CH 35 ABX Flashcards
- Which statement should the nurse include when discussing antibiotic resistance with a client?
- “Resistance to antibiotics most often occurs when a client has a suppressed immune system.”
- “Resistance to antibiotics can occur by the common use for nosocomial infections.”
- “Resistance to antibiotics most often occurs when prescribed to treat the wrong organism.”
- “Resistance to antibiotics can occur any time they are prophylactic prescribed.”
-“Resistance to antibiotics can occur by the common use for nosocomial infections.”
- Which information should the nurse provide when educating a client about the reduction of the development of antibiotic resistance?
Select all that apply. - The best way to prevent antibiotic resistance is to prevent infections from occurring.
- Antibiotic prescriptions are not used for the treatment of colds and influenza.
- Take the full amount of any prescribed medication.
- See your healthcare provider as soon as you feel ill.
- Use good infection control measures.
- The best way to prevent antibiotic resistance is to prevent infections from occurring.
- Antibiotic prescriptions are not used for the treatment of colds and influenza.
- Take the full amount of any prescribed medication.
- Use good infection control measures.
6) Which laboratory test should the nurse anticipate prescribed to help identify the correct antibiotic to be used for the treatment of a client with a fever of 104°F?
Liver function tests
Complete blood count (CBC)
Urinalysis
Blood for culture and sensitivity
Blood for culture and sensitivity
Rationale: A high fever is usually indicative of a systemic infection. Blood cultures are the best way of identifying the causative organism in order to prescribe the appropriate treatment.
11) Which treatment plan should the nurse anticipate for the client with a sore throat, with white patches on the tonsils and swollen cervical lymph nodes?
Prescription of a narrow-spectrum antibiotic
Prescription of a broad-spectrum antibiotic
Prescription for blood cultures
Prescription for a throat culture
Prescription for a throat culture
Rationale: To ID the causative organism and initiate the best antibiotic treatment
19) Prior to administering a prescribed dose of gentamicin (Garamycin), the nurse notes a client’s serum level of gentamicin (Garamycin) is 12 mcg/mL? Which action should the nurse take?
Administer the dose of gentamicin
Request a new culture and sensitivity
Request a new serum level
Hold the dose of gentamicin
Hold the dose of gentamicin
Rationale: the nurse should withhold the prescription if the peal serum level lies above the normal range 5-10 mcg/mL
4) Which is a priority nursing assessment for the client receiving multiple antibiotics?
Assessing blood cultures for the presence of bacteria
Assessing changes in stool, white patches in the mouth, and urogenital itching or rash
Assessing renal and liver function tests
Assessing whether or not the client has adequate food and fluid intake
Assessing changes in stool, white patches in the mouth, and urogenital itching or rash
Rationale: superinfection occurs when microorganisms normally present in the body, host flora, are destroyed by antibiotic therapy. A superinfection can be lethal and should be suspected if a new infection appears while the client is receiving antibiotics. Signs of superinfection commonly include diarrhea, white patches in the mouth, urogenital itching, and presence of a blistering itchy rash.
8) The nurse notes a client that has received intravenous vancomycin (Vancocin) develops an upper body rash and has a decreased urine output. In addition to notifying the healthcare provider, which is the nurse’s priority action?
Hold the next dose of vancomycin (Vancocin).
Obtain a stat x-ray.
Administer an antihistamine.
Obtain a sterile urine specimen.
Hold the next dose of vancomycin (Vancocin).
Rationale: An upper body rash and decreased urine output are most likely symptoms of vancomycin (Vancocin) toxicity, so the medication should be held.
9) A client with tuberculosis asks why they are prescribed multiple drugs. Which information should the nurse include in the education?
“Current research indicates that the most effective way to treat tuberculosis is with multiple drugs.”
“Multiple drugs are necessary because the bacteria are likely to develop resistance to just one drug.”
“Treatment for tuberculosis is complex, and multiple drugs must be continued for as long as you are contagious.”
“Multiple drug treatment is necessary to help develop an immunity to tuberculosis.”
“Multiple drugs are necessary because the bacteria are likely to develop resistance to just one drug.”
Rationale: Tuberculosis bacilli are likely to develop resistance to one drug, so multiple drugs must be used.
10) Which priority nursing actions should the nurse take prior to administering penicillin G benzathine (Bicillin LA) to a client?
Select all that apply.
Have the client lie down and assess vital signs.
Inquire about a history of allergies to penicillin.
Inform the client that they will need be observed for 30 minutes after the injection.
Inform the client that they will need someone to drive them home.
Advise the client to rest for the remainder of the day.
Inquire about a history of allergies to penicillin.
Inform the client that they will need be observed for 30 minutes after the injection.
12) A client prescribed amoxicillin (Amoxil) for 10 days to treat strep throat tells the nurse that they are going to stop the prescription when they feel better. Which initial response should the nurse provide the client?
“If you stop the prescription early, you may have not effectively killed the bacteria.”
“You should get another throat culture if your symptoms return.”
“Stopping the prescription early could result in resistance to the antibiotic.”
“If you do stop your prescription early, make sure you get another throat culture.”
“If you stop the prescription early, you may have not effectively killed the bacteria.”
14) Which question should the nurse ask the client that is prescribed cefepime (Maxipime)?
“Are you breastfeeding?”
“Are you pregnant?”
“Are you allergic to penicillin?”
“Are you allergic to tetracycline?”
“Are you allergic to penicillin?”
20) The nurse notes a client has a gram-negative urinary tract infection. Which prescription should the nurse anticipate?
Tetracycline (Sumycin)
Vancomycin (Vancocin)
Ciprofloxacin (Cipro)
Gentamicin (Garamycin)
Ciprofloxacin (Cipro)
21) Which should the nurse anticipate prescribed for a client with a complicated MRSA infection?
Telithromycin (Ketek)
Linezolid (Zyvox)
Quinupristin/dalfopristin (Synercid)
Clindamycin (Cleocin)
Quinupristin/dalfopristin (Synercid)
