ATI Week 5 Flashcards

1
Q

What type of organism is: Staphylococcus aureus

A

Aerobic bacteria

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2
Q

What type of organism is: Trichomonas

A

Parasite

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3
Q

What type of organism is: Varicella zoster

A

Virus

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4
Q

What type of organism is: Candida albicans

A

Fungus

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5
Q

Because the client is allergic to penicillin, which of the following antibiotics is appropriate to prescribe for the meningitis?

A

Vancomycin

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6
Q

Because the client is allergic to penicillin, which of the following drugs should be available in case the client has a severe allergic reaction to the antibiotic that has been prescribed?

A

Epinephrine

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7
Q

IV vancomycin has been prescribed to treat the meningitis. When administering the drug IV, which of the following actions should the health care professional take?

A
  1. Do not mix it with other drugs
  2. Monitor the IV insertion site for the phlebitis
  3. Monitor the vital signs during the infusion
  4. Dilute the drug before administering it
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8
Q

Clients receiving vancomycin should be closely monitored for which of the following:

A

Hearing loss

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9
Q

While receiving vancomycin, the client becomes warm and flushed. Which of the following additional A/E reactions to vancomycin should be expected?

A

Hypotension

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10
Q

A client is prescribed amoxicillin to treat an ear infection. The health care provider instructs the client to monitor and report which of the following?

A

Rash

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11
Q

A client prescribed gentamicin for treatment of a respiratory tract infection. The provider instructs the client to monitor and report which of the following A/E of gentamicin?

A

Tinnitus

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12
Q

______ is used to treat methicillin resistant staphylococcus aureus (MRSA)

A

Vancomycin

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13
Q

______ is used to treat Trichomoniasis

A

Metronidazole

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14
Q

______ is used to treat systemic candidiasis

A

Amphotericin B

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15
Q

______ is used to treat Malaria

A

Chloroquine

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16
Q

A client is prescribed oral tetracycline for treatment of acne vulgaris. When instructing the client about the tetracycline, which of the following information should the provider include?

A
  1. Report mouth pain
  2. Take 1 hour before meals
  3. Wear sunscreen and protective clothing
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17
Q

Imipenem should be used with caution in which of the the following clients? A client with:

A

Seizure disorder

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18
Q

A client prescribed trimethoprim/ sulfamethoxazole for treatment of a UTI. The health care provider should instruct the client to monitor and report which of the following, which may indicated a serious A/E of trimethoprim/ sulfamethoxazole?

A

Sore throat

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19
Q

A client is prescribed rifampin for treatment of TB. The health care provider should instruct the client to monitor and report which of the following, which may indicate a serious A/E of the rifampin?

A

Jaundice

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20
Q

What is the therapeutic effect of: cephalexin

A

gram-pos infections

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21
Q

What is the therapeutic effect of: ketoconazole

A

cutaneous fungal infections

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22
Q

What is the therapeutic effect of: isoniazid

A

TB highly specific for mycobacterium TB

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23
Q

What is the therapeutic effect of: acyclovir

A

Viral infections

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24
Q

A client is prescribed itraconazole for treatment of systemic mycoses. The provider should include which information when instructing the client about the administration of itraconazole?

A
  1. Take with food to reduce gastric distress

2. Take with 8 oz. of acidic liquid like cola or orange juice to increase absorption

25
Q

Which of the following intervention may prevent a serious A/E to acyclovir?

A

Increase fluid intake

26
Q

True or False: A patient that complains of tightness in the chest may be the S/S of a potential anaphylactic reaction?

A

True

27
Q

A potential S/E that could be common for all antibacterial meds?

A

Diarrhea
Yeast infection
Thrush

28
Q

List the 4 classes of antibacterial drugs?

A
  1. Cell wall inhibitors
  2. Protein synthesis inhibitors
  3. Metabolism synthesis inhibitors
  4. DNA
29
Q

Identify one reason that antibacterial drug resistance could develop:

A
  1. Over use of antibacterial drugs
  2. Not finishing the prescribed amount of antibacterial drugs
  3. Not taking them on time
  4. Not taking your own meds
30
Q

True or False: Tetracyclines are appropriate and safe to administer to pregnant or lactating women

A

False

31
Q

True or False BacterialSTATIC drugs reduce the number of bacteria by killing them.

A

False

32
Q

What category of drugs can increase tendon ruptures?

A

Fluoroquinolones

33
Q

Why is it so important for someone taking an oral sulfamide to increase their fluids?

A

Formations of crystals in the kidneys

34
Q

A nurse is caring for a client who is taking ciprofloxacin to treat a UTI. The client also takes prednisolone to treat RA. Recognizing the A/E of ciprofloxican, the nurse should instruct the client to report which of the following A/E

A

Tendon pain

35
Q

A nurse is caring for a client whose sputum culture results indicate methicillin-resistant staph. Aureus (MRSA). The nurse should recognize that which of the following medications will likely be administered.

A

Vancomycin

36
Q

A nurse is caring for a client who is about to begin receiving acyclovir IV to treat a viral infection. The nurse should recognize that cautious use of the drug is essential if the client also has which of the following conditions?

A

Dehydration

37
Q

A nurse in a providers office receives a call from a client who is taking tetracycline orally to treat a chlamydia infection and reports severe blood tinged diarrhea. The nurse should suspect the client is experiencing which of the following?

A

Clostridium difficile - associated diarrhea

38
Q

A nurse is caring for a client who is about to begin taking isoniazid to treat tuberculosis. The nurse should instruct the client to report which of the following A/E of the drug?

A
  1. Jaundice
  2. Numbness of the hands and feet (neuropathy)
  3. Dizziness
39
Q

A nurse in a providers office receives a call from a client who was recently hospitalized and treated with imipenem IV for a bacterial infection and reports an inability to eat due to mouth pain. The nurse should identify that the client might be experiencing which of the following as an adverse effect of this drug?

A

Superinfection

40
Q

A nurse is caring for a client who has new diagnosis of bacterial meningitis. The nurse should expect the provider to prescribe a drug from which of the following classifications of antibiotics?

A

Third generation cephalosporins

41
Q

A nurse is caring for a client who is about to begin gentamicin therapy to treat an infection. The nurse should monitor the client for an alteration in which of the following?

A

Urine output

42
Q

A nurse is providing teaching for a client who takes an oral contraceptive and is about to begin rifampin therapy to treat TB. Which of the following instructions should the nurse include?

A

Use a non-hormonal form of contraception

43
Q

A nurse in a providers office receives a call from a client who is taking amoxicillin to treat a respiratory infection and reports a rash a wheezing. Which of the following instructions should the nurse give the client?

A

Call emergency services immediately

44
Q

A nurse is caring for a client who is about to begin taking nitrofurantoin to treat a UTI. The nurse should tell the client to report which of the following A/E of the drug?

A

Cough

45
Q

A nurse is administering cefotetan IV to a client to treat an intra-abdominal infection. The nurse notes that the IV insertion side is warm, edematous, and painful to the touch. Which of the following actions should the nurse take?

A

Stop the cefotetan infusion

46
Q

A nurse is caring for a client who is about to begin taking itraconazole to treat a fungal infection. The nurse should instruct the client to report which of the following A/E of the drug?

A

Swelling of the hands and feet

47
Q

A nurse is caring for a client who has a new prescription for aztreonam to treat a respiratory tract infection. Which of the following findings in the clients medical record should the nurse recognize as requiring cautious use for this prescription and report to the provider?

A

Renal impairment

48
Q

When administering oral erythromycin to a client who has acute diphtheria, a nurse should monitor for which of the following A/E?

A

Cardiac dysrhythmias

49
Q

A nurse in a providers office receives a call from a client who has been taking penicillin V three times daily and reports abdominal cramping with bloody diarrhea for several days. Which of the following instructions should the nurse give the client?

A

Bring in a stool sample for testing

50
Q

A nurse is caring for a client who has gynecologic infection and a history of alcohol use disorder. The nurse should identify that which of the following drugs can cause a reaction similar to disulfiram if the client drinks alcohol while taking it?

A

Cefotetan

Metronidazole

51
Q

A nurse is caring for a client who has a new prescription for acyclovir to treat HSV infection. Which of the following lab values should the nurse monitor for this client?

A

BUN

52
Q

A nurse in a providers office receives a call from a client who is taking ciprofloxican to treat a respiratory tract infection and reports dyspepsia. Which of the following instructions should the nurse give the client?

A

Take an antacid at least 2 hours after taking the drug

53
Q

A nurse is caring for a client who has streptococcal pharyngitis and an allergy to penicillin. The nurse should recognize that which of the following drugs can be safely administered to this client?

A

Azithromycin

54
Q

A nurse is preparing to administer amphotericin B IV to a client who has a systemic fungal infection. Which of the following drugs should the nurse prepare to administer prior to the infusion to prevent or minimize A/E?

A
  1. Acetaminophen

2. Diphenhydromine

55
Q

A nurse is reviewing a clients prescriptions prior to administering gentamicin to the client to treat a systemic infection. The nurse should clarify the use of gentamicin with the provider if the client is taking which of the following drugs?

A

Ethacrynic acid

56
Q

A nurse is caring for a client who is about to begin taking metronidazole to treat an anaerobic intra-abdominal bacterial infection. The nurse should recognize that cautious use of the drug is indicated if the client also has which of the following conditions?

A

Seizure disorder

57
Q

A nurse is caring for a client who has a prescription for rifampin to treat TB. The nurse should expect the provider to prescribe which of the following drugs to the client to prevent possible resistance to rifampin?

A

Isoniazid

58
Q

A nurse is caring for a client who is taking warfarin and has a new prescription for trimethoprim/ sulfamethoxazole to treat a UTI. The nurse should clarify the prescriptions with the provider because taking these two drugs can increase the clients risk for which of the following?

A

Bleeding