Exam 3

Question 1

When is a TB patient most contagious?

Answer 1

2-3 weeks from the initial period the illness was diagnosed.

Question 2

B6 should be taken with what medication

Answer 2

INH( Isoniazid: Used to treat TB). B6 prevents peripheral neuropathy.

Question 3

TB spreads through what type of transmission

Answer 3

droplets

Question 4

Adverse effect of tetracycline is

Answer 4

photosensitivity

Question 5

steven johnsons syndrone effects the

Answer 5

skin

Question 6

What antibiotic causes archilies tendon rupture?

Answer 6

fluroquinolones.

Question 7

7. Administering medication for bone marrow. Closely monitor what?

Answer 7

CBC and platelet levels

Question 8

Antidote for anaphylactic shock

Answer 8

Epinephrine

Question 9

Red man syndrome caused by

Answer 9

Giving vancomycin too fast.

Question 10

Adverse Reaction: Prolonged QT (waves on the monitor) caused from

Answer 10

Erythromycin

Question 11

Sulfonamides treat

Answer 11

Treats UTI’s

Question 12

Elderly patient admitted for thrombophlebitis. They are taking a Enoxaparin (LMWH). What statement shows patient understands medication use?

Answer 12

The medication will increase risk of bleeding.

Question 13

Antidote for Warfarin is

Answer 13

Vitamin K

Question 14

Patient taking anticoagulants. What is a statement of understanding?

Answer 14

This medication will keep clots from forming in the blood.

Question 15

Antiplatelet Clopidogrel is used for

Answer 15

myocardial infractions.

Question 16

Patients taking anticoagulants should watch for

Answer 16

signs of bleeding.

Question 17

Patient taking Warfarin should eat what foods in moderation?

Answer 17

Leafy greens due to vitamin k.

Question 18

Test used to monitor Heparin?

Answer 18

aPTT

Question 19

Test used to monitor Warafin?

Answer 19

INS

Question 20

Blood test used to monitor coumadin?

Answer 20

PT/INR

Question 21

Antidote for Heparin

Answer 21

Protamine sulfate.

Question 22

Enoxaparin can only be given which route?

Answer 22

subcutaneously.

Question 23

Alteplase breaks down what?

Answer 23

blood clots

Question 24

Normal INR range

Answer 24

Between 2-3

Question 25

Monitoring a patient on antithrombolytic therapy who has had a heart attack. What adverse effect will you see?

Answer 25

An irregular heartbeat.

Question 26

Patient is bleeding from an incision of heparin. Antidote is

Answer 26

Protamine Sulfate.

Question 27

Corticoid steroids are taken after what?

Answer 27

Bronchodialators.

Question 28

Patient taking theloxin should stop what habit?

Answer 28

Stop Smoking

Question 29

Adverse effect of albuterol is

Answer 29

tachycardia

Question 30

Salmeterol can only be administered by what route?

Answer 30

Inhaled BID

Question 31

Educate asthma patient from getting yeast in their mouth

Answer 31

Rinse mouth out after each use.

Question 32

A short-acting Beta 2 antagonist medication for an upper respiratory infection is

Answer 32

Albuterol

Question 33

Reason for taking corticoid steroids is to

Answer 33

Reduce airway inflammation

Question 34

What are some triggers for asthma attacks?

Answer 34

Exercise, medications, allergies and smoking

Question 35

Patient with TB take alot of drug because

Answer 35

It prevents the TB from becoming drug resistant.

Question 36

Patient is on long term INS therapy. What do we monitor?

Answer 36

Liver enzymes.

Question 37

Patient has had a history of an allergic reaction to a medication. What will the nurse ask?

Answer 37

Tell me about the medication and the symptoms. you experienced. What happened?

Question 38

Patient prescribed INH for treatment. What should the patient not do the prevent liver damage?

Answer 38

No drinking alcohol.

Question 39

Patient taking TB medications, What color symptom can they experience?

Answer 39

Urine discolored. saliva is orange.

Question 40

Patient needs to drink what with penicillin?

Answer 40

WATER

Question 41

Patient is administered vancomycin. What must be checked?

Answer 41

Check patient creatine and BUN levels for renal function.

Question 42

Female client taking Rifampin (for TB) and on birth control pills. What will you tell them?

Answer 42

They need to switch to another form of medication because they can get pregnant.

Question 43

Patient on aminoglycosides IV therapy report ringing in their ears. what should the nurse do?

Answer 43

Stop the line.

Question 44

Patient on Aminoglycosides. medications may need to be adjusted is nurse observers changes in what system?

Answer 44

Renal system. we don't want renal failure.

Question 45

MRSA is resistant to

Answer 45

antibiotics.

Question 46

Fluoroquinolones can be administered by what route?

Answer 46

Orally

Question 47

C. Diff. patient given B6 before the fluoroquinolones. Why is that?

Answer 47

B6 protects the normal flora in the body.

Question 48

What needs to get measures for INS?

Answer 48

Liver Enzymes

Question 49

How long does it take for a TB patient to get better?

Answer 49

6-24 months

Question 50

Patient is on vancomycin. What function must the nurse monitor?

Answer 50

Renal function

Question 51

Health care associated Infections

Answer 51

healthcare-associated infections (HAIs) include central line-associated bloodstream infections, catheter-associated urinary tract infections, and ventilator-associated pneumonia. Infections may also occur at surgery sites, known as surgical site infections.

Question 52

Super infection

Answer 52

(1) An infection occurring during antimicrobial treatment for another infection, resulting from overgrowth of an organism not susceptible to the antibiotic used. (2) A secondary microbial infection that occurs in addition to an earlier primary infection, often because of weakening of the patient’s immune system function by the first infection

Question 53

Tetracyclines used for

Answer 53

.Gram-negative and gram-positive bacteria -Chlamydia -syphilis -Lyme disease -Rickettsia -Rocky Mountain spotted fever -Doxycycline can be used in prevention and treatment of anthrax and malaria

Question 54

cephalosporins used for

Answer 54

Gram Positive bacteria -Better gram negative coverage in later generations

Question 55

quinolones used for

Answer 55

Gram-negative bacteria -Complicated urinary tract, respiratory, bone and joint, GI, skin, and sexually transmitted infections -Anthrax (ciprofloxacin)

Question 56

Sulfonamides used for

Answer 56

-Gram negative and gram positive bacteria -UTIs -Pneumocystis jiroveci pneumonia -Upper respiratory tract infection