CH 35 ABX XTRA Flashcards

1
Q

1) The nurse plans to teach the client with acquired immune deficiency syndrome (AIDS) about bacterial infections. Which information should the nurse include in this teaching?
Select all that apply.

“If just a few bacteria make you sick, this is virulence.”

“Most bacteria have developed antibiotic resistance.”

“Pathogens are divided into two classes, bacteria and viruses.”

“Pathogenicity means the bacteria can cause an infection.”

“Actually, most bacteria will not harm us.”

A

“If just a few bacteria make you sick, this is virulence.”
“Pathogenicity means the bacteria can cause an infection.”
“Actually, most bacteria will not harm us.”

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2
Q

2) Which information should the nurse include in the teaching about bacteria with a client?
Select all that apply.

Bacteria are either aerobic or anaerobic.
Bacteria are multicellular organisms.
E. coli are gram-negative bacteria.
Gram staining is one way to identify bacteria.
Spherical-shaped bacteria are called cocci.

A

E. coli are gram-negative bacteria.
Gram staining is one way to identify bacteria.
Spherical-shaped bacteria are called cocci.

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3
Q

3) A client tells the nurse they do not understand why their prescribed antibiotic did not kill the bacteria that caused their infection. Which response should the nurse provide the client?

“Some antibiotics work with your body’s ability to help kill the infection.”

“Your healthcare provider will most likely prescribe a different type of antibiotic.”

“Your healthcare provider will want additional blood work to identify type of bacteria.”

“Your infection is not a serious one and over time your body should be able to kill the bacteria.”

A

“Some antibiotics work with your body’s ability to help kill the infection.”

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4
Q

7) Which is a nursing priority action for the client receiving gentamicin (Garamycin) intravenously?

Monitor the client for hearing loss.
Draw daily blood chemistries.
Decrease the fluids for the client during therapy.
Place the client on isolation precautions.

A

Monitor the client for hearing loss.

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5
Q

14) Which priority question should the nurse ask the female client that has been prescribed penicillin G?

“Are you pregnant?”
“Do you plan to become pregnant?”
“Are you breastfeeding?”
“Are you taking birth control pills?”

A

“Are you taking birth control pills?”

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6
Q

15) Which describes pathogenicity?

Ability of organisms to cause infection
Ability to kill pathogens
Ability for disease to occur when pathogens are present
Ability to disrupt the DNA of the pathogen

A

Ability of organisms to cause infection

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7
Q

16) Which describes the action of bactericidal drugs?

Disrupt normal cell function
Slow the growth of the bacteria
High potency
Kill the bacteria

A

Kill the bacteria

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8
Q

17) Which information should the nurse include in the discharge teaching for a client prescribed tetracycline?
Select all that apply.

Take the medication with antacids.
Do not take the prescription with iron supplements.
Do not take the prescription with milk.
Do not take the prescription with vitamins.
Take the prescription with food.

A

Do not take the prescription with iron supplements.
Do not take the prescription with milk.
Take the prescription with food.

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9
Q

18) Which should the nurse assess the client for that is receiving intravenous gentamicin (Garamycin)?
Select all that apply.

Neuromuscular toxicity
Nephrotoxicity
Cardiotoxicity
Neurotoxicity
Acute toxicity
A

Neuromuscular toxicity
Nephrotoxicity
Neurotoxicity

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10
Q

Which should the nurse monitor a client for that is prescribed cefotaxime (Claforan)?

Diarrhea
Headache
Fever
Tachycardia

A

Diarrhea

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11
Q

23) Which statement made by a client prescribed trimethoprim-sulfamethoxazole (Septra) should the nurse be concerned about?

“I will take this prescription with water.”
“I forgot to take iron today.”
“I will not take my warfarin at the same time.”
“If I go out I will make sure to use a strong sunscreen.”

A

“I will not take my warfarin at the same time.”

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11
Q

23) Which statement made by a client prescribed trimethoprim-sulfamethoxazole (Septra) should the nurse be concerned about?

“I will take this prescription with water.”
“I forgot to take iron today.”
“I will not take my warfarin at the same time.”
“If I go out I will make sure to use a strong sunscreen.”

A

“I will not take my warfarin at the same time.”

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12
Q

24) Which should the nurse recognize is the safest classification of antibiotics that is commonly prescribed?

Macrolides
Aminoglycosides
Sulfonamides
Penicillin

A

Penicillin

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13
Q

25) Which describes the action of urinary antiseptics?
Select all that apply.

They can be administered intravenously.
They are used as first-line treatment of urinary tract infections.
Therapeutic levels of the drug are reached in the kidney.
They treat local infections in the urinary tract.
The anti-infective action is specific to the urinary system.

A

Therapeutic levels of the drug are reached in the kidney.
They treat local infections in the urinary tract.
The anti-infective action is specific to the urinary system.

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14
Q

Which should the nurse recognize is a broad-spectrum penicillin?
Select all that apply.

Oxacillin
Ampicillin
Piperacillin
Amoxicillin
Dicloxacillin
A

Ampicillin

Amoxicillin

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15
Q

Which prescription should the nurse anticipate for a client requiring an extended-spectrum penicillin?

Oxacillin
Piperacillin
Penicillin V
Ampicillin

A

Piperacillin

16
Q

29) Which unit of measurement should the nurse anticipate penicillin to be prescribed?

Grams
Grains
Units
Milligrams

A

Units

17
Q

Which describes a characteristic of the class of carbapenems?

They have some of the broadest antimicrobial spectrums.
They have one of the lowest resistance rates.
They have some of the narrowest antimicrobial spectrums.
They have one of the longest half-lives.

A

They have some of the broadest antimicrobial spectrums.