately to the prescriber?
The nurse is teaching a patient who has been prescribed azithromycin (Zithromax). Which statement made by the patient indicates that additional teaching is needed?
Why must sulfonamide drugs be avoided during the last trimester of pregnancy and lactation?
Which laboratory blood test result for a patient taking trimethoprim/sulfamethoxazole (Septra) does the nurse report immediately to the prescriber?
Which precaution is most important for the nurse to teach a patient who has been prescribed sulfisoxizole (Gantrisin)?
A patient is to receive trimethoprim/sulfamethoxazole (Septra) intravenously. The drug is mixed in 250 mL of D5W and is to be administered over 90 minutes. With a drop factor of 15 gtt/mL, how many drops per minute will the nurse set for the correct infusion rate?
A patient taking ciprofloxacin (Cipro) reports pain and burning on urination. What is the nurses best action?
A 75-year-old patient taking levofloxacin (Levaquin) reports all of the following new problems. For which problem does the nurse advise the patient to stop taking the drug immediately and notify the prescriber?
Why must fluoroquinolone drugs be avoided during pregnancy, lactation, and childhood?
[Multiple Response] Which are general surface protections that prevent bacteria from entering the body? (Select all that apply.)
a. Intact skin
b. pH of body secretions
d. Mucous membranes
e. White blood cells
[Multiple Response] A patient is being discharged home on antibacterial drug therapy. What instructions must the nurse teach the patient about allergic reactions? (Select all that apply.)
a. Notify your prescriber immediately if you vomit.
b. Stop taking the drug if you develop hives or a rash.
c. If you notice diarrhea be sure to stop taking the drug.
d. Continue taking the drug even if you feel well because it is fighting the infection.
e. Call 911 if you experience difficulty with breathing.
f. Avoid drinking caffeinated beverages with the drug.
[Multiple Response] With which antibacterial drugs is teaching patients to wear protective clothing, hats, and sunscreen, and to avoid tanning beds most important? (Select all that apply.)
a. amoxicillin/clavulanic acid (Augmentin)
b. cefdinir (Omnicef)
c. clindamycin (Cleocin)
d. erythromycin (E-mycin)
e. lomefloxacin (Maxaquin)
f. tetracycline (Tetracon) g. trimethoprim/sulfamethoxazole (Bactrim)
[Multiple Response] Which actions are most likely to reduce the spread of community-acquired methicillin-resistant Staphylococcus aureas (CA-MRSA) in a family in which only one member is infected? (Select all that apply.)
a. Starting the noninfected family members on methicillin therapy.
b. Not sharing towels or bed linens with the infected person.
c. Washing the infected persons dishes separately from those of other family members.
d. Having the infected person wear a mask when in the same room with other family members.
e. Using good daily personal hygiene for all family members.
f. Washing hands with soap and water after any physical contact with an infected person.