1. A pregnant client is seen in the emergency department for an infection. The nurse anticipates that antibiotics prescribed for this client would not include: Select all that apply.
ampicillin.
minocycline.
neomycin.
streptomycin.
doxycycline.
2. The client on penicillin who is complaining of an abnormal vaginal discharge has a superinfection secondary to:
a nosocomial infection.
an overdose of penicillin.
the destruction by penicillin of normal flora in the vagina.
the development of an organism resistant to penicillin.
3. A client has been on an antibiotic for 2 weeks for treatment of an ulcer caused by Helicobacter pylori. The client asks the nurse if the antibiotic could be causing diarrhea. What is the nurse's most accurate response?
"The infection has become severe."
"This might be a secondary infection due to the antibiotic therapy."
"The infection has a restricted group of microorganisms."
"The organisms that caused the infection have developed immunity to the drug."
4. The community outreach nurse is teaching a group of older clients how bacterial organisms become resistant to antibiotics. Which statements by the clients demonstrate understanding of the instruction? Select all that apply.
"I need to get the recommended immunizations so I don't get an infection and need an antibiotic."
"If possible, my doctor will need to culture any infections I have to make sure I am taking the correct antibiotics."
"I need to take antibiotics only when my health care provider thinks I have an infection."
"As soon as my infection is gone, I can stop the antibiotic. This way, I'll avoid becoming resistant to the antibiotic."
"I should never take an antibiotic for more than 10 days. This is what causes resistance."
5. First-generation cephalosporins are the most effective of this class of antibiotics against:
Protozoans.
Gram-negative bacteria.
Rickettsia.
Gram-positive bacteria.
6. Which generation of cephalosporin would be selected to treat complicated, drug-resistant meningitis?
Second
Third
Fourth
First
7. The nurse caring for a client with an allergy to cephalosporins would be cautious in implementing an order for an anti-infective agent from which class?
Aminoglycosides
Fluoroquinolones
Sulfonamides
Penicillins
8. Which client should be most closely monitored for adverse effects directly related to receiving penicillin G?
A client who has osteomyelitis and will need IV medication for several months
A client who had a myocardial infarction 2 days ago and now has a fever of 102°F
A client who is postop from corneal transplant
A client who has diabetes and is on dialysis
9. A client being discharged with a prescription for penicillin also takes probenecid. The nurse explains that probenecid:
prevents diarrhea often associated with penicillin.
will prevent an allergic response.
is a secondary antibiotic.
will allow the penicillin to stay in the body longer.
10. Which instruction should take priority in client teaching for any antibiotic therapy?
The full course of prescribed drug therapy must be completed.
Maintain adequate food intake
Maintain an adequate fluid intake
Report symptoms of secondary infection, such as vaginal yeast infections
11. Which client would require the administration of prophylactic antibiotics?
A client with inflammation at the infection site
A client with a viral infection
A client with a suppressed immune system
A client with pus at the infection site