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ractice Nurse Prescribers, 5th edition Woo R
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obinson Test Bank Revised w w w
Chapter 1. Drugs Used in Treating Bacterial Diseases
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Multiple Choice
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Identify the choice that best completes the statement or answers the question
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, 1. Factors that place a patient at risk of developing an antimicrobial-resistant organism
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include:
1. Agewoverw50wyears
2. Schoolwattendancew3. Travel within the U.S.
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4. Inappropriate use of antimicrobials
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2. Providers should use an antibiogram when prescribing. An antibiogram is:
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1. ThewotherwnamewforwthewCenterswforwDiseasewControlwguidelineswforwprescribing
antibiotics
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2. Anwalgorithmwusedwforwprescribingwantibioticswforwcertainwinfections
3. ThewreferencewalsowknownwaswthewPinkwBook,wpublishedwbywthewCenterswforwDisease
Control
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4. Awchartwofwthewlocalwresistancewpatternswtowantibioticswdevelopedwbywlaboratories
w 3.Infants and young children are at higher risk of developing antibiotic-
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resistant infections due to:
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1. Developmentalwdifferenceswinwpharmacokineticswofwthewantibioticswinwchildren
2. Thewfactwthatwchildrenwthiswagewarewmorewlikelywtowbewinwdaycare
and exposed topathogens from other children
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3. Parentswofwyoungwchildrenwinsistingwonwpreventivewantibioticswsowthey
don’t miss workwhen their child is sick
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4. Immunosuppressionwfromwthewmultiplewvaccineswtheywreceivewinwthewfirstw2wyearswof
life
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4. There is often cross-sensitivity and cross-
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resistance between penicillins and cephalosporins because:
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1. Renalwexcretionwiswsimilarwinwbothwclasseswofwdrugs.
2. Whenwthesewdrugwclasseswarewmetabolizedwinwthewliverwtheywboth
produce resistantenzymes.
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3. Bothwdrugwclasseswcontainwawbeta-lactamwringwthatwiswvulnerablewto
, beta-lactamase-producing organisms. w
4. Therewiswnotwanwissuewwithwcross-
resistance between the penicillins and cephalosporins.
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5. Jonathan has been diagnosed with strep throat and needs a prescription for
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an antibiotic. He saysthe last time he had penicillin he developed a red, blotchy
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rash. An appropriate antibiotic to prescribe would be:
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1. PenicillinwVK,wbecausewhiswrashwdoeswnotwsoundwlikewawseriouswrash
2. Amoxicillin
3. Cefadroxilw(Duricef)
4. Azithromycin
6. Sarah is a 25-year- w w w
old female who is 8 weeks pregnant and has a urinary tract infection. Whatw
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ould be the appropriate antibiotic to prescribe for her?
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1. Ciprofloxacinw(Cipro)
2. Amoxicillinw(Trimox)
3. Doxycycline
4. Trimethoprim-sulfamethoxazolew (Septra)
, 7. Pong-tai is a 12-month- w w w
old child who is being treated with amoxicillin for acute otitis media. His paren
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tscall the clinic and say he has developed diarrhea. The appropriate action wo
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uld be to:
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1. Advisewthewparentswthatwsomewdiarrheawiswnormalwwithwamoxicillinwand
w recommend probioticsdaily. w
2. Changewthewantibioticwtowonewthatwiswlesswofwawgastrointestinalwirritant.
3. Orderwstoolwcultureswforwsuspectedwviralwpathogenswnotwtreatedwbywthewamoxicillin.
4. Recommendwincreasedwfluidswandwfiberwinwhiswdiet.
8. Lauren is a 13-year-old child who comes to clinic with a 4-
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day history of cough, low-
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grade fever, andrhinorrhea. When she blows her nose or coughs the mucous is g
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reenish-yellow. The appropriate antibiotic to prescribe would be:
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1. Amoxicillin
2. Amoxicillin/clavulanate
3. TMP/SMZw(Septra)
4. None
9. Joanna had a small ventricle septal defect (VSD) repaired when she was 3 years old
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and has no residualcardiac problems. She is now 28 and is requesting prophylacti
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c antibiotics for an upcoming dental visit.The appropriate antibiotic to prescribe a
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ccording to current American College of Cardiology and American Heart Associat
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ion guidelines is:
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