lecture 3 Flashcards
(36 cards)
A 2 year old patient with respiratory syncytial virus is prescribed aerosolized ribavirin (virazole). Which visitor should you ensure is not in the patients room during the aerosol treatments?
A 32 year old pregnant mother
A 79 year old patient is receiving a quinolone as treatment for a complicated incision infection. The nurse will monitor for which adverse effect that is associated with these drugs. This effect is more common in elderly patients, patients with renal failure, and those receiving concurrent glucocorticoid therapy. The other options are not common adverse effects.
Tendonitis and tendon rupture
A breast-feeding mother has been prescribed antimicrobial therapy for an infection. What information should be included in her teaching plan?
Breast feeding should be avoided during antimicrobial therapy
A child with an ear infection is not responding to treatment with amoxicillin. The nurse will expect the provider to order :
amoxicillin-clavulanic acid [augmentin]
A child with otitis media has had three ear infections in the past year. The child has just completed a 10-day course of amoxicillin with no improvement. The parent asks the nurse why this drug is not working, because it has worked in the past. What will the nurse tell the patient?
“The bacteria have synthesized penicillinase”
A female patient has come to the STD clinic and has been diagnosed with Trichomonas vaginalis infection. What education should be provided to this patient?
Male partners should always be treated, even if they are asymptomatic.
A female with human immunodeficiency virus (HIV). who is taking a combination of a nucleoside reverse transcriptase inhibitor, nonnucleoside reverse transcriptase inhibitor, and protease inhibitor tells. you she is now pregnant. What advise regarding her drug therapy would be appropriate?
“keep taking the drug regimen exactly as ordered throughout your pregnancy”
A nurse is caring for an african american pt who is admitted for long term antibiotic therapy with sulfonamides. Pt develops fever, pallor, and jaundice. Nurse is correct to suspect pt has developed:
hemolytic anemia
Nurse is discussing intravenous amphotericin B treatment with student who is about to care for pt with systemic fungal infection. what statement indicates student needs further teaching?
Infusions of amphotericin B should be administered over 1 to 2 hrs
Nurse is providing education about tetracycline. Which statement by the patient best demonstrates understanding of the administration of this medication ?
“I should not take this medication with milk or other dairy products”
Nurse is teaching student what is meant by “generations” of cephalosporins. Which statement by the student indicates understanding of the teaching?
“Cephalosporins have increased activity against gram-negative bacteria with each generation”
A nurse preparing to administer intravenous gentamicin to patient notes that the dose is half the usual dose for an adult. The nurse suspects that this is because this patient has a history of :
renal disease
Nurse teaches. a patient about sulfonamides. Which statement by the patient indicates a need for further teaching ?
“I should stop taking this drug when my symptoms are gone”
Pt allergic to penicillin is being evaluated for gram-negative infection. Which antimicrobial drug class would the health care provider be cautious in prescribing because of possible cross sensitivity and/or allergic reaction?
Cephalosporins
Pt beginning antiretroviral therapy for HIV infection asks you why it is important to report all other drugs that. the patient is taking. What is your best response?
“the antiretroviral should be taken alone and not with other drugs”
Pt complains of painful urination. A physical examination reveals vesicles on her labia, vagina, and the foreskin of her clitoris. The nurse will expect to teach this patient about which medication?
Acyclovir
pt diagnosed with human immunodeficiency virus (HIV) infection taking antiretroviral therapy appears less depressed and more talkative. The patient tells you the drugs seem to be working, and she is certain she is now cured. What is your response?
-Taking the drug prevents more virus from being produced
-HIV is not currently curable, but drug therapy slows the advance of the disease
A pt has a urinary tract infection, nurse knows that which class of drugs is especially useful for such infections?
Sulfonamides
Pt has an invasive aspergillosis infection. What antifungal agent is the drug of choice for this infection?
voriconazole
pt has been diagnosed with carbapenem-resistant enterobacteriaceae. nurse expects to see orders for which drug?
colistimethate sodium, a polypeptide antibiotic
pt has been receiving home health care and IV antimicrobial therapy for osteomyelitis of the lower right leg for the past 4 weeks. what will the nurse assess to evaluate the effectiveness of the antimicrobial agent?
-pain of the right leg
-pt temp
-presence of edema, redness, or swelling right lower leg
-complete blood count and sedimentation rate lab values
pt received prescription for 2 week course of antifungal suppositories for vaginal yeast infection. She asks the nurse if there is an alternative to this medication, saying “ i dont want to do this for 2 weeks!” which is a possibility in this situation ?
A single dose of a fluconazole oral tablet
Pt indicates during the nursing assessment that he is currently taking zidovudine. for which condition is the patient being treated?
HIV infection
pt is about to receive penicillin G for the first time for infection that is highly sensitive to this drug. nurse learns he has experienced rash when given amoxicillin as a child, what should she do ?
request an order for skin test to assess the current risk
