Mastery EAQ Ch. 39

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Question #1

Which aminoglycoside can be administered by the rectal route for an enterococcal infection?

A Neomycin

B Ciprofloxacin

C Levofloxacin

D Amikacin

Question #2

Which is the appropriate time for the nurse to draw the trough level for a patient on antibiotic therapy?

A Ninety minutes after the IV antibiotic is scheduled to be administered

B Sixty minutes after completion of the IV antibiotic infusion

C Ten minutes before administration of the intravenous (IV) antibiotic

D Thirty minutes after beginning administration of the IV antibiotic

Question #3

Which action would the nurse perform for a patient receiving intravenous vancomycin who complains of facial pruritus?

A Give diphenhydramine with the infusion.

B Program the vancomycin to infuse at a slower rate.

C Wrap the infusion in foil to protect it from light.

D Document that the patient has a hypersensitivity reaction.

Question #4

Which patient receiving antibiotics will the nurse assess first?

A One who just started azithromycin therapy and has a fever

B One taking amikacin with furosemide

C One taking clindamycin and has gastric upset

D One taking ciprofloxacin and is 18 years old

Question #5

Which condition would the nurse suspect when a patient taking intravenous vancomycin reports frequent ringing in the ears?

A Red man syndrome

B Probable convulsion

C Early vestibular damage

D Ineffective antibiotic therapy

Question #6

Which change will the nurse anticipate from the health care provider for a patient who is receiving vancomycin and has a serum drug concentration of 8 mcg/mL before the second dose is administered?

A Stop the administration of vancomycin.

B Replace vancomycin with another antibiotic.

C Increase the dose of vancomycin.

D Rapidly infuse the vancomycin.

Question #7

Which assessment would be conducted by the nurse before administering antibacterial therapy to a patient?

A Baseline vital sign values, Cardiac history, Fluid status, Neurologic abnormalities

B Fluid status, Cardiac history, Hypersensitivity, Neurologic abnormalities

C Baseline vital sign values, Fluid status, Hypersensitivity, Neurologic abnormalities

D Baseline vital sign values, Cardiac history, Hypersensitivity, Neurologic abnormalities

Question #8

Which nursing action would be used to help prevent ototoxicity in a patient receiving gentamicin?

A Assess the trough level, Establish baseline renal function, Establish baseline hearing acuity

B Assess the peak level, Establish baseline hearing acuity, Prevent superinfection.

C Assess the peak level, Use a 0.9% NaCl solution for dilution of the medication, Prevent superinfection.

D Establish baseline renal function, Use a 0.9% NaCl solution for dilution of the medication, Prevent superinfection.

Question #9

Which medication will the nurse expect the health care provider to prescribe for a patient with an Enterobacter aerogenes infection who has a history of infection that was resistant to gentamicin and tobramycin?

A Neomycin

B Linezolid

C Streptomycin

D Amikacin

Question #10

Which assessment would the nurse perform to prevent an adverse event for a patient who is taking linezolid?

A Hepatotoxicity

B Platelet count

C Hemoglobin level

D Serum creatinine level

Question #11

Which assessment finding in a patient who is taking tobramycin would require the nurse to immediately notify the health care provider?

A Nausea, Vertigo, Headache

B Skin turgor, Visual acuity, Nausea

C Headache, Visual acuity, Skin turgor

D Vertigo, Skin turgor, Visual acuity

Question #12

Which aminoglycoside can be prescribed if the culture of a patient with bacterial endocarditis reveals the presence of gram-positive cocci?

A Amikacin

B Tobramycin

C Gentamicin

D Streptomycin

Question #13

Which additional laboratory result will the nurse check to ensure safe drug administration for a patient who is receiving amikacin therapy and has a serum drug concentration of 4 mcg/mL?

A Blood glucose concentration

B Serum thyroxine concentration

C Blood platelet count

D Serum creatinine concentration

Question #14

Which clinical finding makes a patient a potential candidate for antibiotic therapy involving aminoglycoside?

A Increased serum creatinine levels

B Pseudomonas aeruginosa pneumonia

C History of neuromuscular dysfunction

D Elevated serum alanine aminotransferase

Question #15

Which drug interaction effect would the nurse monitor for after administering levofloxacin to a patient who is also taking prednisone?

A Reduced respiratory rate

B Joint pain

C Abdominal pain

D Reduced appetite

Question #16

Which action would the nurse take for a patient who is prescribed intravenous gentamicin and has an elevated blood urea nitrogen (BUN).

A Hold the medication.

B Insert a Foley catheter.

C Monitor peak and trough levels.

D Have the patient increase fluid intake.

Question #17

Which instruction would the nurse provide to a patient who is prescribed lizenoid therapy?

A “Avoid eating citrus fruits before taking the drug.”

B “Avoid eating smoked meat or fish while taking the drug.”

C “Avoid eating yogurt before taking the drug.”

D “Avoid eating food containing excess fiber while taking the drug.”

Question #18

Which action does the nurse take for a patient who underwent heart transplantation and is receiving quinupristin, dalfopristin, and cyclosporine?

A Checking the cardiac rhythm hourly

B Monitoring the site of antibiotic infusion

C Preparing to adjust the cyclosporine dosage

D Evaluating the serum cyclosporine level

Question #19

Which administration process will the nurse follow to administer prescribed amikacin and pennicillin to a patient?

A Administer penicillin followed by amikacin.

B Administer both amikacin and penicillin simultaneously.

C Administer amikacin orally and penicillin intravenously.

D Administer amikacin first and then penicillin.

Question #20

After reviewing the medication profile for a patient newly prescribed linezolid for a methicillin-resistant Staphylococcus aureus (MRSA) infection, which drug noted would indicate this antibiotic is contraindicated?

Medication Administration Record
o Sertraline 50 mg PO daily
o Fexofenadine 180 mg PO daily
o Hydrochlorothiazide 25 mg PO daily
o Metformin 500 mg PO BID

A Metformin

B Sertraline

C Fexofenadine

D Hydrochlorothiazide

Question #21

Which laboratory result would warrant immediate health care provider notification for a patient receiving amikacin 375 mg IVPB every 8 hours?

A Glucose 110 mg/dL

B Blood urea nitrogen 23 mg/dL

C Creatinine 4.0 mg/dL

D Potassium 3.5 mEq

Question #22

Which adverse effect of aminoglycoside therapy would be prevented when the nurse continues to monitor the drug concentrations in the patient’s blood?

A Neurotoxicity

B Nephrotoxicity

C Hepatotoxicity

D Cardiotoxicity

Question #23

Which laboratory result will the nurse evaluate to ensure therapeutic effect for a patient who is prescribed neomycin for hepatic encephalopathy?

A Blood ammonia concentration

B Blood cholesterol concentration

C Blood glucose concentration

D Serum creatinine concentration

Question #24

Which instruction to a patient prescribed nitrofurantoin is most important to facilitate adherence to the therapeutic regimen?

A “Report tingling and numbness.”

B “Take the medication with meals or milk.”

C “Watch for jaundice, itching, or rash.”

D “Take all pills in the prescription.”

Question #25

Which action will the nurse implement when administering colistimethate sodium via inhalation?

A Administer diphenhydramine initially.

B Inform the patient that it will not taste bitter.

C Monitor the patient for increased bruising or bleeding.

D Ensure that emergency equipment is near the patient.

Question #26

Which parameter is most important to assess before administering vancomycin to a patient?

A Hemoglobin level

B Renal function

C Liver function

D Platelet count

Question #27

Which intervention would the nurse perform to ensure safety for a patient who has been prescribed clindamycin and is also taking vecuronium?

A Provide support to the patient’s hip.

B Elevate the patient’s legs.

C Assess the patient’s respiratory rate.

D Rub the patient’s foot continuously.

Question #28

Which advice would the nurse provide to a patient taking neomycin to prevent drug-induced superinfections?

A “Eat yogurt.”

B “Eat green, leafy vegetables.”

C “Eat eggs daily.”

D “Drink milk.”

Question #29

Which amount of time is the minimum period that vancomycin may be infused?

A 90 minutes

B 30 minutes

C 60 minutes

D 120 minutes

Question #30

Which infection is treated with metronidazole?

A Protozoans, Clostridium, Bacteroides, Streptococcus

B Escherichia coli, Clostridium, Bacteroides, Streptococcus

C Protozoans, Clostridium, Bacteroides, Escherichia coli

D Protozoans, Escherichia coli, Bacteroides, Streptococcus

Question #31

Which antibiotic can be used against several anaerobic organisms?

A Quinupristin

B Nitrofurantoin

C Clindamycin

D Daptomycin

Question #32

Which information would the nurse include in the teaching plan for a patient who is prescribed ciprofloxacin and is also taking an antacid?

A “Take the drug on an empty stomach.”

B “Take the antacid 2 hours before the drug.”

C “Take the antacid every alternate day.”

D “Take both drugs simultaneously.”

Question #33

Which parameter would the nurse check before administering neomycin to a patient?

A Glucose concentration in urine

B Thyroxine concentration

C Adrenaline concentration

D Glomerular filtration rate (GFR)

Question #34

Which parameter would the nurse assess for a patient receiving amikacin after a computed tomography (CT) scan?

A Serum thyroxine

B Blood ammonia

C Blood glucose

D Serum creatinine

Question #35

Which nursing action is suitable for a patient scheduled for an appendectomy who has a new prescription for neomycin?

A Oral administration of neomycin before the surgery

B Topical administration of neomycin before the surgery

C Oral administration of neomycin after the surgery

D Topical administration of neomycin after the surgery

Question #36

Which parameter will the nurse assess in the patient receiving vancomycin to ensure safe administration of the drug?

A Red blood cell count

B Renal function

C Blood glucose concentration

D Skin integrity

Question #37

Which solution would the nurse administer with quinupristin?

A 5% saline solution

B 5% dextrose in water (D5W)

C 10% heparin solution

D 5% heparin solution

Question #38

Which antibiotic is the drug of choice for the treatment of anthrax?

A Ciprofloxacin

B Gentamicin

C Daptomycin

D Vancomycin

Question #39

Which antibiotic is used in patients who have infections of the eyes, ears, or skin and for suppressing bowel flora before bowel surgery?

A Neomycin

B Tobramycin

C Amikacin

D Gentamicin

Question #40

Which microbe is included in the spectrum of antimicrobial activity for the drug amikacin?

A Yersinia pestis

B Citrobacter species

C Salmonella species

D Escherichia coli

Question #41

Which antibiotic binds to 30S ribosomes to prevent protein synthesis in bacteria?

A Ciprofloxacin

B Clindamycin

C Gentamicin

D Nitrofurantoin

Question #42

Which adverse drug effect would the nurse need to monitor for a patient with a tobramycin serum drug concentration greater than 2 mcg/mL?

A Metallic taste

B Hearing impairment

C Heartburn

D Red man syndrome

Question #43

Which instruction would the nurse give a patient about allergic reactions to an antibacterial drug?

A “Stop taking the medication immediately at the first sign of an allergic reaction.”

B “Allergic reactions always manifest as urticaria or pruritus.”

C “Any adverse effect of an antibacterial is considered an allergic reaction.”

D “An allergic reaction will only occur after the first dose of medication.”

Question #44

Which foods will the nurse instruct the patient to avoid during levofloxacin therapy?

A Fiber-rich foods

B Protein-rich foods

C Sugary foods

D Dairy products

Question #45

Which instruction would the nurse give a patient about administering topical clindamycin?

A “Cleanse the skin with an exfoliating agent before application.”

B “Refrigerate the reconstituted medication between uses.”

C “Squeeze the tube of medication into the vagina.”

D “Apply a thin layer to the affected area after it has been cleansed.”

Question #46

Which laboratory reports would the nurse evaluate if the patient is administered vancomycin and tobramycin?

A Prothrombin time

B Serum creatinine

C Serum electrolytes

D Serum glucose

Question #47

Which interaction is caused by administering divalent minerals such as a calcium supplement within an hour of a quinolone such as levofloxacin?

A Increased serum concentration of levofloxacin

B Reduced antibacterial activity of levofloxacin

C Altered intestinal flora

D Impaired levofloxacin absorption

Question #48

Which function is measured by a patient’s serum creatinine level before starting antibiotic therapy?

A Liver

B Cardiac

C Neurologic

D Renal

Question #49

Which information would the nurse provide to a patient beginning ciprofloxacin 400 mg PO every 12 hours about adverse effects to immediately report?

A Abnormal heart rhythm, Nausea, Dizziness

B Nausea, Yellowish hue of the skin, Dizziness

C Nausea, Dizziness, Tendon pain

D Tendon pain, Abnormal heart rhythm, Yellowish hue of the skin

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