Medurge2 – Flashcard

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Arterial Blood Gas
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ABG's
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Acidosis
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pH<7.35=
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Alkalosis
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pH>7.45=
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Respiratory Alkalosis
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PaC02<35=
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Respiratory acidosis
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PAC02>45=
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Metabolic acidosis
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HC03<22
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Metabolic alkalosis
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HC03>26
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Metabolic and reproductive materials of living cells
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In order for viruses to multiply they must use the
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Which antibiotic will inhibit the growth of a microorganism
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The purpose of a sensitivity study is to determine
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Handling of all blood and other body fluids
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A nursing assistant ass for a brief explanation of standard precautions the correct answer is that standard precautions apply to the
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Epinephrine and norepinephrine
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The two catecholamines that are released from the adrenal glands in response to shock are
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Anxiety tachycardia and hypotension
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In determining if a patient is in shock the nurse would look for
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Acid-base balance
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The Physician orders arterial blood gases for a client in shock the nurse understands that this test is ordered to determine
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Leukopenia
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Clients with Immunosuppression often experience an overall decrease in white blood cells the correct medical term for this condition is
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8 g/dl
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The nurse is reviewing the laboratory results of an adult female client suspected of having anemia the nurse reviews the results knowing that a normal hemoglobin level for this client would be
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5,000 uL
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The nurse is caring for a client with cancer who is receiving chemotherapy and is immunosuppressed the nurse is aware that neutropenic precautions should be implemented if the clients total white blood cell count Falls below
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Fresh cut flowers in a vase from the clients Garden
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The nurse enters the room of a client who is on reverse isolation the nurse recognizes that which of the following items needs to be removed from the clients room
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Any infection that is acquired in a healthcare facility
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A nosocomial infection can best be described as
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Direct contact
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MRSA is often spread by
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Hemorrhage
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Which of the following is a risk factor for the development of hypovolemic shock
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Culture
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This lab test will determine what organism is causing an infection
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Platelets
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A client has a blood clotting disorder as evidenced by multiple bruises all over the body and frequent nosebleeds which of the following blood cells would the nurse expect to be decreased on the CBC report
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Lymphocytes
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The nurse knows that which of the following will not appear on a complete blood cell count report
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WBC level of 15,000
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A client is admitted to the hospital with sepsis the nurse would expect to see which of the following lab results on the client's chart
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HR 110/minute, elevated bands
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A client is admitted with acute septic shock the nurse expect this client to have which of the following symptoms
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Anemias
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The red blood cell indices are used to help to diagnose and clarify
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39-49%
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The normal hematocrit level for the adult male client is
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Hemoglobin
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What is the protein molecule on red blood cells that carries O2 in the blood and gives blood its red color
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Platelet
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Another name for a thrombocyte is
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Viral infections
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The nurse understands that antimicrobial drugs are not effective in the treatment of
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4.0-6.2 million/ul
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The normal level for red blood cells in the serum of an adult client is
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Localized infection
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A wound infection that has not spread throughout the body via the blood and lymphatic systems is best described as a
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Sterile glove, a culturette, sterile gauze pads normal saline solution
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The nurse has received orders to obtain a culture and sensitivity on a wound list which of the following supplies are needed for this procedure
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Apply sterile gloves and cleanse the wound with gauze pads soaked in normal saline solution
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The nurse has received orders to obtain an aerobic wound culture and sensitivity from a wound after applying clean gloves to remove the wound dressing the nurse should
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Neutrophil
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The white blood cell that is found in the largest numbers in the body is the
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Hematocrit
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This lab result indicates the percent of whole blood that is made up of erythrocytes
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T cell
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Another name for a white blood cell that is produced by the lymphatic system is a
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Compensation
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Which of the following is the first stage of shock
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1,000
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The nurse understands that which of the following lab results indicate that leukopenia has occurred
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7.35-7.45
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The normal pH level of arterial blood is
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Poorly controlled diabetes mellitus
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The nurse is caring for a patient with metabolic acidosis which of the following is a common cause of this acid base imbalance
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Chronic pulmonary disease
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The nurse is caring for a patient with respiratory acidosis which of the following is a common cause of the acid base imbalance
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Cellular swelling and rupture
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When a client is in shock the platelets become sticky and form micro emboli in response to
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Metabolic acidosis
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The nurse is caring for a client with arthritis who takes numerous aspirin on a daily basis for pain relief the nurse recognizes that this patient is at risk for developing which of the following acid-base imbalances
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Cold pale skin
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A client has developed hypovolemic shock After experiencing extensive Burns over a large percent of the body which of the following assessment does the nurse expect to be present
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Check Vital Signs every hour and PRN
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The nurse has selected the following nursing diagnosis for a client and cardiogenic shock impaired gas exchange related to hypertension and tachycardia which of the following nursing interventions would be a priority for this client
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Hyperventilation
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A common cause of respiratory alkalosis is
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Use of corticosteroids
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Which of the following is not a usual part of the medical management of septic shock
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32
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A patient's blood pressure is 94/62 what is the pulse pressure
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Narrows
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In shock the pulse pressure usually
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90/50
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A pulse pressure below what usually indicates thst shock is present
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A client who has cancer
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Clients who are often immunosuppressed include all but
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35 to 45
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The normal carbon dioxide content in arterial blood is
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22 to 26
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The normal bicarbonate level on arterial blood is
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Mean corpuscular volume (MCV)
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What lab test measures the average size of a person's red blood cell
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5,000-13,000
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The normal WBC level in the average adult is
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Hemorrhage
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A platelet level of 55,000 May place a client at high risk for
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3,000
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A total white blood cell level of what indicates immunosuppression
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30%
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A hematocrit level of what in a female client indicates anemia
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Eosinophil
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What white blood cell is often elevated when a patient has allergies
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Leukocytosis
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A total white blood cell count of 14900 indicates that what is occurring
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100.4
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A temperature greater than what indicates that the patient is febrile
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There is an insufficient supply of anti-infectives currently available in the US
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What theory is not true as to why drug-resistant microorganisms have developed
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Activity intolerance
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A client who has a hemoglobin level of 7.6 which of the following does the nurse identify as a priority nursing diagnosis
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Erythema of the wound edges
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Two days post-op the nurse identifies which of the following is a possible sign of wound infection
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Eosinophils
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When checking the lab the nurse knows that an elevation of which of the following on the differential reports suggest an allergic basis for the asthma
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Stop the infusion
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The nurse begins an infusion of ampicillin sulbactam 1.5 grams on a client a few minutes later the client complains of throat tightness and shortness of breath and the nurse observes facial edema the priority nursing intervention would be to
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1gr
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60mg=
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Elevated white blood cells
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The nurse is preparing to administer ciprofloxacin if the drug is effective the nurse would expect to see a decrease in
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Tetracycline
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If this antibiotic is giving to children under age 8 years old it may cause permanent brown staining of developing teeth
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GI upset ans skin rashes
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Which of the following side effects do many different types of antibiotics commonly cause
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Cephalosporins
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Clients who are allergic to penicillin may also be allergic to this class of antibiotics
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Cephalexin
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Which of the following drugs is an example of a cephalosporin
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Alcohol containing products
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A patient is prescribed metronidazole to prevent a serious reaction from occurring the nurse should instruct this patient to avoid which of the following was taking this drug
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GI tract
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A clostridium difficile infection occurs in the
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An imbalance of intestinal Flora
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A clostridium difficile is most often caused by
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The nurse should use an alcohol-based hand rub when leaving this clients room
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Which of the following statements is not true about colostridium difficile infection
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Cefoxitin
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If a client is allergic to penicillin they should avoid taking this drug
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2,000 mg
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A client is prescribed to grams ampicillin sulbactam IV every 6 hours the nurse is aware that this is equal to
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Herpes zoster
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Antiviral drugs are used to treat certain viral illnesses such as
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0830
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A patient is receiving then tumisan 750 milligrams IV daily the next dose is due at 9 a.m. today when should the ordered be drawn
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0.55g
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550mg=
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Anuria
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A client is receiving Vancomycin 500 milligrams IV daily the nurse understands that it is important to monitor this client for
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Antivirals
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This class of drugs does not cure a viral disease but instead decreases the severity of the symptoms
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30.9kg
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68lbs=
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Antiviral
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Valcyclir is an example of an
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Tobramycin
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An example of an aminoglycoside is
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Ciprofloxin
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This antibiotic is contraindicated for use in children under the age of 18
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10mL three times a day
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2t TID=
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First
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What class of antibiotics has the natrowest spectrum of activity
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Antacids and milk
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In general these foods and medication should not be taken within 1 to 2 hours of antibiotic Administration
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Tetracycline
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Minocycline is an example of a
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30mg
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Gr _¬ss=
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Aminoglycosides
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Nephrotoxicity and ototoxicity are frequent side effects of these antibiotics
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Gentamycin
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A urine output of less than 30mL per hour could indicate that a frequent side effect of this drug may be occurring
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Diarrhea
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A common side effect of an erythromycin such as azithromycin is
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1,000mcg
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1mg=
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1g
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1,000=
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Gentamycin
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What antibiotic can cause hearing difficulty and possible damage to the 8th cranial nerve in high or toxic doses
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Cephalosporins
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If you're allergic to penicillin you could also be allergic to
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Allergic reaction
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A patient is receiving an initial dose of penicillin for pneumonia the best nursing action is to monitor this patient for
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Inhibit the excretion of the penicillin
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The health care provider has prescribed penicillin and probenecid for a patient with a sexually transmitted disease the purpose is 2
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Ototoxicity
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A 82 year old man who has septicemia is receiving IV aminoglycoside Therapy the nurse should assess for signs and symptoms of
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Sensitivity of the microorganism to the drug
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Selection of an antimicrobial agent is based on which of the following
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Tetracycline one hour before the meal
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A patient is scheduled to take tetracycline and aluminum hydroxide at the same time for optimal effectiveness of the tetracycline the nurse will administer
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Secondary infection
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Which of the following conditions may occur with the administration of broad-spectrum antibiotics over an extended period of time
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Acyclovir
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Which drug is the Cornerstone of treatment for treatment of herpes
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HIV infection
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On admission a patient presents the nurse with a list of medications he is currently taking with zidovudine nurse is aware that this patient has been diagnosed with
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Ototoxicity
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What drug side effect May manifest as dizziness tinnitus and Progressive hearing loss
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Nephrotoxicity
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What side effect should patients on cephalosporins be monitored
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Culture and sensitivity
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Test to isolate and identify infecting organisms and provide information on susceptibility to specific antimicrobial therapy or called
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Past medical history of asthma past medical history of rhinitis and the subsequent use of the same antimicrobial therapy
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A 78 year old patient with a history of asthma rhinitis and no known drug allergies has been admitted to receive IV antimicrobial therapy for bronchitis she has received the oral form of the antimicrobial agent and the past factors that make her at risk for an allergic reaction include
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Pain of the right leg patient temperature presence of Edema redness or swelling in the right lower leg and CBC and sedimentation rate laboratory values
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A patient has been receiving home health care and IV antimicrobial therapy for osteomyelitis of the lower right leg for the past 4 weeks the nurse evaluating the effectiveness of the antimicrobial agent would monitor which of the following
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