NURS 6521N Week 8 Quiz 2 - Question and Answers

NURS 6521N Week 8 Quiz 2 - Question and Answers• Question 1 1 out of 1 points A 15-year-old boy is being carefully monitored for a skin infection and is being given ciprofloxacin. The nurse will observe for which of the following? Response Feedback: A serious adverse reaction of ciprofloxacin is arthropathy, or joint pain, especially in children. This irreversible adverse reaction tends to occur in children under 18 years of age. Colitis is another adverse reaction of ciprofloxacin that the nurse needs to monitor for, but it generally does not affect children under 18 years of age. Hepatitis and hypotension are not identified adverse effects of ciprofloxacin in children or adults. • Question 2 1 out of 1 points A 15-year-old patient has meningitis caused by Haemophilus influenzae. She is being treated with chloramphenicol. The most important nursing action for this patient would be to monitor Response Feedback: Plasma concentrations should be monitored at least weekly in patients who are on chloramphenicol therapy. It would be important for the nurse to monitor daily urine output with any drug therapy. An increase or decrease in output could indicate pathology. Also, it would be important for the nurse to monitor blood sugar levels and liver enzymes, but not because the patient is taking chloramphenicol. • Question 3 1 out of 1 points The nurse notices a cold sore on a patient's upper lip and requests medication; docosanol (Abreva) is ordered. Before applying the medication, the nurse would first Response Feedback: The nurse would assess the area first to make sure that there were no open lesions or abrasions that could allow for systemic absorption of the drug. Then, the nurse would apply gloves and clean the area, pat dry, and apply the medication. • Question 4 1 out of 1 points Which of the following nursing actions is most important in achieving successful antimicrobial therapy with vancomycin? Response Feedback: The goal of monitoring antibacterial therapy like vancomycin is to maintain the serum drug level within the therapeutic margin; this also ensures safety. Serum blood levels should be monitored for drugs that have a high potential for severe adverse effects. The other options can be broad goals of a general drug therapy that may or may not include an antibacterial drug. Antibiotic doses are not typically tapered down.