PRACTICE SOLVED QUESTIONS REVIEW
◉ A late penicillin allergic reaction happens in _________. Answer:
days or weeks
◉ A patient is having an allergic reaction R/T penicillin. The nurses
first action should be: Answer: stop administration
◉ To decrease swelling after an allergic reaction to penicillin the
nurse should give: Answer: epinephrine and antihistamines
◉ T/F: If penicllin is the best treatment for the bug, a physician
could order benadryl to take with the penicillin to stop the allergic
reaction. Answer: True
◉ A nursing student is identifying Cephalsporins, the student knows
that all forms begin with the prefix _________. Answer: Cef-
◉ There are ______ generations of Cephalsporins. Answer: 4
,◉ The nurse knows that cephalsporins can penetrate the extra layer
on a gram-negative bug, making them ____________. Answer:
bactericidal
◉ Allergic reactions, bleeding, thrombophelbitis are all ADRs of
which antibiotic? Answer: Cephalosporins
◉ The first generation cephalosporins combat gram-__________
bacteria, and are _________ spectrum. Answer: postive, broad
◉ Second genertion cephalosprins combat gram-_________ and some
gram-______________ bacteria. They are _____________ spectrum. Answer:
positive, negative, broad
◉ Cephalosporins can penetrate ___________ an extra envelope on
gram-negative bacteria. Answer: beta-lactamase
◉ Third generation cephalosporins combat gram-___________ and
some gram-_____________ bacteria. They are _________ spectrum.
Answer: negative, positive, broad
◉ Fourth generation cephalosporins combat gram-___________
bacteria and are _____________ spectrum. Answer: negative, broad
,◉ T/F: Third generation cephalosporins can enter the cerebrospinal
fluid. Answer: True
◉ T/F: Fourth generation cephalosporins cannot enter the
cerebrospinal fluid. Answer: False
◉ T/F: Cephalosporins are similar in structure to penicillins.
Answer: True
◉ A patient has been prescribed tetracyclines, the nurse knows
these are ___________ spectrum. Answer: broad
◉ T/F: Tetracyclines deal only with gram-negative bacteria. Answer:
False (gram-positive AND gram-negative)
◉ The nurse is caring for a client with the following vital signs: temp
101.4F, pulse 105, pulse ox 99%, respiration rate 20, blood pressure
125/71. The nurse would suspect which of the following labs to be
elevated?
- Red Blood Cells
- White Blood Cells
- Platelets
- Complete Blood Count Answer: White Blood Cells (increased when
infection is present)
, ◉ The nurse is caring for a client who is receiving penicillin. For
which of the following side effects should the nurse monitor? Select
all that apply.
- A decrease in WBCs and Platelets
- Diarrhea
- Constipation
- Renal Failure
- Allergic Reactions (rash and/or anaphylaxis) Answer: A decrease in
WBCs and platelets, diarrhea, allergic reactions (rash and/or
anaphylaxis)
◉ The nurse is administering a cephalosporin to a client following a
sinus infection. Which of the following are side effects associated
with this medication? Select all that apply.
- vaginal cadidiasis
- abdominal cramps
- constipation
- diarrhea
- blood clotting tedencies Answer: vaginal cadidiasis, abdominal
cramps, diarrhea
◉ T/F: Tetracyclines are bacteriostatic. Answer: True