Book Ch. 45

Question 1

tetracycline - renal and liver

Answer 1

only hepatotoxic, not nephrotoxic (but use cautiously)

Question 2

macrolides

2

Answer 2

erythromycin

azithromycin

Question 3

dx tests to monitor for clients taking erythromycin

3

Answer 3

1. liver
2. (warfarin and digoxin) monitor pt/inr or digoxin levels
3. WBC count - for effectiveness

Question 4

macrolide - ototoxic

Answer 4

erythromycin

Question 5

gentamicin complications

3

Answer 5

1. ototoxicity
2. nephrotoxicity
3. hypersensitivity

Question 6

tx rheumatic fever and bacterial endocarditis

Answer 6

erythromycin

Question 7

-cyclin

Answer 7

tetracycline

Question 8

tetracycline therap. uses include

8

Answer 8

1. acne
2. peridontal disease
3. rickettsial
4. chlamydia
5. pneumonia
6. lyme disease
7. anthrax
8. h. pylori

Question 9

treats infections in clients who have a penicillin allergy

Answer 9

macrolides - erythromycin

Question 10

erythromycin therap uses

5

Answer 10

1. rheumatic fever
2. bacterial endocarditis
3. legionnaire’s disease
4. pertussis
5. chlamydia

Question 11

erythromycin s/e

4

Answer 11

1. GI
2. prolonged qt
3. hepatotoxic
4. ototoxic at high doses

Question 12

aminoglycosides

1

Answer 12

1. gentamicin

Question 13

gentamicin - what should the nurse monitor as a/e of this med
7

Answer 13

1. pruritis
2. paresthesias of hands/feet
3. rash
4. hematuria - kidney injury
5. muscle weakness
6. respiratory depression
7. vertigo - ototoxic

Question 14

tetracyclines preg. cat

Answer 14

D - high risk

Question 15

can cause prolonged qt intervals

Answer 15

erythromycin

Question 16

erythromycin complications

Answer 16

1. NV
2. epigastric pain
3. prolonged qt intervals
4. ototoxicity

Question 17

aminoglycosides - affect what organs

Answer 17

ototoxic and nephrotoxic

Question 18

tetracycline complications

7

Answer 18

1. NVD
2. esophageal ulceration
3. teeth discoloration
4. hepatotoxicity
5. photosensitivity
6. suprainfection
7. dizziness, lightheaded

Question 19

gentamicin - when to draw peak and trough

Answer 19

peak - 30 min after the end of the IV infusion

trough - just before starting the infusion

Question 20

erythromycin most common a/e

Answer 20

GI manifestations - NVD, abd pain

Question 21

administer what orally, prior to GI surgery to rid the large intestine of normal flora

Answer 21

neomycin