3/29/25, 8:38 NR566 Midterm |
AM
NR566 MIDTERM EXAM QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS VERIFIED GRADED A++
Terms in this set (121)
Community acquired pneumonia (CAP) S. pneumoniae, Mycoplasma spp., H. influenzae, and Staphylococcus aureus
common pathogens
First line treatment of CAP for previously Amoxicillin (PCN), Doxycycline, and Macrolides (Azithromycin).
healthy adults
What to give if first drug didn't work for Levaquin (Fluroquinolones)
CAP
Treatment for M. Pneumoniae in Macrolides- Erythromycin
pediatric patient (Specific/example
antibiotic from drug class will be
provided)
Treatment of CAP in pregnancy Macrolides-erythromycin, PCN-amoxicillin, cephalosporins
If someone has been treated with an Floxacin
antibiotic in the previous 90 days of
contracting CAP, a quinolone would be
a prudent choice to prescribe such
as:
Treatment of chlamydial pneumonia in Macrolide-Erythromycin 12.5mg/kg PO QUID x 14 days
infant (options will include dose, but if you
know the correct drug, the dose will come
with it on the exam so no need to
memorize dose):
Commonly used for empiric therapy when the pathogen is unknown or infection
When to use broad-spectrum agents
with multiple types of bacteria is suspected.
When to use narrow-spectrum agents Used when infecting pathogen is unknown.
What are empiric antibiotics Starting treatment without cultures or prior to receiving results.
Critically ill, hospitalized patients until culture results return, ambulatory patients,
When to prescribe empiric antibiotics
combination therapy.
How to treat c-diff 10 days of oral vancomycin or metronidazole (flagyl).
Drug class known for ALL drugs in class to 2nd and 3rd generation Cephalosporins
promote development of C. Diff
PCN cross-sensitivity reactions with which Cephalosporins or carbapenems
drug classes:
Prescribing PCN in pregnancy Safe throughout pregnancy - safe to use in breastfeeding, amoxicillin most safe
Cephalosporins patient education Report increase in stool frequency (concern for c-diff)
Prescribing cephalosporins in pregnancy Safe throughout pregnancy
Avoid prolonged exposure to sunlight, wear protective clothing, apply sunscreen,
Tetracyclines patient education
report promptly any diarrhea.
Prescribing tetracyclines in pregnancy Contraindicated
Avoid exposure to sunlight, wear protective clothing and apply sunscreen.Report
Macrolides patient education
promptly any diarrhea.
Report symptoms of ototoxicity (H/A, nausea, tinnitus, vertigo) and toxicity to
Aminoglycosides patient education
kidneys.
1/
7
, 3/29/25, 8:38 NR566 Midterm |
AM
Complete the course of treatment even though symptoms may abate before the full
course is over. Drink 8-10 glasses of water a day to decrease risk of crystal
urea.Avoid prolonged exposure to sunlight, wear protective clothing, apply
Sulfaonamides patient education sunscreen, avoid tanning beds to prevent photosensitivity reactions. Observe for
alterations that may indicate hypersensitivity like a rash and hold if occur.Inform of
early signs of blood dycrasias (sore throat, fever, pallor). Report promptly if they
occur.
Contraindicated for nursing mothers, pregnant women in 1st trimester or near term
Prescribing sulfonamides in pregnancy
(after 32 weeks)
Gentamicin renal adjustments Should be reduced or the dosing interval should be increased to prevent toxicity.
A patient with an infection caused by Reduces the dosage of piperacillin
Pseudomonas aeruginosa is being treated
with piperacillin. The nurse providing care Patients with renal impairment should receive lower doses of piperacillin than
reviews the patient's laboratory reports and patients with normal renal function. Aminoglycosides are nephrotoxic. Penicillin G
notes that the patient's blood urea nitrogen and nafcillin are not effective against Pseudomonas infections.
and serum creatinine levels are elevated.
What action will the provider take when
notified of the elevated lab results?
· Prescribes an aminoglycoside
· Reduces the dosage of piperacillin
· Discontinues the piperacillin and orders
penicillin G
· Discontinues the piperacillin
and prescribes nafcillin
2/
7
AM
NR566 MIDTERM EXAM QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS VERIFIED GRADED A++
Terms in this set (121)
Community acquired pneumonia (CAP) S. pneumoniae, Mycoplasma spp., H. influenzae, and Staphylococcus aureus
common pathogens
First line treatment of CAP for previously Amoxicillin (PCN), Doxycycline, and Macrolides (Azithromycin).
healthy adults
What to give if first drug didn't work for Levaquin (Fluroquinolones)
CAP
Treatment for M. Pneumoniae in Macrolides- Erythromycin
pediatric patient (Specific/example
antibiotic from drug class will be
provided)
Treatment of CAP in pregnancy Macrolides-erythromycin, PCN-amoxicillin, cephalosporins
If someone has been treated with an Floxacin
antibiotic in the previous 90 days of
contracting CAP, a quinolone would be
a prudent choice to prescribe such
as:
Treatment of chlamydial pneumonia in Macrolide-Erythromycin 12.5mg/kg PO QUID x 14 days
infant (options will include dose, but if you
know the correct drug, the dose will come
with it on the exam so no need to
memorize dose):
Commonly used for empiric therapy when the pathogen is unknown or infection
When to use broad-spectrum agents
with multiple types of bacteria is suspected.
When to use narrow-spectrum agents Used when infecting pathogen is unknown.
What are empiric antibiotics Starting treatment without cultures or prior to receiving results.
Critically ill, hospitalized patients until culture results return, ambulatory patients,
When to prescribe empiric antibiotics
combination therapy.
How to treat c-diff 10 days of oral vancomycin or metronidazole (flagyl).
Drug class known for ALL drugs in class to 2nd and 3rd generation Cephalosporins
promote development of C. Diff
PCN cross-sensitivity reactions with which Cephalosporins or carbapenems
drug classes:
Prescribing PCN in pregnancy Safe throughout pregnancy - safe to use in breastfeeding, amoxicillin most safe
Cephalosporins patient education Report increase in stool frequency (concern for c-diff)
Prescribing cephalosporins in pregnancy Safe throughout pregnancy
Avoid prolonged exposure to sunlight, wear protective clothing, apply sunscreen,
Tetracyclines patient education
report promptly any diarrhea.
Prescribing tetracyclines in pregnancy Contraindicated
Avoid exposure to sunlight, wear protective clothing and apply sunscreen.Report
Macrolides patient education
promptly any diarrhea.
Report symptoms of ototoxicity (H/A, nausea, tinnitus, vertigo) and toxicity to
Aminoglycosides patient education
kidneys.
1/
7
, 3/29/25, 8:38 NR566 Midterm |
AM
Complete the course of treatment even though symptoms may abate before the full
course is over. Drink 8-10 glasses of water a day to decrease risk of crystal
urea.Avoid prolonged exposure to sunlight, wear protective clothing, apply
Sulfaonamides patient education sunscreen, avoid tanning beds to prevent photosensitivity reactions. Observe for
alterations that may indicate hypersensitivity like a rash and hold if occur.Inform of
early signs of blood dycrasias (sore throat, fever, pallor). Report promptly if they
occur.
Contraindicated for nursing mothers, pregnant women in 1st trimester or near term
Prescribing sulfonamides in pregnancy
(after 32 weeks)
Gentamicin renal adjustments Should be reduced or the dosing interval should be increased to prevent toxicity.
A patient with an infection caused by Reduces the dosage of piperacillin
Pseudomonas aeruginosa is being treated
with piperacillin. The nurse providing care Patients with renal impairment should receive lower doses of piperacillin than
reviews the patient's laboratory reports and patients with normal renal function. Aminoglycosides are nephrotoxic. Penicillin G
notes that the patient's blood urea nitrogen and nafcillin are not effective against Pseudomonas infections.
and serum creatinine levels are elevated.
What action will the provider take when
notified of the elevated lab results?
· Prescribes an aminoglycoside
· Reduces the dosage of piperacillin
· Discontinues the piperacillin and orders
penicillin G
· Discontinues the piperacillin
and prescribes nafcillin
2/
7
