NSG 511 Exam 3 Questions With Correct
Answers
broad |spectrum |- |CORRECT |ANSWER✔✔-capability |of |attacking |many |different |types |of |
bacteria
narrow |spectrum |- |CORRECT |ANSWER✔✔-effective |against |less |types |of |bacteria
Bactericidal |- |CORRECT |ANSWER✔✔-kills |bacteria
Bacteristatic |- |CORRECT |ANSWER✔✔-slows |the |growth |of |bacteria
Super |infection |- |CORRECT |ANSWER✔✔-new |infection |that |occurs |during |tx |for |primary |
infection
common |in |hospital |settings
occur |when |use |more |broad |spectrum |abx |and |increases |risk |with |length |of |time,hard |to |tx
(eg |Cdiff, |ESBL, |MRSA, |Candida)
Preventing |Resistance |- |CORRECT |ANSWER✔✔-hand |hygiene, |PPE, |vaccinations, |proper |use, |
effective |dx |and |tx
How |to |select |the |right |antimicrobial |- |CORRECT |ANSWER✔✔-match |the |drug |with |the |bug
culture |or |use |empiric |therapy |(best |guess |pathogen |for |the |location |of |the |infection, |most |
likely |bug |if |cant |get |a |sample)
,when |culture |get |gram |stain |and |see |what |its |senstive |to |for |a |tx
use |the |most |narrow |one |as |possible
must |consider |host |age, |immunocompromised, |site |of |infection, |foreign |devices, |
breastfeeding/pregnant, |allergies, |genetic |factors
when |are |cases |for |using |2 |antimicrobials |- |CORRECT |ANSWER✔✔-HIV, |severe |infection |like |TB
why |is |it |rare |to |use |a |bactericidal |with |bacteriostatic |- |CORRECT |ANSWER✔✔-rarely |beneficial
|because |static |ones |stop |the |growth |of |the |bacteria |and |cidals |kill |activley |growing |bacteria |so
|it |does |not |work |synergistically
different |mechanisms |of |antimicrobials |- |CORRECT |ANSWER✔✔-inhibit |cell |wall |synthesis |or |
disrupt |cell |wall/increase |permeabilty-PCN, |Cephalsporins, |Vanc
Inhibit |protein |synthesis- |Tetracycline |and |Erythromycin
Inhibit |or |disrupt |DNA- |Ciprofloxacin
Antimetabolites |(folate |acid |synthesis)- |TMP-SMP |and |Macrobid/Nitrofuratoin
nursing |considerations |for |infections |- |CORRECT |ANSWER✔✔-obtain |a |sample |for |culture |
before |giving |abx |and |then |provide |best |guess |abx |until |cultures |come |back |and |may |need |to |
switch |the |abx
assess |for |isolation |precautions
targeted |assessments |for |patients
targeted |assessments |for |patients |depending |on |age |and |condition |- |CORRECT |ANSWER✔✔-
kids-ears |and |tonsils
, young |adults- |STD |and |acne
older |adults |- |UTI |and |pneumonia
Hospitalized- |HAIs, |loss |primary |defenses |by |tubes, |drains, |and |surgical |incision
Immunocompromised- |cancer |tx |or |leukemia |and |AIDS
Nursing |considerations |for |Antimicrobials |- |CORRECT |ANSWER✔✔-take |full |dose, |dont |skip |or |
stop, |report |allergies |and |SA |that |could |increase |noncompliance, |skin |reactions |and |respiratory
|symptoms |are |priority
can |increase |bleeding |tendencies |(fall |risk |older |adults) |due |to |warfarin |interactions |and |vit |K |
decreased |absorption |by |decreasing |gut |bacteria |to |do |job
allergic |reactions- |GI, |Hives, |anaphylaxis, |
careful |of |peak |and |trough |levels |before |administration, |rate |of |infusion, |timing |of |doses |and |
kidney |and |liver |fx
pan |culture |- |CORRECT |ANSWER✔✔-culturing |everything, |not |sure |where |the |infection |is
sputum, |urine, |stool, |everything
culture |and |sensitivity |- |CORRECT |ANSWER✔✔-growing |microorganisms |in |isolation |in |order |
to |determine |which |drugs |it |might |respond |to
Nursing |considerations |for |infections |- |CORRECT |ANSWER✔✔-obtain |culture |before |giving |abx,
|laster-targeted |assessment, |instructions |(take |full |dose, |don't |skip), |many |abx |have |bleeding |
tendencies
Penicillin |MOA |- |CORRECT |ANSWER✔✔-binds |to |PBPs |and |disrupts |rigid |cell |wall |allowing |fluid
|to |be |drawn |in
Methicillin-resistant |Staphylococcus |aureus |(MRSA) |- |CORRECT |ANSWER✔✔-mutates |penicillin
|binding |proteins |so |they |are |unable |to |be |bound |to
Answers
broad |spectrum |- |CORRECT |ANSWER✔✔-capability |of |attacking |many |different |types |of |
bacteria
narrow |spectrum |- |CORRECT |ANSWER✔✔-effective |against |less |types |of |bacteria
Bactericidal |- |CORRECT |ANSWER✔✔-kills |bacteria
Bacteristatic |- |CORRECT |ANSWER✔✔-slows |the |growth |of |bacteria
Super |infection |- |CORRECT |ANSWER✔✔-new |infection |that |occurs |during |tx |for |primary |
infection
common |in |hospital |settings
occur |when |use |more |broad |spectrum |abx |and |increases |risk |with |length |of |time,hard |to |tx
(eg |Cdiff, |ESBL, |MRSA, |Candida)
Preventing |Resistance |- |CORRECT |ANSWER✔✔-hand |hygiene, |PPE, |vaccinations, |proper |use, |
effective |dx |and |tx
How |to |select |the |right |antimicrobial |- |CORRECT |ANSWER✔✔-match |the |drug |with |the |bug
culture |or |use |empiric |therapy |(best |guess |pathogen |for |the |location |of |the |infection, |most |
likely |bug |if |cant |get |a |sample)
,when |culture |get |gram |stain |and |see |what |its |senstive |to |for |a |tx
use |the |most |narrow |one |as |possible
must |consider |host |age, |immunocompromised, |site |of |infection, |foreign |devices, |
breastfeeding/pregnant, |allergies, |genetic |factors
when |are |cases |for |using |2 |antimicrobials |- |CORRECT |ANSWER✔✔-HIV, |severe |infection |like |TB
why |is |it |rare |to |use |a |bactericidal |with |bacteriostatic |- |CORRECT |ANSWER✔✔-rarely |beneficial
|because |static |ones |stop |the |growth |of |the |bacteria |and |cidals |kill |activley |growing |bacteria |so
|it |does |not |work |synergistically
different |mechanisms |of |antimicrobials |- |CORRECT |ANSWER✔✔-inhibit |cell |wall |synthesis |or |
disrupt |cell |wall/increase |permeabilty-PCN, |Cephalsporins, |Vanc
Inhibit |protein |synthesis- |Tetracycline |and |Erythromycin
Inhibit |or |disrupt |DNA- |Ciprofloxacin
Antimetabolites |(folate |acid |synthesis)- |TMP-SMP |and |Macrobid/Nitrofuratoin
nursing |considerations |for |infections |- |CORRECT |ANSWER✔✔-obtain |a |sample |for |culture |
before |giving |abx |and |then |provide |best |guess |abx |until |cultures |come |back |and |may |need |to |
switch |the |abx
assess |for |isolation |precautions
targeted |assessments |for |patients
targeted |assessments |for |patients |depending |on |age |and |condition |- |CORRECT |ANSWER✔✔-
kids-ears |and |tonsils
, young |adults- |STD |and |acne
older |adults |- |UTI |and |pneumonia
Hospitalized- |HAIs, |loss |primary |defenses |by |tubes, |drains, |and |surgical |incision
Immunocompromised- |cancer |tx |or |leukemia |and |AIDS
Nursing |considerations |for |Antimicrobials |- |CORRECT |ANSWER✔✔-take |full |dose, |dont |skip |or |
stop, |report |allergies |and |SA |that |could |increase |noncompliance, |skin |reactions |and |respiratory
|symptoms |are |priority
can |increase |bleeding |tendencies |(fall |risk |older |adults) |due |to |warfarin |interactions |and |vit |K |
decreased |absorption |by |decreasing |gut |bacteria |to |do |job
allergic |reactions- |GI, |Hives, |anaphylaxis, |
careful |of |peak |and |trough |levels |before |administration, |rate |of |infusion, |timing |of |doses |and |
kidney |and |liver |fx
pan |culture |- |CORRECT |ANSWER✔✔-culturing |everything, |not |sure |where |the |infection |is
sputum, |urine, |stool, |everything
culture |and |sensitivity |- |CORRECT |ANSWER✔✔-growing |microorganisms |in |isolation |in |order |
to |determine |which |drugs |it |might |respond |to
Nursing |considerations |for |infections |- |CORRECT |ANSWER✔✔-obtain |culture |before |giving |abx,
|laster-targeted |assessment, |instructions |(take |full |dose, |don't |skip), |many |abx |have |bleeding |
tendencies
Penicillin |MOA |- |CORRECT |ANSWER✔✔-binds |to |PBPs |and |disrupts |rigid |cell |wall |allowing |fluid
|to |be |drawn |in
Methicillin-resistant |Staphylococcus |aureus |(MRSA) |- |CORRECT |ANSWER✔✔-mutates |penicillin
|binding |proteins |so |they |are |unable |to |be |bound |to