NR 566 MIDTERM STUDY GUIDE QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
When to use broad/empiric spectrum antibiotics? - CORRECT ANSWERS-Before cultures are
resulted/ critically ill patient after first culture obtained, based on NP knowledge of patient history, local
susceptibility/geographic location
When to use narrow spectrum antibiotics? - CORRECT ANSWERS-Used when the culture and
sensitivity is resulted, and pathogen is known.
how to treat C.diff - CORRECT ANSWERS-Stop the antibiotic that may have caused it
1st: Vancomycin 125 mg PO QID x 10 days.
2nd: Metronidazole 500mg PO TID x 10 days
address hydration
Drug class known for ALL drugs in class to promote development of C. Diff - CORRECT
ANSWERS-2nd and 3rd generation Cephalosporins
Penicillin: Cross-sensitivity reactions with which drug classes - CORRECT ANSWERS-
Cephalosporins & Carbapenems
(Allergy may be mild or severe)
Safe penicillin during pregancy - CORRECT ANSWERS-Amoxicillin
patient education for Cephalosporins - CORRECT ANSWERS-Report to provider any loose
stools, complete full course of antibiotics, s/s of allergy
, Cephalosporins in pregnancy - CORRECT ANSWERS-All appear safe for use
patient education for Tetracyclines - CORRECT ANSWERS-photosensitivity (wear sunscreen!),
complete full course, s/s of allergy
Tetracyclines in pregnancy - CORRECT ANSWERS-Can lead to fetal death; avoided for use
Patient education for macrolides - CORRECT ANSWERS-Take with meals to avoid GI upset,
contraindicated w/ warfarin
Aminoglycoside patient teaching - CORRECT ANSWERS-Patients should report tinnitus, high-
frequency hearing loss, persistent headache, nausea, dizziness or vertigo
sulfonamides patient teaching - CORRECT ANSWERS-Finish full course
Increase fluid intake to 8-10 cups/day
Take on empty stomach
Avoid sun exposure/wear sunscreen
Sulfonamides during pregnancy - CORRECT ANSWERS-not to be used during 1st trimester, can
cause kernicterus in infants
Gentamicin renal dose adjustments - CORRECT ANSWERS-decreased dosage for renal
impaired
tinea capitis treatment - CORRECT ANSWERS-oral griseofulvin
drug to treat aspergillosis (Fungal Pneumonia) - CORRECT ANSWERS-Voriconazole
Which Anthelmintics carry risk for hypotension with patients on antihypertensives? - CORRECT
ANSWERS-Ivermectin and Moxidectin
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
When to use broad/empiric spectrum antibiotics? - CORRECT ANSWERS-Before cultures are
resulted/ critically ill patient after first culture obtained, based on NP knowledge of patient history, local
susceptibility/geographic location
When to use narrow spectrum antibiotics? - CORRECT ANSWERS-Used when the culture and
sensitivity is resulted, and pathogen is known.
how to treat C.diff - CORRECT ANSWERS-Stop the antibiotic that may have caused it
1st: Vancomycin 125 mg PO QID x 10 days.
2nd: Metronidazole 500mg PO TID x 10 days
address hydration
Drug class known for ALL drugs in class to promote development of C. Diff - CORRECT
ANSWERS-2nd and 3rd generation Cephalosporins
Penicillin: Cross-sensitivity reactions with which drug classes - CORRECT ANSWERS-
Cephalosporins & Carbapenems
(Allergy may be mild or severe)
Safe penicillin during pregancy - CORRECT ANSWERS-Amoxicillin
patient education for Cephalosporins - CORRECT ANSWERS-Report to provider any loose
stools, complete full course of antibiotics, s/s of allergy
, Cephalosporins in pregnancy - CORRECT ANSWERS-All appear safe for use
patient education for Tetracyclines - CORRECT ANSWERS-photosensitivity (wear sunscreen!),
complete full course, s/s of allergy
Tetracyclines in pregnancy - CORRECT ANSWERS-Can lead to fetal death; avoided for use
Patient education for macrolides - CORRECT ANSWERS-Take with meals to avoid GI upset,
contraindicated w/ warfarin
Aminoglycoside patient teaching - CORRECT ANSWERS-Patients should report tinnitus, high-
frequency hearing loss, persistent headache, nausea, dizziness or vertigo
sulfonamides patient teaching - CORRECT ANSWERS-Finish full course
Increase fluid intake to 8-10 cups/day
Take on empty stomach
Avoid sun exposure/wear sunscreen
Sulfonamides during pregnancy - CORRECT ANSWERS-not to be used during 1st trimester, can
cause kernicterus in infants
Gentamicin renal dose adjustments - CORRECT ANSWERS-decreased dosage for renal
impaired
tinea capitis treatment - CORRECT ANSWERS-oral griseofulvin
drug to treat aspergillosis (Fungal Pneumonia) - CORRECT ANSWERS-Voriconazole
Which Anthelmintics carry risk for hypotension with patients on antihypertensives? - CORRECT
ANSWERS-Ivermectin and Moxidectin
