The nurse has been caring for a patient who has been taking antibiotics for 3 weeks Upon assessing
the patient , the nurse notices the individual has developed oral thrush ( candidiasis ) . What describes
the etiology of the thrush ? - Answers Superinfection
The nurse is caring for a patient on a medical - surgical unit who has a fever of unknown origin . The
prescriber has ordered a broad - spectrum antibiotic . Which intervention is the priority ? - Answers
Obtaining all cultures before the antibiotic is administered
Ampicillin 1g / sulbactam [ Unasyn ] 0.5g is supplied in 50 mL of solution to be infused over 15
minutes . The nurse would program the IV pump to deliver how many mL per hour ? - Answers 200
mL / hour
A parent asks a nurse if the provider will prescribe an antibiotic for a child who attends school with
several children who have strep throat . The child is complaining of a sore throat and has a fever .
What will be the nurse's response ? - Answers Your child should come to the clinic to have a throat
culture done today . "
A nurse assisting a nursing student with medications asks the student to describe how penicillins
( PCNs ) work to treat bacterial infections . The student is correct in responding that penicillins -
Answers disrupt bacterial cell wall synthesis .
A patient is about to receive penicillin G for an infection that is highly sensitive to this drug - penicillin
G is preferred in this situation . While obtaining the patient's medication history , the nurse learns
that the patient experienced a moderate rash when given amoxicillin [ Amoxil ] , a penicillin , as a
child 20 years earlier . What will the nurse do [ Hint : Penicillin G is preferred in this situation . ] -
Answers Request an order for a skin test to assess the current risk .
A patient with no known drug allergies is receiving amoxicillin [ Amoxil ] , a penicillin , PO twice daily .
Twenty minutes after being given a dose , the patient complains of shortness of breath , itching with
hives , and has swelling of the tongue with difficulty swallowing . The patient's blood pressure is 90/58
mm Hg . What will the nurse do ? - Answers Contact the provider and prepare to administer
epinephrine
A nurse is preparing to administer intramuscular penicillin to a patient who is infected with
Treponemo pallidum ( Syphilis ) and notes that the order is for sodium penicillin G. Which action is
correct ? - Answers Contact the provider to discuss changing the drug to benzathine penicillin G.
Which cephalosporin may be used to treat meningitis ? - Answers Cefotaxime ( Third Generation )
A woman complains of burning on urination and increased frequency . The patient has a history of
frequent urinary tract infections ( UTIS ) and is going out of town in 2 days To treat the infection
quickly , the nurse would expect the healthcare provider to order - Answers fosfomycin ( Monurol ) .
A nurse is teaching a nursing student what is meant by " generations of cephalosporins Which
statement by the student indicates understanding of the teaching ? - Answers . Cephalosporins have
increased activity against gram - negative bacteria with each generation .
A prescriber has ordered cefoxitin , a cephalosporin , for a patient who has an infection caused by a
gram - negative bacteria . The nurse taking the medication history learns that the patient experienced
a mild rash when taking amoxicillin [ Amoxil ] , a penicillin several years earlier . What will the nurse
do ? - Answers Administer the cefoxitin and observe for any side effects
A patient will be discharged home to complete treatment with intravenous cefotetan Cefotan ) , a
cephalosporin , with the assistance of a home nurse . The home care nurse will include which
instruction when teaching the patient about this drug treatment ? - Answers Abstain from alcohol
consumption during therapy .
The nurse is caring for a patient who is receiving vancomycin [ Vancocin ] . The nurse notes that the
patient is experiencing flushing , rash , pruritus , and urticaria . The patient's heart rate is 120 beats /
min , and the blood pressure is 92/57 mm Hg . The nurse understands that these findings are
consistent with : [ Note : the patient does not have shortness of breath ] . - Answers red man
syndrome .
A patient is to undergo orthopedic surgery , and the prescriber will order a cephalosporin to be given
preoperatively as prophylaxis ( prevention ) against infection The nurse expects the provider to order
which generation of cephalosporin ? - Answers First - generation cephalosporin
A patient has a skin infection and the culture reveals methicillin - resistant Staphylococcus aureus
( MRSA ) . What is an appropriate treatment for this patient ? - Answers Ceftaroline [ Teflaro ) ( Fifth
Generation