NR 566 Quiz 1
Which patients should penicillins be used with extreme caution?
Patients with renal impairment, preexisting hearing impairment, and those receiving ototoxic and
nephrotoxic drugs.
Correct!
Patients with a history of severe allergic reactions to cephalosporins, or carbapenems.
Patients with QT prolongation.
Patients using valproate to control seizures.
Rationale: Penicillins should be used with extreme caution in patients with a history of severe
allergic reactions to penicillins, cephalosporins, or carbapenems. Review Summary of Key
Prescribing Considerations for Penicillins.
Question 3
pts
Using your textbook, match the antibiotic class to the patient care concern for pregnant persons.
Correct!
All appear to be safe for use in pregnancy ( cephalosporin)
Correct!
Although there are no well-controlled studies in pregnant women, evidence we do have suggests
there is no second or third trimester fetal risk.( PCN)
Correct!
Animal studies reveal that these drugs can cause fetal harm in pregnancy. Thus this class of drugs
should be avoided in during pregnancy.(TETRACYCLINE)
Correct!
There is evidence that use of this drug class in pregnancy can harm the fetus so they should not
be used.(AMINOGLYCOSIDE)
Correct!
Systemic drugs in this class may cause birth defects, especially if taken during the first semester.
If taken near term, the infant may develop kernicterus.(SULFONAMIDES)
Rationale: This information can be found in the Summary of Key Prescribing Considerations in
the chapter that covers this drug class.
, Question 4
pts
To treat otitis media, would you use a broad- spectrum or narrow spectrum antibiotic?
Correct!
Broad-spectrum
Narrow spectrum
Extended-spectrum
Rationale: A broad-spectrum antibiotic should be used. Information found in the course module.
Question 5
pts
What baseline data is needed to prescribe trimethoprim/sulfamethoxazole? (Select all that apply)
Correct!
Establish an infection appropriate for this drug class exists
Correct!
Complete blood count with white cell differential for prolonged therapy
Hepatic function if there is concern in may be compromised
Correct!
Renal function if there is concern in may be compromised
Rationale: This information can be found in the Summary of Key Prescribing Considerations in
the chapter that covers this drug class.
Question 6
pts
Which antibiotic classes should have a culture and sensitivity prior to prescribing and which ones
do not according to your textbook?
Correct!
Culture ( PCN, carbapenem
Correct!
Not indicated ( tetracycline, macrolides)
Which patients should penicillins be used with extreme caution?
Patients with renal impairment, preexisting hearing impairment, and those receiving ototoxic and
nephrotoxic drugs.
Correct!
Patients with a history of severe allergic reactions to cephalosporins, or carbapenems.
Patients with QT prolongation.
Patients using valproate to control seizures.
Rationale: Penicillins should be used with extreme caution in patients with a history of severe
allergic reactions to penicillins, cephalosporins, or carbapenems. Review Summary of Key
Prescribing Considerations for Penicillins.
Question 3
pts
Using your textbook, match the antibiotic class to the patient care concern for pregnant persons.
Correct!
All appear to be safe for use in pregnancy ( cephalosporin)
Correct!
Although there are no well-controlled studies in pregnant women, evidence we do have suggests
there is no second or third trimester fetal risk.( PCN)
Correct!
Animal studies reveal that these drugs can cause fetal harm in pregnancy. Thus this class of drugs
should be avoided in during pregnancy.(TETRACYCLINE)
Correct!
There is evidence that use of this drug class in pregnancy can harm the fetus so they should not
be used.(AMINOGLYCOSIDE)
Correct!
Systemic drugs in this class may cause birth defects, especially if taken during the first semester.
If taken near term, the infant may develop kernicterus.(SULFONAMIDES)
Rationale: This information can be found in the Summary of Key Prescribing Considerations in
the chapter that covers this drug class.
, Question 4
pts
To treat otitis media, would you use a broad- spectrum or narrow spectrum antibiotic?
Correct!
Broad-spectrum
Narrow spectrum
Extended-spectrum
Rationale: A broad-spectrum antibiotic should be used. Information found in the course module.
Question 5
pts
What baseline data is needed to prescribe trimethoprim/sulfamethoxazole? (Select all that apply)
Correct!
Establish an infection appropriate for this drug class exists
Correct!
Complete blood count with white cell differential for prolonged therapy
Hepatic function if there is concern in may be compromised
Correct!
Renal function if there is concern in may be compromised
Rationale: This information can be found in the Summary of Key Prescribing Considerations in
the chapter that covers this drug class.
Question 6
pts
Which antibiotic classes should have a culture and sensitivity prior to prescribing and which ones
do not according to your textbook?
Correct!
Culture ( PCN, carbapenem
Correct!
Not indicated ( tetracycline, macrolides)
