olympics 3 Flashcards
a2 year old patient is using aerosolized ribavirin virazole. who should not come in
32 year old mother
a 79Y is getting quinolone what effect should the nurse monitor
tendonitis and tendon rupture
woman with HIV
keep taking the drug regimen exactly as ordered through out the pregnancy
a breast feeding mother has been prescribed anti microbial therapy for an infection what information should be included
breast feeding should be avoided when doing antimicrobial therapy
a child with an ear infection is not responding to treatment with amoxicillin the nurse will expect the provider to order
amoxicillin clauvinv acid ( augmenting)
a child is contumely getting an ear virus and ask nurse why meds aint working
the bacteria have synthesized
a woman has an std and had.been diagnosed with a trichomonal vaginalis infection . that education should be provided to this patient
male partners should be treated even if they’re asymptomatic
a nurse is caring for an African American patient who has been admitted to the unit for long term antibiotic therapy with sulfonamides the patient develops fever, pallor and jaundice the nurse would be correct to suspect the patient has
hemolytic anemia
a nurse is discussing intravenous amphotericin with a nursing student who is about to care for a patient with a stem fungal infection which Statment by the student indicates a need for further teaching
infusions of amphotercin B should be administered over 1 - 2 hours
a nurse is giving a Intravenous injection but its only half the dose the nurse suspects what
renal disease
a nurse is teaching a student what is meant by generations of cephalosporins which statement by the student indicated understanding of the teaching
cephalosporins have increased activity against gram negative bacteria with each generation
a nurse is providing education about tetracycline ( sumycin ). which statement by the patient best demonstrate understanding of the administration
I should not take this medication with milk or other dairy products
a nurse is teaching a patient about sulfonamides which statement bt the patient indicated a need for further teaching
I should stop taking this drug when my symptoms are gone
a patient allergic to penicillin is being evaluated for a gram negative infection which anti microbial drug should we be cautious of providing
cephalosporins
a patient beginning antiretroviral therapy for his infection ask why it is important to report all the drugs patient is taking ?
the antiretroviral should be take alone wit h no other drugs
a patient complains of painful urination. what medication should the nurse teach the patient about
Acyclovir (Zovirax
a patient is taking HIV meds and thinks they are working and she is now cured what I the response
taking the drug prevents more virus from being produced , his is not currently curable but the drug slows the advance of the disease
a patient has a UTI the nurse knows this class of drugs is helpful for the infection
sulfonamides
a patient has an inverse aspergillosis infection . which anti fungal agent is the drug of choice for this infection
voriconazole ( Vfend)
a patient indicated during the nursing assessment that he is currently taking zidovudine ( Retrovir) .m for which condition is the patient being treated
HIV
a patient has been diagnosed with CRE . the nurse expects to see orders for what drug
colstimethate sodium ( coly 0-mycin), a poly peptide antibiotic
a patient has een rekening home health care and IV antimicrobial therapy for an infection what will the nurse asses ( SATA)
pain in the right leg , patient temperature , presence of edema redness or swelling in the right lower leg CBC and sedimentation rate of lab values
a patient has got meds for an anti fungal suppositories for a yeast infection patient says it does not want to do this for 2 weeks what does the nurse do
a single yes of a fluconazole ( siflucan ) oral tablet
102.8 F assessment should complete the orderr of urine and blood culture in what oder
blood urine and antibiotic dose
patient is about to receive penicclen but nurse notices he had a reaction 20 years ago what does the nurse do
request an order for a skin test to see risk
a patient is amddited with glomerulolne parities . IV therapy is started after culures indicate gram negative bacilli in the blood what organ should the nurse watch out for
Kidneys
a patient is being discharged home on antibacterial drug therapy what instruction should you teach the patient ( SATA)
stop taking drugs if you develop hives or a rash , and if u can’t breath call 911
a patient has HIV what adverse effects should the nurse check after 3 years of meds
lipodystrophy liver damage osteoporosis and type 2 diabetes
a patient is experiencing the exoerythorcytic phase of malaria . the nurse expects which drug to be used for this patient
primaquine
a patient is infected by invasive aspergillosis and medically history shows he can’t tolerate antifungal drugs the nurse anticapateds an order for what
caspofungin
a patient is reaching aminglysiced therapy and beta lactate antibiotics at the same time why
the combined effects of both is greater then one another
a patient is reveling ribavin ( virazole ) aersol treatment . which precaution is important for the pregnant health provider
staying out of the room during aerosol treatment
a patient is on his third dose of a penicillin drug and reports being nervous
stop the anti biotic infusion
a patient is receiving hydrochlorquine therapy but tells the nurse that she has never traveled what is a possible reason for this drug therapy
systemic lupus erythematosus
a patient is scheduled to take tetracycline and alumina hydroxide ( amphoral at the same time when will the nurse administer the medication to achieve optimal effects
tetracycline 1 hour before aphojel
a patient is taking a combination of antiviral drugs as treatment for early stages of a viral infection while discussing drug therapy , the patient ask the nurse If the drug will kill the virus. why other facts should the nurse tell
they may also kill healthy cells while killing virus
a patient who. has been hospitalized for 2 weeks has developed a pressure ulcer that contains multi drug residence . what drug should the nurse give
vanocomicyin( Cancocin)
a patient I taking nystatin ( mycostain ) oral lozengesto to treat an oral infection resulting in corticosteroid therapy for asthma what is the best response
let the lozenge dissolve slowly and completely in your mouth without chewing it
a patient prescribed vanococin has developed redness on the face neck and back family ask the nurse if they should stop
no these uncomfortable problems are an expected drug side effect
a patient present to the clinic with flu symptoms that Began 3 days ago. the patient is wondering why the flu can’t be traced with anti virus
anti viral drugs work best when giving 48 hours of the symptoms starting
a patient receiving antibiotics for 3 days repots a skin rash over the chest back and arms what is the action
qwk the patient whether he or she has ever delivered a rash while taking other drugs
s
s
a patient is diagnosed with genital herpes what adverse effects should the nursee watch out for
burning when applied
a patient taking c ART therapy for human immunodeficany HIV induction develops severe abdomen pain that radiates to the back
pancreatitis
a patient tells the nurse that h is having nausea sand a decrease appetite and drug therapy with the antibiotics .
drink a full glass of water with each dose
a PT is using antibiotics for a bacterial wound and develops a secondary fungus infection
antibiotics can upset the balance of normal flora and allow yeast or fungus to grow
a patient who has undergone a lung transplant has contracted cytomegalovirus CMV what drug should the patient receive
ganciclovir (Cytovene)
a patient who has a helminthic infection has a prescription for pyrantel ( antiminth) which is one of the adverse effects that the drug effects that the patient will experience
diarrhea
a patient who has been taking the gentamicin for.5 days reports a headache and dizziness . what will the nurse do
suspect ototoxicity and notify the prescriber
a patient who is asymptotic comes into the clinic complains of being exposed to the coworker who has the flu whats the best course of action
administer rimantadine
pt being treated for malaria has started therapy with quinine and tetracycline he ask the nurse why he is on antibiotic when malaria is caused by a parasite
the two drugs are more effective when given together
a patient who is marathon runner requiem’s treatment with levaquin for the severe drug infection what stamens ensures patient understanding
will report devolplemt of pain swelling or any redness around joints
a patient who is taking ketoconzanole tells the nurse that her periods have become irregular . what should the nurse say
this caused by a reversal effect if on estradiol synthesis
a patient who is taking nitrofurantoin calls the nurse to report several side effects . which side effect of this drug causes the most concern and would require discontuiation
tingling of the fingers
a patient is diagnosed with genital herpes what teaching will the nurse provide ( SATA)
be sure to wash your hands thoroughly before and after medicine . use a clean glove when applying . avoid the area around you’re eye .practice absence when lesions are active
a patient who is recent inavenous ciproflacinc for pneumonia develops diarrhea . a stool culture is positive for clostridium difficile . the nurse will expect what
add metronidazole ( flagy)
a patient who is HIV positive has been reconvening medication therapy that include Retrovir the prescriber stop the zidovudine because of what adverse effect
bone marrow suppression
a patient will be having oral surgery and has revived antibiotics to take for a week before . what type of therapy I this
prophylactic
a patient will be receiving nitro furantonin for a UTI what disorder should the nurse question if present [sada]
liver disease , chronic renal disease
a pt will receive copra to treat a UTI what stamens shows th need for more teaching
I should take this medication with food or mil to improve absorption
a pt has been prescribed cephlasporin for the treatment of an infection states he has an allergy to penicillin what do the nurse do a
inform the health care provider
a patient will be discharge from the hospital with a prescription for TMP/SMZ [ bacterium]what will the nurse tell the patient it is important to do
drink 8-10 glasses of water a day
a patient with. a history of congestive heart failure and renal impairmentt has esophagus failure which anti fungal agent should the nurse give
fluconazole ( difulcane )
