ATI Week 5 Flashcards
What type of organism is: Staphylococcus aureus
Aerobic bacteria
What type of organism is: Trichomonas
Parasite
What type of organism is: Varicella zoster
Virus
What type of organism is: Candida albicans
Fungus
Because the client is allergic to penicillin, which of the following antibiotics is appropriate to prescribe for the meningitis?
Vancomycin
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?
Epinephrine
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?
- Do not mix it with other drugs
- Monitor the IV insertion site for the phlebitis
- Monitor the vital signs during the infusion
- Dilute the drug before administering it
Clients receiving vancomycin should be closely monitored for which of the following:
Hearing loss
While receiving vancomycin, the client becomes warm and flushed. Which of the following additional A/E reactions to vancomycin should be expected?
Hypotension
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?
Rash
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?
Tinnitus
______ is used to treat methicillin resistant staphylococcus aureus (MRSA)
Vancomycin
______ is used to treat Trichomoniasis
Metronidazole
______ is used to treat systemic candidiasis
Amphotericin B
______ is used to treat Malaria
Chloroquine
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?
- Report mouth pain
- Take 1 hour before meals
- Wear sunscreen and protective clothing
Imipenem should be used with caution in which of the the following clients? A client with:
Seizure disorder
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?
Sore throat
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?
Jaundice
What is the therapeutic effect of: cephalexin
gram-pos infections
What is the therapeutic effect of: ketoconazole
cutaneous fungal infections
What is the therapeutic effect of: isoniazid
TB highly specific for mycobacterium TB
What is the therapeutic effect of: acyclovir
Viral infections
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?
- Take with food to reduce gastric distress
2. Take with 8 oz. of acidic liquid like cola or orange juice to increase absorption
Which of the following intervention may prevent a serious A/E to acyclovir?
Increase fluid intake
True or False: A patient that complains of tightness in the chest may be the S/S of a potential anaphylactic reaction?
True
A potential S/E that could be common for all antibacterial meds?
Diarrhea
Yeast infection
Thrush
List the 4 classes of antibacterial drugs?
- Cell wall inhibitors
- Protein synthesis inhibitors
- Metabolism synthesis inhibitors
- DNA
Identify one reason that antibacterial drug resistance could develop:
- Over use of antibacterial drugs
- Not finishing the prescribed amount of antibacterial drugs
- Not taking them on time
- Not taking your own meds
True or False: Tetracyclines are appropriate and safe to administer to pregnant or lactating women
False
True or False BacterialSTATIC drugs reduce the number of bacteria by killing them.
False
What category of drugs can increase tendon ruptures?
Fluoroquinolones
Why is it so important for someone taking an oral sulfamide to increase their fluids?
Formations of crystals in the kidneys
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
Tendon pain
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.
Vancomycin
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?
Dehydration
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?
Clostridium difficile - associated diarrhea
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?
- Jaundice
- Numbness of the hands and feet (neuropathy)
- Dizziness
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?
Superinfection
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?
Third generation cephalosporins
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?
Urine output
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?
Use a non-hormonal form of contraception
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?
Call emergency services immediately
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?
Cough
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?
Stop the cefotetan infusion
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?
Swelling of the hands and feet
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?
Renal impairment
When administering oral erythromycin to a client who has acute diphtheria, a nurse should monitor for which of the following A/E?
Cardiac dysrhythmias
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?
Bring in a stool sample for testing
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?
Cefotetan
Metronidazole
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?
BUN
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?
Take an antacid at least 2 hours after taking the drug
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?
Azithromycin
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?
- Acetaminophen
2. Diphenhydromine
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?
Ethacrynic acid
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?
Seizure disorder
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?
Isoniazid
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?
Bleeding
