Answers.
A nurse manager is providing an educational program on antibiotic
sensitivity to bacterial infections. The nurse should include in the teaching
that metronidazole is indicated for which of the following infections? -
Correct Answer -Trichomoniasis Vaginalis
A nurse is caring for a client who has streptococcal pneumonia and a
prescription for penicillin G by intermittent IV bolus. 10 min into the infusion
of the third dose, the client reports that the IV site itches and that he feels
dizzy and short of breath. Which of the following actions should the nurse
take first? - Correct Answer -stop the infusion
A clinical nurse educator is preparing an educational program about
transmission of MRSA in hospitalized clients. Which of the following
information should the nurse include in the program? - Correct Answer -Bathe
clients with H2O and chlorhexidine gluconate
A nurse is assessing a client after administering IV vancomycin. Which of
the following findings is the nurse's priority to report to the provider? - Correct
Answer -audible inspiratory stridor; When using the airway, breathing,
circulation approach to client care the nurse determines the priority finding is
inspiratory strider. The client is at risk for bronchospasms, hypotension and
circulatory collapse due to anaphylaxis. The nurse should contact the rapid
response team, discontinue the vancomycin, and administer epinephrine
A nurse is caring for a client who has an infection and a prescription for
gentamicin intermittent IV bolus every 8 hr. A peak and trough is required
with the next dose. Which of the following actions should the nurse take to
obtain an accurate gentamicin serum level? - Correct Answer -Draw a trough
level immediately prior to administering the medication and a peak level 30
min after the dose.
A nurse is teaching a client who has a new prescription for amoxicillin-
clavulanate to treat pharyngitis. Which of the following statements by the
client indicates an understanding of the teaching? - Correct Answer -"I will
stop taking this medication if I develop itching"
-Penicillin-derived medications are a common cause of medication allergic
reactions. Manifestations of allergic reactions include rashes, hives, itchy and
watery eyes, and swollen lips, tongue, or face. Anaphylactic reactions can
develop within 1 hr of taking the dose, and include difficulty breathing,
shortness of breath, stridor, and angioedema. The client should discontinue
the medication and notify the provider if these manifestations occur.