VN 16 Test 2 Study Guide Part 2

Question 1

used in the treatment of serious gram-positive infections that do not respond to treatment with other anti-infectives. Decreased Blood pressure, throbbing, neck and back pain

Answer 1

Vancomycin Manifestations

Question 2

May be sensitive to the cephalosporins

Answer 2

cross sensitivity with Penicillin

Question 3

steps to instill ear drops

Answer 3

ear canal should be straightened
pill back on the cartilaginous portion of the outer ear
drop solution into the ear canal
don’t insert the dropper or applicator tip into the ear canal

Question 4

cephalosporin with renal impairment

Answer 4

use cautiously

Question 5

may be taken on empty stomach unless if patient has GI (gastrointestinal) issue take with food

Answer 5

Cephalosporins with and with out food

Question 6

reactions when taking cephalosporin and alcohol

Answer 6

flushing
throbbing in the head
respiratory difficulty
vomiting, sweating, chest pain, hypotension. dysrhythmias, and unconsciousness

Question 7

client education when taking penicillin

Answer 7

describe drug regimen
stressing the importance of continued and uninterrupted therapy will help prevent drug resistance cause by stopping the medication too early.

Question 8

Tetracycline adverse effects

Answer 8

Gi
Nausea and vomiting, Diarrhea, epigastric distress, stomatitis, sore throat
Skin rashes and photosensitivity

Question 9

is a rare, serious disorder of the skin and mucous membranes

Answer 9

Stevens Johnson Syndrome

Question 10

Can occur when normal flora is also killed by drugs

Answer 10

superinfection

Question 11

Teaching about sulfasazine

Answer 11

anti-inflammatory drugs. It works by reducing inflammation (swelling) inside the body.

Question 12

Nursing considerations with client taking atorvastatin

Answer 12

Do not crush, dissolve, or divide atorvastatin
Determine the goal of therapy in starting atorvastatin
Monitor serum lipid levels regularly
Evaluate the patient’s response to atorvastatin
For muscle pain, administer pain medications as ordered
Implement safety and fall precautions as atorvastatin may affect concentration, alertness, and vision
Immediately report EKG changes, yellowish discoloration to the skin, muscle weakness, or unusual bleeding
Administer at bedtime

Question 13

what time should simvastatin be administered

Answer 13

at night. Simvastatin is an example of a statin that works better if taken in the evening. Studies show that when simvastatin is taken at night, there’s a greater reduction in LDL cholesterol than when it’s taken in the morning.

Question 14

client education for simvastatin

Answer 14

Take simvastatin at around the same time every day.. Do not take more or less of it or take it more often than prescribed by your doctor. wear sunscreen and protective clothing

Question 15

Education for Colestipol

Answer 15

should be swallowed whole one at a time with a full glass of water

Question 16

Manifestation of Tamoixfen

Answer 16

Menopause-like symptoms, including hot flashes, night sweats and vaginal dryness. Weight gain (more common) or fluid retention (edema). Irregular or loss of menstrual periods.

Question 17

Manifestations of Thrombocytopenia

Answer 17

Manifested by easy bruising and unusual bleeding after moderate to slight trauma to the skin or mucous membranes

Question 18

Cisplatin Monitoring

Answer 18

CBC, Numbness tingling to fingers and toes, check reflexes, hearing test

Question 19

antineoplastic self esteem

Answer 19

altered body image