Chapter 38 – Flashcards

What is the priority assessment data for a client prescribed antibiotic therapy? Allergies Immunizations History of seizures Cardiac dysrhythmias

Which information should the nurse include in discharge teaching for a client prescribed doxycycline (Vibramycin)? "Keep the remainder of the medication in case of recurrence." "Take the medication until you have no fever and feel better." "Apply sunscreen or wear protective clothing when outdoors." "Take the medication with milk to minimize gastrointestinal upset."

Which adverse effect can result if tetracycline is administered to children younger than 8 years of age? Drug-induced neurotoxicity Delayed growth development Gastrointestinal (GI) and rectal bleeding Permanent discoloration of the teeth

A client who is allergic to penicillin is at increased risk for an allergy to which drug? Erythromycin (E-mycin) Gentamicin (Garamycin) Cefazolin sodium (Ancef) Demeclocycline (Declomycin)

When planning care for a client receiving a sulfonamide antibiotic, it is important for the nurse to perform which intervention? Encourage fluid intake of 2000 to 3000 mL/day. Avoid direct sun exposure and tanning beds. Take the medication with dairy products such as milk or yogurt. Advise the client to report any tinnitus to the health care provider.

When administering a nonsteroidal antiinflammatory drug and a penicillin drug together, the displacement of the penicillin antibiotic from the protein-binding sites will result in which effect? Increased free drug in blood Decreased free drug in blood No change in free drug in blood Absence of free drug in the blood

During antibiotic therapy, the nurse will assess the client for a condition that may occur because of the disruption of normal flora. The nurse knows this as what condition? Organ toxicity Superinfection Hypersensitivity Allergic reaction

A client prescribed azithromycin (Zithromax) expresses concern regarding GI upset that was experienced when previously prescribed an erythromycin antibiotic. What is the nurse's best response? "Take an over-the-counter antiemetic to lessen the nausea." "Stop taking the drug if you experience heartburn and diarrhea." "I will call the health care provider and request a different antibiotic." "This drug is like erythromycin with less gastrointestinal adverse effects."

In an effort to prevent superinfections of the GI tract such as Clostridium difficile, the nurse will instruct clients to eat which foods? Multigrain wheat bread Raw fruits and vegetables Cultured dairy products such as yogurt Low-fat meats such as chicken and pork

Which statement best describes health care-associated infections? They develop in more than 15% of hospitalized clients. The infection develops in response to various antibiotics. The infection was not incubating at the time of admission. Clients are admitted to the hospital with an infectious disease.

A client with a known heart condition is prescribed an antibiotic before a dental procedure. What type of antibiotic therapy is this considered? Empiric Definitive Supportive Prophylactic

Bacterial resistance to antibiotics can occur with which situations? (Select all that apply.) Clients stop taking an antibiotic when they feel better. Antibiotics that are prescribed to treat a viral infection Taking an antibiotic and an antiviral medication at the same time Microorganisms arriving from foreign countries and overseas ports Antibiotics that are prescribed according to culture and sensitivity reports