1
NUR 140 FINAL EXAM NEWEST VERSION -2025/2026- 100+ Q
AND ANS MOST POPULAR EXAM GUARANTEED SUCCESS
Parasitic Infections?
Check stool sample for any parasites
Prophylaxis, know why patient is being given this, given for GI or GU surgeries,
patients with valve issues that are prone to pericarditis (given before dental work
for these patients)
Pg. 93
Often used for patients having dental surgeries and patients with mechanical
heart valves. Patients with mechanical heart valves are at an increased risk of
infection with heart surgery specifically. Antibiotic therapy begins a day or two
prior to surgery
Narrow vs. Broad spectrum antibiotics?
Narrow: specific to one or a few types of bacteria. Specifically addressing one
bacteria that we have done a wound culture or sputum culture on.
Broad: used on variety of bacteria. Ex: someone comes into a clinic and needs an
antibiotic for a sinus infection
How does antibiotic resistance occur?
Resistance happens after bacteria evolves if the antibiotics are not taken for the
full course and not all of the antibiotic dies. Instruct patient to take antibiotic for
full course. Do not use antibiotic for virus, patient needs to know this.
interactions with antibiotics?
, 2
Assess for allergies. Assess for other meds, drug-drug interaction, drug-herb
interactions. Some antibiotics can make other meds less effective (i.e. oral
contraceptives)
Take with or without food, depending on each antibiotics (tricyclics do not get
taken with food)
know everything patient is taking
Risk for allergic reactions/ anaphylaxis?
Depending on severity, do not take another dose and contact physician for further
instructions. If they cannot breathe, call 911.
Risk factors: have some type of reaction in the past.
Assess for rash, any difficulty breathing.
Directions for patients taking at home: take full course of antibiotics. Use
appropriate medication for appropriate use. Report any symptoms of anaphylaxis
reaction (teach about symptoms)
Allergies to penicillin's could be congruent to allergies to other antibiotics.
Be aware of what their previous allergic reaction entailed (i.e., swelling, inability
to breathe, etc.)
If patient begins having an allergic to an antibiotic currently being administered,
stop the infusion immediately and treat for any symptoms of anaphylaxis
Superinfections related to antibiotic use?
C. diff (vancomyocin) occurs due to destruction of normal flora.
found in the patient's stool sample
A yeast infection (thrush, diaper, vaginal) are examples r/t antibiotics
Aminoglycosides
End in -mysin
Treat gram negative in GI and GU
, 3
Bacterial cydal
More rapidly absorbed when given IM
Watch kidney and renal function
Can worsen patients with preexisting hearing loss. Monitor for any hearing loss or
worsening hearing loss
Given IM or IV because it's poorly absorbed in GI
Worry about kidneys and ototoxicity
Any changes in hearing must be reported immediately
Gentamicin
An aminoglycoside
Given IV, sometimes IM
GI & GU
Monitor hearing and kidney function
Treats pseudomonas and a wide variety of gram negative bacteria
Nephrotoxic and ototoxic (black box warning)
Check kidney function and assess hearing
Nausea, vomiting, diarrhea.
Do not combine with potent diuretics because it increases the risk for
nephrotoxicity, neurotoxicity, and ototoxicity
Isoniazid
Treatment and prevention of TB
Main concern for TB patient need negative pressure room
Most common TB med, first line treatment
An antimycobacterial, so it is acid-fast
NUR 140 FINAL EXAM NEWEST VERSION -2025/2026- 100+ Q
AND ANS MOST POPULAR EXAM GUARANTEED SUCCESS
Parasitic Infections?
Check stool sample for any parasites
Prophylaxis, know why patient is being given this, given for GI or GU surgeries,
patients with valve issues that are prone to pericarditis (given before dental work
for these patients)
Pg. 93
Often used for patients having dental surgeries and patients with mechanical
heart valves. Patients with mechanical heart valves are at an increased risk of
infection with heart surgery specifically. Antibiotic therapy begins a day or two
prior to surgery
Narrow vs. Broad spectrum antibiotics?
Narrow: specific to one or a few types of bacteria. Specifically addressing one
bacteria that we have done a wound culture or sputum culture on.
Broad: used on variety of bacteria. Ex: someone comes into a clinic and needs an
antibiotic for a sinus infection
How does antibiotic resistance occur?
Resistance happens after bacteria evolves if the antibiotics are not taken for the
full course and not all of the antibiotic dies. Instruct patient to take antibiotic for
full course. Do not use antibiotic for virus, patient needs to know this.
interactions with antibiotics?
, 2
Assess for allergies. Assess for other meds, drug-drug interaction, drug-herb
interactions. Some antibiotics can make other meds less effective (i.e. oral
contraceptives)
Take with or without food, depending on each antibiotics (tricyclics do not get
taken with food)
know everything patient is taking
Risk for allergic reactions/ anaphylaxis?
Depending on severity, do not take another dose and contact physician for further
instructions. If they cannot breathe, call 911.
Risk factors: have some type of reaction in the past.
Assess for rash, any difficulty breathing.
Directions for patients taking at home: take full course of antibiotics. Use
appropriate medication for appropriate use. Report any symptoms of anaphylaxis
reaction (teach about symptoms)
Allergies to penicillin's could be congruent to allergies to other antibiotics.
Be aware of what their previous allergic reaction entailed (i.e., swelling, inability
to breathe, etc.)
If patient begins having an allergic to an antibiotic currently being administered,
stop the infusion immediately and treat for any symptoms of anaphylaxis
Superinfections related to antibiotic use?
C. diff (vancomyocin) occurs due to destruction of normal flora.
found in the patient's stool sample
A yeast infection (thrush, diaper, vaginal) are examples r/t antibiotics
Aminoglycosides
End in -mysin
Treat gram negative in GI and GU
, 3
Bacterial cydal
More rapidly absorbed when given IM
Watch kidney and renal function
Can worsen patients with preexisting hearing loss. Monitor for any hearing loss or
worsening hearing loss
Given IM or IV because it's poorly absorbed in GI
Worry about kidneys and ototoxicity
Any changes in hearing must be reported immediately
Gentamicin
An aminoglycoside
Given IV, sometimes IM
GI & GU
Monitor hearing and kidney function
Treats pseudomonas and a wide variety of gram negative bacteria
Nephrotoxic and ototoxic (black box warning)
Check kidney function and assess hearing
Nausea, vomiting, diarrhea.
Do not combine with potent diuretics because it increases the risk for
nephrotoxicity, neurotoxicity, and ototoxicity
Isoniazid
Treatment and prevention of TB
Main concern for TB patient need negative pressure room
Most common TB med, first line treatment
An antimycobacterial, so it is acid-fast
