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ATI Infection Posttest Questions and Correct Answers

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A health care professional is caring for a patient who is about to begin taking metronidazole (Flagyl) to treat an anaerobic intra-abdominal bacterial infection. The health care professional should recognize that cautious use of the drug is indicated if the patient also has which of the following? Seizure disorder Hearing loss Asthma Anemia ~ Seizure disorder Metronidazole, an antiparasitic drug, can cause ataxia, vertigo, and seizures. It requires cautious use with patients who have a history of seizure activity, liver or renal failure, or heart failure. A patient who is taking tetracycline orally to treat a chlamydia infection contacts the health care professional to report severe blood-tinged diarrhea. Recognizing the adverse effects of tetracycline, the health care professional should suspect which of the following? Hemorrhoids Pseudomembranous enterocolitis Diverticular disease Small bowel obstruction ~ Pseudomembranous enterocolitis Severe diarrhea, often containing mucus and blood, can indicate pseudomembranous colitis. Treatment includes stopping drug therapy and replacing fluids and electrolytes. Patients should report severe diarrhea and blood in the stools promptly. When administering erythromycin to a patient who has pneumococcal pneumonia, the health care professional should monitor for which of the following adverse effects of the drug? Hypothermial Blurred vision Constipation Cardiac dysrhythmias ~ Cardiac dysrhythmias Erythromycin, a macrolide, can cause ECG changes, including a prolonged QT interval, and put the patient at risk for a potentially fatal ventricular dysrhythmia. The health care professional should monitor the patient's ECG, and tell the patient to report palpitations, fainting, or dizziness. The drug is inappropriate for patients who have a history of QT prolongation.

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ATI Infection Posttest Questions
and Correct Answers

A health care professional is caring for a patient who is about to begin receiving

acyclovir (Zovirax) IV to treat a viral infection. The health care professional should

recognize that cautious use of the drug is essential if the patient also has which of

the following?




Heart failure

Dehydration

Asthma

Tinnitus

✓✓~ Dehydration




Acyclovir, an antiviral drug, can cause renal toxicity, especially in patients who are

dehydrated. Hydration during and after IV infusion of the drug can help keep it from

precipitating in the renal tubules.




A health care professional is caring for a patient who takes an oral contraceptive and

is about to begin rifampin (Rifadin) therapy to treat tuberculosis. The health care

professional should include which of the following instructions?

,Increase the rifampin dose

Increase the oral contraceptive dose

Allow 2 hr between taking the two drugs

Use additional contraception

✓✓~ Use additional contraception




Rifampin, an antimycobacerial drug, can increase the metabolism of oral

contraceptives, reducing their effectiveness. Patients taking oral contraceptives and

rifampin should use additional contraceptive methods to prevent an unwanted

pregnancy. Some antifungal drugs can also reduce the effectiveness of oral

contraceptives.




A primary care provider should prescribe a lower dose of aztreonam (Azactam) for a

patient who has a

respiratory tract infection and also has which of the following?




Glaucoma

Closed-head injury

Heart failure

Renal impairment

, ✓✓~ Renal impairment




Aztreonam, a monobactam, requires cautious use with patients who have renal

dysfunction because the kidneys eliminate it virtually intact. The primary care

provider should prescribe a lower dose for the patient or prescribe a different

antimicrobial drug.




A health care professional is caring for a patient who is about to begin taking

acyclovir (Zovirax) to treat a herpes simplex infection. The health care professional

should monitor which of the following laboratory values for the patient?

Prothrombin time

Hct

BUN

Aspartate aminotransferase

✓✓~ BUN




Acyclovir, an antiviral drug, can cause renal toxicity because of drug accumulation in

renal tubules. The health care professional should monitor the patient's urine output,

BUN, and creatinine levels, and increase fluid intake to hydrate and flush the

kidneys.




A health care professional is caring for a patient who is about to begin taking

nitrofurantoin (Macrodantin) to treat a urinary tract infection. The health care

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