A client is receiving Amoxicillin (Amoxil). The nurse knows that the action of this drug is by which process?
B. Inhibition of bacterial cell-wall synthesis
Amoxicillin (Amoxil) is prescribed for a client who has a respiratory infection. The nurse is teaching the client about this medication & realizes that more teaching is needed when the client makes which statement?
D. "I should not take my med w/food."
A client has been prescribed Cefaclor (Ceclor). The nurse knows what fact about this med?
B. It is used to Tx respiratory infections
Penicillin G (Pentids) has been prescribed for a client. Which nursing intervention(s) should the nurse include for this client? (select all that apply)
a. Collect C&S prior to 1st dose
b. Monitor client for mouth ulcers
c. Instruct client to limit fluid intake to 1000mL/day
d. Have epinephrine on hand for a potential severe allergic rxn.
a. Collect C & S prior to 1st dose
b. Monitor client for mouth ulcers
d. Have epinephrine on hand for a potential severe allergic rxn.
A client is taking Azithromycin (Zpack). The nurse should apply which interventions? (select all that apply)
A. Monitor periodic liver fxn tests
c. Tell client to report any hearing loss
d. Tell the client to report evidence of superinfection
e. Teach client to take oral drug 1hr a.c. or 2hrs p.c. (before meals/after meals)
f. Avoid antacids from 2hrs prior to 2hrs after Zpack admin.
The nurse closely monitors the client taking Lincosamides for which serious adverse effect?
C. Pseudomembranous colitis
The nurse enters a client's room to find that his HR is 120, BP 70/50, & he is flushed. Vancomycin is running IVPB. The nurse interprets this as a severe adverse rxn called "red man syndrome". What should the nurse do?
B. Reduce the infusion to 10mg/min
The nurse is administering Tetracycline (Vibramycin) to a client. Which would be appropriate teaching?
B. Take sunscreen precautions when at the beach.
A client is taking Levofloxacin (Levaquin). The nurse knows that which is true regaurding this drug?
B. A/r includes dysrhythmias
What should the nurse include when teaching a client about Gentamicin? (select all that apply)
a. Client should report any hearing loss
b. Client must use sunscreen
c. IV Gentamicin will be given over 20min
d. Client will be monitored for mouth ulcers & vaginitis.
e. Peak levels will be drawn 30min prior to IV dose
f. Client should ^fluid intake
a. Client should report any hearing loss
b. Client must use sunscreen
d. Client will be monitored for mouth ulcers & vaginitis.
f. Client should ^fluid intake
The nurse acknowledges which nursing intervention(s) for the client taking Ciprofloxacin (Cipro)? (Select all that apply)
a. Obtain C&S prior to drug admin.
b. Tell the client to avoid taking Cipro w/antacids.
c. Monitor the client for hearing loss.
d. Encourage fluids to prevent crystalluria
e. Infuse IV Cipro over 60min
f. Monitor blood glucose, as cipro can decrease effect of oral hypoglycemics.
a. Obtain C&S prior to drug admin.
b. Tell the client to avoid taking Cipro w/antacids.
c. Monitor the client for hearing loss.
d. Encourage fluids to prevent crystalluria
e. Infuse IV Cipro over 60min
Sulfasalazine has been ordered for a client. The nurse knows that this drug is most effective against which organisms?
B. Escherichia coli & Clostridium
A client is taking sulfasalazine. What should the nurse teach the client to do?
C. Drink at least 10 glasses of fluid per day
The nurse is teaching a client about sulfadiazine. Which directive should the nurse include in the teaching?
A. Avoid sulfonamides during the 3rd trimester of pregnancy.
A client is ordered to take trimethoprim-suflamethoxazole (TMP/SMZ Bactrim). The nurse knows to expect which common a/r?
D. Stevens-Johnson syndrome
A client is taking a sulfonamide for an acute UTI. Which med does the nurse realize is a short-acting sulfonamide?
A. Sulfadiazine
The nurse is teaching the client about TMP-SMZ (Bactrim). Which directives should be included in the teaching? (select all that apply)
a. Report any bruising or bleeding immediately
b. Report any diarrhea or bloody stools promptly
c. Report any fever, rash, or sore throat promptly
d. Avoid unprotected exposure to sunlight
e. Report thirst & polyuria immediately
a. Report any bruising or bleeding immediately
b. Report any diarrhea or bloody stools promptly
c. Report any fever, rash, or sore throat promptly
d. Avoid unprotected exposure to sunlight
A client is beginning isoniazid & rifampin Tx for TB. The nurse gives the client which instruction?
A. Do not skip doses
A client taking isoniazid is worried about the s/e & a/r. The nurse realizes that which is a common a/r of isoniazid?
A. Hepatotoxicity
The nurse teaches the client taking amphotericin B to report which s/s to the health care provider?
C. Blindness
A client w/a diagnosis of intestinal amebiasis develops severe N/V, fever, facial flushing, slurred speech, tachycardia, hypotension, & palpitations. A beginning assessment reveals that the client has just has several alcoholic beverages. The nurse should obtain a drug Hx for which drug?
a. Bacitracin
b. Fluconazole
c. Metronidazole (Flagyl)
d. Ethambutol
Metronidazole (Flagyl)
A client has developed vaginal candidiasis. the nurse knows that which medication is appropriate Tx for this condition?
C. Terconazole (Terazol-3)
A client has been diagnosed w/TB & is to begin the antitubercular meds isoniazid, rifampin, & ethambutol. What should the nurse do? (select all that apply)
E. Encourage periodic eye exams
d. Advise client to report numbness & tingling of hands or feet.
e. Alert client that body fluids may develop a red-orange color.
f. Teach client to avoid direct sunlight & to use sunblock.
A client is diagnoses w/HSV-3. The nurse understands that this illness is better know by which name?
B. Chicken pox
c. Shingles in an adult
Zanamivir (Relenza) is ordered for a client. the nurse knows that this drug is intended for which purpose?
D. Admin w/in 48hrs of onset of symptoms to be effective
A client who is taking acyclovir asks the nurse about the drug. Which instruction should the nurse include in client teaching?
B. Importance of frequent CBC, BUN & Creatinine tests.
A client w/a Hx of malaria, presently being treated w/chloroquine, is admitted to the hospital. What should the nurse advise the client to do?
A. Get frequent hearing checks.
A client is taking thiabendazole (Mintezol). What does the nurse realize about this drug?
C. Proper hygiene must be taught to avoid the spread of disease
Acyclovir (Zovirax) has been ordered for a client w/genital herpes. Which nursing interventions are appropriate for this client? (Select all that apply)
C. Monitor BUN & Creatinine
d. Advise client to maintain adequate fluid intake
e. Teach client to perform oral hygiene several times a day
f. Monitor client's CBC, especially WBC, platelets, hemoglobin, & hematocrit
A client has been prescribed HAART therapy following a lab test that indicated an ^VL. The client reports that he's glad to have a choice of medications from which to choose so he will have an easier time w/daily meds. What should the nurse's response include?
D. Education about the importance of using multiple meds concurrently.
A client who has been taking antiretroviral Tx for 6mo indicates ^difficulty managing the daily dosing & remembering to take the meds at frequent but inconvenient times t/o the day. In discussing the plan of Tx w/the health care team, what should the nurse recommend?
C. Using a single daily dose of cofomulated med
During a routine prenatal testing, a client was newly dx w/HIV infection. To help prevent perinatal transmission of HIV to the fetus, what should the nurse do?
D. Provide written & oral eduaction about the use of antiretroviral therapy during pregnancy.
During a routine visit, a client asks how she is supposed to follow all the blood values in her lab results. She wonders if she will ever understand how to tell that her condition is improving as a result of her prescribed antiretroviral meds. The nurse explains which is the best lab value to track to see results of Tx?
B. CD4 T-cells level
When a client does not appear for her routine clinic visit, the nurse calls to ask about the missed visit. The client says, "I really don't need to come any longer. I'm so thankful i no longer have HIV." The nurse finds that the lab results indicate an "undetectable" HIV VL & that the client stopped her meds several weeks ago. What is the nurses best response?
C. Educate the client about the continued need for her meds & ongoing lab monitoring.
