NURS 5334 - ANTIMICROBIAL RECALL QUIZ WITH CORRECT ANSWERS
Why cdo cmany cmedications clack cpediatric cdosing cinformation cin ctheir cdrug clabeling c- cCORRECT cANS✔✔There cis clack cof
cevidence-based cliterature con cthe csafe cand ceffective cuse cof cmedications cin cchildren
Why care cneonates cat cgreater crisk cfor ctoxicity cwith chighly cprotein-bound cdrugs c- cCORRECT cANS✔✔Protein cbinding cis
cdecreased cin cneonates cincreasing cthe camount cof cfree cdrug cavailable
At cwhat cage care cadult clevels cof crenal cfunction cachieved c- cCORRECT cANS✔✔12 cmonths
What cis cthe cmost caccurate cdevice cfor cmeasuring ca c2.5mL cdose cfor ca cchild c- cCORRECT cANS✔✔An coral csyringe
How cdo cyou chelp cprevent cmedication cerrors c- cCORRECT cANS✔✔Write cout cthe cterm cdaily
In cpediatric cpatients cgastric cacidity cdoes cnot creach cadult cvalues cfor c- cCORRECT cANS✔✔2 cyears
Nalidixic cacid cmay ccause c_______ cin cchildren c- cCORRECT cANS✔✔cartilage cerosion
Altered cabsorption cof cdrugs cin cthe celderly cmay cresult cin c_______ cdrug cresponse c- cCORRECT cANS✔✔Delayed
You chave can celderly cpatient ctaking cwarfarin. cYou cadd canother cprotein cbinding cdrug. cWhich cof cthe cfollowing cstatements cis
ccorrect? c- cCORRECT cANS✔✔You cwill cneed cto cdecrease cdose cof cwarfarin
In celderly, cproper cindex cof crenal cfunction cis c_____ c- cCORRECT cANS✔✔Glomerular cfiltration crate c(GFR)
List cthat cidentifies cdrugs cwith chigh clikelihood cof ccause cadverse ceffects cin celderly c- cCORRECT cANS✔✔Beers clist
Primary cmechanism cof cantibacterial caction cof cthe cpenicillin's cinvolve cinhibition cof c- cCORRECT cANS✔✔Cell cwall csynthesis cby
cbinding cand cinactivating cpenicillin cbinding cproteins c(PBPs)
Which cstatement cabout cvancomycin cis caccurate c- cCORRECT cANS✔✔Increases cbacterial ccell cwall cpermeability cand cinhibits
cRNA csynthesis
The cmechanism cof caction cof cthe ctetracyclines cinvolves c- cCORRECT cANS✔✔Inhibiting cprotein csynthesis
Mechanism cof caction cof caminoglycosides c- cCORRECT cANS✔✔Causes cmisreading cof cthe ccode con cthe cmRNA ctemplate cto
cinhibit cprotein csynthesis
Which cstatement cis caccurate cregarding cthe cantibacterial caction cof cgentamicin c- cCORRECT cANS✔✔Gentamicin ccontinues cto
cexert cantibacterial ceffects ceven cafter cplasma clevel cdecrease cbelow cdetectable clevels
If ca cpatient cwas ctreated cwith cthe cmacrolide cerythromycin, che/she cshould c- cCORRECT cANS✔✔Temporarily cstop csimvastatin
cwhile ctaking cerythromycin
24 cyear cold cwoman creturned cfrom cvacation cabroad csuffering cfrom ctraveler's cdiarrhea, cand cher cproblem chas cnot cresponded
cto cantidiarrheal cdrugs. cA cpathogenic cgram-negative cbacillus cis csuspected. cWhich cdrug cis cmost clikely cto cbe ceffective cin cthe
ctreatment cof cthis cpatient c- cCORRECT cANS✔✔Ciprofloxacin
Which cis caccurate cabout cfluoroquinolones c- cCORRECT cANS✔✔Fluoroquinolones chave cdifferent ctherapeutic capplications
cdepending con cthe cgeneration
Which cadverse ceffect cis cMOST cLIKELY cto coccur cwith csulfonamides c- cCORRECT cANS✔✔Skin creactions
Which cis ctrue cabout cciprofloxacin c- cCORRECT cANS✔✔During ctreatment, ctendonitis cand ceven ctendon crupture cmay coccur
Primary creason cfor cthe cuse cof cdrug ccombinations cin ctreatment cof cTB cis cto c- cCORRECT cANS✔✔Delay cor cprevent
cemergence cof cresistance
Which cis ctrue cabout cfluconazole c- cCORRECT cANS✔✔Primary croute cof cexcretion cis crenal
55 cyear cold cman chas cbeen con canticoagulant ctreatment cfor cmany cyears cand cis cnewly cdiagnosed cwith cTB. cWhich cof cthe
cfollowing cantimycobacterial cagents cwould cMOST cLIKELY cinduce ccytochrome cP450 cenzymes cin cthe cpatient's cliver cthereby
cmodifying cthe ceffects cof chis canticoagulant ctreatment c- cCORRECT cANS✔✔Rifampin
, Which cdrug cis can cantiviral cthat ccan cbe cused cto cdecrease cshedding cwith cgenital cherpes c- cCORRECT cANS✔✔Valacyclovir
First cgeneration ccephalosporins care cbest cagainst cwhich corganism c- cCORRECT cANS✔✔Gram cpositive ccocci
Cefepime cis celiminated cvia c- cCORRECT cANS✔✔Tubular csecretion cand cor cglomerular cfiltration
Which ccephalosporins ccause cbleeding ctendencies c- cCORRECT cANS✔✔cefotetan cand cceftriaxone
Which ccephalosporins cinduce calcohol cintolerance c- cCORRECT cANS✔✔Cefotetan cand cCefazolin
Which cmacrolide cis cLEAST clikely cto ccause cQT cprolongation c- cCORRECT cANS✔✔Azithromycin
Which cof cthe cfollowing ccephalosporins chas cactivity cagainst cgram cnegative canaerobic cpathogens csuch cas cBacteroides cFragilis
c- cCORRECT cANS✔✔Cefoxitin c[Mefoxin]
20 cyear ccomes cin cwith cUTI. cBased con csymptoms cand cUA, cdiagnosed cwith cUTI. cCultures creveal cEnterococcus cfaecalis cthat
cis csensitive cto call cantibiotics cusually ctested cfor cpotential ctreatment. cWhich cof cthe cfollowing cis can cappropriate coral coption cto
ctreat cthe cUTI c- cCORRECT cANS✔✔Amoxicillin
1st cline cantibiotic cfor cpatient cwith ccomorbidities c[immunosuppression] cwho chas cpneumonia cand ccan cbe ctreated cas can
coutpatient cwould cbe c- cCORRECT cANS✔✔Levofloxacin
John cis c4 cweek cold cinfant cwho chas cbeen cdiagnosed cwith cChlamydial cpneumonia. cAn cappropriate ctreatment cfor chis
cpneumonia cwould cbe c- cCORRECT cANS✔✔Erythromycin
Which cis cprimary cmethod cof cB-lactamase cresistance cwith cstreptococcus cpneumoniae c- cCORRECT cANS✔✔Modification cof
ctarget csite
An c80 cyear cold cpatient cwill cbe ctaking cCefdinir c[Omnicef]. cBefore cinitiating ctherapy, cthe cNP cshould corder c- cCORRECT
cANS✔✔Creatinine cclearance
A cpatient con clong cterm cClindamycin ctherapy cshould cbe cwarned cof cwhich cside ceffect c- cCORRECT cANS✔✔Clostridium
cDifficile cDiarrhea
What cis cextremely cresistant cTB cresistant cto c- cCORRECT cANS✔✔All cfluoroquinolones, cIsoniazid c[INH] cand crifampin, cand cat
cleast cone cof cthe cinjectable csecond cline cdrugs
What cis cmultidrug cresistant cTB c- cCORRECT cANS✔✔Resistant cto cboth cisoniazid c[INH] cand cRifampin
Which cmedications ccreate cproblematic cinteractions cwith cother cHIV cantiviral cdrugs c- cCORRECT cANS✔✔Rifampin cand
cRifabutin
Treating cone cinfection cinterferes cwith ctreatment cof cthe cother cin cpatients cwith cboth cTB cand cHIV c- cCORRECT cANS✔✔True
John chas cHIV cand chas cjust cbeen cdiagnosed cwith cTB. cWhat cis cthe cMINIMUM camount cof ctime che cwill cneed ctherapy c-
cCORRECT cANS✔✔6 cmonths
Which cinformation cshould cthe cnurse cinclude cwhen cteaching ca cpatient cabout cINH ctherapy c- cCORRECT cANS✔✔An cadverse
ceffect cof cisoniazid ctherapy cis cperipheral cneuropathy, cwhich ccan cbe creversed cwith cpyridoxine
A cgroup cof ccollege cstudents care ctraveling cto ca cchloroquine-resistant cmalaria carea cfor ca cmission ctrip. cWhich cof cthe cfollowing
cmedications ccan cbe cused cfor cboth cprevention cand ctreatment cof cmalaria cin cthese cstudents c- cCORRECT
cANS✔✔Atoraquone-proguanil
Which cinformation cshould cbe cincluded cwhen cteaching cabout crifampin c- cCORRECT cANS✔✔Rifampin ccan cchange cthe ccolor
cof cbody cfluids cto creddish corange
Which cTB cmedication ccan ccause cdecrease cin cvision c- cCORRECT cANS✔✔Ethambutol
Jade ccomes cin cwith cVaginal cCandidiasis. cWhat cis cthe cNP cgoing cto cprescribe c- cCORRECT cANS✔✔Fluconazole c150mg cby
cmouth conce
Brittany cis ca c23 cyear cold cfemale cand cculture c- cCORRECT cANS✔✔Metronidazole cgel c0.75%, cone cfull capplicator
cintravaginally conce cdaily cfor c5 cdays
Randy cis ca c19 cyear cold cmale cand chas cdiagnosed cwith cchlamydia. cWhich cof cthe cfollowing cis cthe cappropriate ctreatment c-
cCORRECT cANS✔✔Doxycycline c100mg cPO ctwice cdaily cfor c7 cdays
Madeline cis ca c29 cyear cold cwith cgenital cherpes cand cwould clike csuppressive ctherapy. cWhich cof cthe cfollowing cis cthe
cappropriate ctreatment c- cCORRECT cANS✔✔Valacyclovir c500mg cby cmouth cdaily cfor c1 cyear
Treatment cfor can c18 cyear cold cnon cpregnant cfemale cwith cuncomplicated ccervix cinfection cwith cgonorrhea cand cchlamydial
cinfection chas cnot cbeen cexcluded cis c- cCORRECT cANS✔✔Ceftriaxone c500mg cIM cplus cDoxycycline c100mg cPO ctwice cdaily
cfor c7 cdays
Why cdo cmany cmedications clack cpediatric cdosing cinformation cin ctheir cdrug clabeling c- cCORRECT cANS✔✔There cis clack cof
cevidence-based cliterature con cthe csafe cand ceffective cuse cof cmedications cin cchildren
Why care cneonates cat cgreater crisk cfor ctoxicity cwith chighly cprotein-bound cdrugs c- cCORRECT cANS✔✔Protein cbinding cis
cdecreased cin cneonates cincreasing cthe camount cof cfree cdrug cavailable
At cwhat cage care cadult clevels cof crenal cfunction cachieved c- cCORRECT cANS✔✔12 cmonths
What cis cthe cmost caccurate cdevice cfor cmeasuring ca c2.5mL cdose cfor ca cchild c- cCORRECT cANS✔✔An coral csyringe
How cdo cyou chelp cprevent cmedication cerrors c- cCORRECT cANS✔✔Write cout cthe cterm cdaily
In cpediatric cpatients cgastric cacidity cdoes cnot creach cadult cvalues cfor c- cCORRECT cANS✔✔2 cyears
Nalidixic cacid cmay ccause c_______ cin cchildren c- cCORRECT cANS✔✔cartilage cerosion
Altered cabsorption cof cdrugs cin cthe celderly cmay cresult cin c_______ cdrug cresponse c- cCORRECT cANS✔✔Delayed
You chave can celderly cpatient ctaking cwarfarin. cYou cadd canother cprotein cbinding cdrug. cWhich cof cthe cfollowing cstatements cis
ccorrect? c- cCORRECT cANS✔✔You cwill cneed cto cdecrease cdose cof cwarfarin
In celderly, cproper cindex cof crenal cfunction cis c_____ c- cCORRECT cANS✔✔Glomerular cfiltration crate c(GFR)
List cthat cidentifies cdrugs cwith chigh clikelihood cof ccause cadverse ceffects cin celderly c- cCORRECT cANS✔✔Beers clist
Primary cmechanism cof cantibacterial caction cof cthe cpenicillin's cinvolve cinhibition cof c- cCORRECT cANS✔✔Cell cwall csynthesis cby
cbinding cand cinactivating cpenicillin cbinding cproteins c(PBPs)
Which cstatement cabout cvancomycin cis caccurate c- cCORRECT cANS✔✔Increases cbacterial ccell cwall cpermeability cand cinhibits
cRNA csynthesis
The cmechanism cof caction cof cthe ctetracyclines cinvolves c- cCORRECT cANS✔✔Inhibiting cprotein csynthesis
Mechanism cof caction cof caminoglycosides c- cCORRECT cANS✔✔Causes cmisreading cof cthe ccode con cthe cmRNA ctemplate cto
cinhibit cprotein csynthesis
Which cstatement cis caccurate cregarding cthe cantibacterial caction cof cgentamicin c- cCORRECT cANS✔✔Gentamicin ccontinues cto
cexert cantibacterial ceffects ceven cafter cplasma clevel cdecrease cbelow cdetectable clevels
If ca cpatient cwas ctreated cwith cthe cmacrolide cerythromycin, che/she cshould c- cCORRECT cANS✔✔Temporarily cstop csimvastatin
cwhile ctaking cerythromycin
24 cyear cold cwoman creturned cfrom cvacation cabroad csuffering cfrom ctraveler's cdiarrhea, cand cher cproblem chas cnot cresponded
cto cantidiarrheal cdrugs. cA cpathogenic cgram-negative cbacillus cis csuspected. cWhich cdrug cis cmost clikely cto cbe ceffective cin cthe
ctreatment cof cthis cpatient c- cCORRECT cANS✔✔Ciprofloxacin
Which cis caccurate cabout cfluoroquinolones c- cCORRECT cANS✔✔Fluoroquinolones chave cdifferent ctherapeutic capplications
cdepending con cthe cgeneration
Which cadverse ceffect cis cMOST cLIKELY cto coccur cwith csulfonamides c- cCORRECT cANS✔✔Skin creactions
Which cis ctrue cabout cciprofloxacin c- cCORRECT cANS✔✔During ctreatment, ctendonitis cand ceven ctendon crupture cmay coccur
Primary creason cfor cthe cuse cof cdrug ccombinations cin ctreatment cof cTB cis cto c- cCORRECT cANS✔✔Delay cor cprevent
cemergence cof cresistance
Which cis ctrue cabout cfluconazole c- cCORRECT cANS✔✔Primary croute cof cexcretion cis crenal
55 cyear cold cman chas cbeen con canticoagulant ctreatment cfor cmany cyears cand cis cnewly cdiagnosed cwith cTB. cWhich cof cthe
cfollowing cantimycobacterial cagents cwould cMOST cLIKELY cinduce ccytochrome cP450 cenzymes cin cthe cpatient's cliver cthereby
cmodifying cthe ceffects cof chis canticoagulant ctreatment c- cCORRECT cANS✔✔Rifampin
, Which cdrug cis can cantiviral cthat ccan cbe cused cto cdecrease cshedding cwith cgenital cherpes c- cCORRECT cANS✔✔Valacyclovir
First cgeneration ccephalosporins care cbest cagainst cwhich corganism c- cCORRECT cANS✔✔Gram cpositive ccocci
Cefepime cis celiminated cvia c- cCORRECT cANS✔✔Tubular csecretion cand cor cglomerular cfiltration
Which ccephalosporins ccause cbleeding ctendencies c- cCORRECT cANS✔✔cefotetan cand cceftriaxone
Which ccephalosporins cinduce calcohol cintolerance c- cCORRECT cANS✔✔Cefotetan cand cCefazolin
Which cmacrolide cis cLEAST clikely cto ccause cQT cprolongation c- cCORRECT cANS✔✔Azithromycin
Which cof cthe cfollowing ccephalosporins chas cactivity cagainst cgram cnegative canaerobic cpathogens csuch cas cBacteroides cFragilis
c- cCORRECT cANS✔✔Cefoxitin c[Mefoxin]
20 cyear ccomes cin cwith cUTI. cBased con csymptoms cand cUA, cdiagnosed cwith cUTI. cCultures creveal cEnterococcus cfaecalis cthat
cis csensitive cto call cantibiotics cusually ctested cfor cpotential ctreatment. cWhich cof cthe cfollowing cis can cappropriate coral coption cto
ctreat cthe cUTI c- cCORRECT cANS✔✔Amoxicillin
1st cline cantibiotic cfor cpatient cwith ccomorbidities c[immunosuppression] cwho chas cpneumonia cand ccan cbe ctreated cas can
coutpatient cwould cbe c- cCORRECT cANS✔✔Levofloxacin
John cis c4 cweek cold cinfant cwho chas cbeen cdiagnosed cwith cChlamydial cpneumonia. cAn cappropriate ctreatment cfor chis
cpneumonia cwould cbe c- cCORRECT cANS✔✔Erythromycin
Which cis cprimary cmethod cof cB-lactamase cresistance cwith cstreptococcus cpneumoniae c- cCORRECT cANS✔✔Modification cof
ctarget csite
An c80 cyear cold cpatient cwill cbe ctaking cCefdinir c[Omnicef]. cBefore cinitiating ctherapy, cthe cNP cshould corder c- cCORRECT
cANS✔✔Creatinine cclearance
A cpatient con clong cterm cClindamycin ctherapy cshould cbe cwarned cof cwhich cside ceffect c- cCORRECT cANS✔✔Clostridium
cDifficile cDiarrhea
What cis cextremely cresistant cTB cresistant cto c- cCORRECT cANS✔✔All cfluoroquinolones, cIsoniazid c[INH] cand crifampin, cand cat
cleast cone cof cthe cinjectable csecond cline cdrugs
What cis cmultidrug cresistant cTB c- cCORRECT cANS✔✔Resistant cto cboth cisoniazid c[INH] cand cRifampin
Which cmedications ccreate cproblematic cinteractions cwith cother cHIV cantiviral cdrugs c- cCORRECT cANS✔✔Rifampin cand
cRifabutin
Treating cone cinfection cinterferes cwith ctreatment cof cthe cother cin cpatients cwith cboth cTB cand cHIV c- cCORRECT cANS✔✔True
John chas cHIV cand chas cjust cbeen cdiagnosed cwith cTB. cWhat cis cthe cMINIMUM camount cof ctime che cwill cneed ctherapy c-
cCORRECT cANS✔✔6 cmonths
Which cinformation cshould cthe cnurse cinclude cwhen cteaching ca cpatient cabout cINH ctherapy c- cCORRECT cANS✔✔An cadverse
ceffect cof cisoniazid ctherapy cis cperipheral cneuropathy, cwhich ccan cbe creversed cwith cpyridoxine
A cgroup cof ccollege cstudents care ctraveling cto ca cchloroquine-resistant cmalaria carea cfor ca cmission ctrip. cWhich cof cthe cfollowing
cmedications ccan cbe cused cfor cboth cprevention cand ctreatment cof cmalaria cin cthese cstudents c- cCORRECT
cANS✔✔Atoraquone-proguanil
Which cinformation cshould cbe cincluded cwhen cteaching cabout crifampin c- cCORRECT cANS✔✔Rifampin ccan cchange cthe ccolor
cof cbody cfluids cto creddish corange
Which cTB cmedication ccan ccause cdecrease cin cvision c- cCORRECT cANS✔✔Ethambutol
Jade ccomes cin cwith cVaginal cCandidiasis. cWhat cis cthe cNP cgoing cto cprescribe c- cCORRECT cANS✔✔Fluconazole c150mg cby
cmouth conce
Brittany cis ca c23 cyear cold cfemale cand cculture c- cCORRECT cANS✔✔Metronidazole cgel c0.75%, cone cfull capplicator
cintravaginally conce cdaily cfor c5 cdays
Randy cis ca c19 cyear cold cmale cand chas cdiagnosed cwith cchlamydia. cWhich cof cthe cfollowing cis cthe cappropriate ctreatment c-
cCORRECT cANS✔✔Doxycycline c100mg cPO ctwice cdaily cfor c7 cdays
Madeline cis ca c29 cyear cold cwith cgenital cherpes cand cwould clike csuppressive ctherapy. cWhich cof cthe cfollowing cis cthe
cappropriate ctreatment c- cCORRECT cANS✔✔Valacyclovir c500mg cby cmouth cdaily cfor c1 cyear
Treatment cfor can c18 cyear cold cnon cpregnant cfemale cwith cuncomplicated ccervix cinfection cwith cgonorrhea cand cchlamydial
cinfection chas cnot cbeen cexcluded cis c- cCORRECT cANS✔✔Ceftriaxone c500mg cIM cplus cDoxycycline c100mg cPO ctwice cdaily
cfor c7 cdays
