39 Flashcards
A nurse is caring for a patient who has a serious infection. The patient is being treated with combination therapy of a cefazolin and an aminoglycoside. The nurse will be sure to monitor which of the following?
Serum BUN and creatinine levels
A 25-year-old woman is being treated with penicillin G as prophylaxis to prevent bacterial endocarditis prior to a dental procedure. The nurse should question the patient concerning her the use of
oral contraceptives.
A nurse is instructing a diabetic patient, who has a severe respiratory infection caused by Streptococcus pneumoniae, how to monitor his glucose levels while taking cefazolin. The nurse will instruct the patient to use
blood testing for glucose level.
A 34-year-old female patient is taking oral cephradine, a first-generation cephalosporin, at regular intervals with a 2-hour gap before meals. The patient reports gastrointestinal distress. The nurse will encourage the patient to
take the drug with food.
A 7-year-old child has tonsillitis and is prescribed penicillin V, which is to be administered at home. The nurse will instruct the parents to administer the drug
with a glass of water 1 hour before or 2 hours after a meal.
A patient is receiving cefazolin in combination with anticoagulants. To minimize the adverse effects during therapy, the nurse will
monitor the patient for bleeding gums.
A patient has been prescribed penicillin G for pharyngitis. She is upset that she has to take the antibiotic around the clock. The nurse will base a response to the patient on the fact that penicillin G
is rapidly cleared unchanged from the plasma by the kidneys.
A patient calls the clinic to tell the nurse that she forgot to take a dose of penicillin G. The nurse will advise her to
take the dose immediately, but not if it is time for the next scheduled dose.
A patient is receiving vancomycin (Vancocin) intravenously. The nurse will most likely administer the medication over a period of
60 minutes
A priority assessment of a patient who is to be started on cilastatin-imipenem (Primaxin) by the nurse would be to determine if the patient has a history of
seizure disorder.
Culture and sensitivity testing of a patient’s sacral ulcer reveals the presence of gram-negative aerobic bacteria and the care team is opting for treatment with a monobactam antibiotic. The patient will likely be prescribed
aztreonam.
A patient has been admitted to the critical care unit of the hospital with bacterial septicemia that has failed to respond to initial antibiotic treatment. The patient’s most recent blood cultures reveal the presence of methicillin-resistant Staphylococcus aureus (MRSA) in the patient’s blood. The nurse will anticipate that this patient will likely require intravenous administration of what antibiotic?
Vancomycin
Prior to and following a transurethral prostatic resection (TUPR), a 73-year-old man has been scheduled to receive a total of five intravenous doses of cefazolin. Which of the following nursing diagnoses should the nurse associate with this antibiotic therapy?
Risk for Infection related to overgrowth of nonsusceptible organisms
Culture and sensitivity testing of a patient’s sputum sample indicated that his pneumonia could be treated with intravenous cefazolin. This treatment was initiated 6 days ago and this morning the nurse’s assessment reveals no adventitious lung sounds, a respiratory rate of 22 breaths/minute, oxygen saturation of 93% on room air, and an oral temperature of 98.4°F. Based on the apparent resolution of the patient’s respiratory infection, the nurse should recognize that
the patient will continue treatment with cefazolin for 2 more days.
A patient has been diagnosed with osteomyelitis (bone infection) and has begun treatment with intravenous vancomycin. Which of the nursing following teaching points relates most directly to the potential adverse effects of vancomycin?
“Make sure to tell your nurse if you experience any changes in your hearing.”
