Anti- Infectives

Question 1

Tetracyclines are used when?

Answer 1

When a client is allergic to penicillin or cephalosporins

Question 2

Tetracyclines common reactions and severe reactions

Answer 2

Epigastric distress Stomatitis sore throat skin rashes in photosensitivity

Question 3

What are tetracyclines contraindications?

Answer 3

Children younger than nine years old can cause yellow gray brownish teeth
used cautiously with clients with her impaired renal function and liver impairment

Question 4

Interactions with tetracyclines

Answer 4

Add acids decreased effectiveness as well as magnesium and oral contraceptives anticoagulants increase bleeding risks and digoxin increase for a digitalis toxicity

Question 5

Aminoglycosides

Answer 5

Act against gram-negative bacilli partially act against gram-positive Basili can produce toxin reactions such as neurotoxicity Ototoxicity and Nephrotoxicity 

Question 6

Aminoglycosides uses

Answer 6

To treat gram negative infection like hepatic coma

Question 7

Macrolides uses

Answer 7

Effect of against pathogenic organisms and infections of the respiratory system.

Question 8

Lincosamides uses

Answer 8

Use the train infections at penicillin or erythromycin is not effective used in conjunction with antibiotics

Question 9

Disulfiram s/s

Answer 9

Flashing on the face of dizziness nausea and vomiting and headache

Question 10

Vancomycin manifestations

Answer 10

Ototoxicity Nephrotoxicity and tinnitus

Question 11

Cross sensitivity with penicillin

Answer 11

Yes cephalosporins

Question 12

What are nursing considerations with Cepholosporins and Client with renal impairment

Answer 12

Monitor fluid input and output
check for hypersensitivity reaction
check labs for liver and kidney function

Question 13

Do you teach to administer Cepholosporins with or without food? what would change this recommendation?

Answer 13

Give one to two hours before food and if client has G.I. upset then give medication with food

Question 14

List disulfiram like reaction when taking Cepholosporins and alcohol

Answer 14

Flushing throbbing respiratory problems hypertension severe reaction dysrythmias and unconsciousness

Question 15

Adverse effects with tetracycline include

Answer 15

Nausea vomiting stomatitis epigastric distress and photosensitivity

Question 16

What is Steven Johnson syndrome what are nursing interventions for it

Answer 16

A rare serious disorder of the skin and mucous membranes a medical emergency a flu like symptoms appear first

Question 17

Manifestations of super infections went on antibiotics

Answer 17

White patches on the tongue diarrhea and types of superinfection skin Are: C-diff or candidiasis

Question 18

Client teaching about sulfasazine

Answer 18

Take medication directed by the doctor complete the full course of therapy take medication prescribe at the times a day take medication empty stomach make a skin in urine to be an orange yellow color do not break or true or crush medication avoid any exposure to sunlight

Question 19

Nursing considerations with client taking atorvastatin

Answer 19

Patient should have laps done for liver and kidney function before use avoid grapefruit juice

Question 20

Manifestations when taking atorvastatin that should be reported

Answer 20

May cause rhabdomyolysis and peripheral neuropathy and myopathy

Question 21

What time should Simvastatin be administered

Answer 21

In the evening or bedtime

Question 22

Client education for simvastatin

Answer 22

Take medication in the evening or bedtime choose juices other than grateful because of enzyme reaction Antacids should be taken two hours after reserve a statin may cause photosensitivity do not use while pregnant. A contact physician as soon as possible if muscle pain tenderness or weakness occurs

Question 23

Client education for a colestipol granules

Answer 23

Makes the prescribed dose and liquid soup cereals are carbonated beverages use 90 mL of liquid and slowly start the preparation till ready

Question 24

Expected manifestations for tamoxifen

Answer 24

Hot flashes and constipation deep vein thrombosis and endometrial cancer

Question 25

What should be monitored on a client taking Cisplatin

Answer 25

Monitor intake and output monitor your blood pressure and scanter but avoid dehydration less than 30 ML’s of yarn in an hour is bad monitor for bone marrow suppression

Question 26

Common adverse reaction to antineoplastic drugs that affect self-esteem are

Answer 26

Alopecia