NR 566 MIDTERM STUDY GUIDE QUESTIONS WITH CORRECT ANSWERS

NR 566 MIDTERM STUDY GUIDE QUESTIONS WITH
CORRECT ANSWERS


Common CAP pathogens - ansS. Pneumoniae (most common) cx cx cx cx cx cx cx




H. Influenzae (smokers/COPD)
cx cx




P. Aeruginosa (CF)
cx cx




CAP first line treatment - ansMacrolides, Doxycyline, Amoxicillin
cx cx cx cx cx cx cx




what to give if 1st CAP treatment doesn't work? -
cx cx cx cx cx cx cx cx cx




ansRespiratory Fluoroquinolone if not received abx in the past 3 months
cx cx cx cx cx cx cx cx cx cx cx




Mycoplasma pneumoniae - ansatypical pneumonia; commonly seen in children cx cx cx cx cx cx cx cx




pediatric atypical pneumonia treatment - cx cx cx cx




ansMacrolides (Erythromycin), if failed then Respiratory fluoroquinolone
cx cx cx cx cx cx cx




CAP treatment during pregnancy - ansAmoxicillin, cephalosporins, or Erythromycin
cx cx cx cx cx cx cx cx




Treatment of chlamydial pneumonia in infant - cx cx cx cx cx cx




ansMacrolide (Azithromycin): 500mg orally on day 1 followed by 250 mg once daily on day
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx




s 2-5cx




When to use broad/empiric spectrum antibiotics? - ansBefore cultures are resulted/
cx cx cx cx cx cx cx cx cx cx




critically ill patient after first culture obtained, based on NP knowledge of patient history, loc
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx




al susceptibility/geographic location
cx cx




When to use narrow spectrum antibiotics? -
cx cx cx cx cx cx




ansUsed when the culture and sensitivity is resulted, and pathogen is known.
cx cx cx cx cx cx cx cx cx cx cx cx




how to treat C.diff - ansStop the antibiotic that may have caused it
cx cx cx cx cx cx cx cx cx cx cx cx




1st: Vancomycin 125 mg PO QID x 10 days.
cx cx cx cx cx cx cx cx cx




2nd: Metronidazole 500mg PO TID x 10 days
cx cx cx cx cx cx cx




address hydration cx




Drug class known for ALL drugs in class to promote development of C. Diff -
cx cx cx cx cx cx cx cx cx cx cx cx cx cx




ans2nd and 3rd generation Cephalosporins
cx cx cx cx cx




Penicillin: Cross-sensitivity reactions with which drug classes -cx cx cx cx cx cx cx




ansCephalosporins & Carbapenems
cx cx cx

, (Allergy may be mild or severe) cx cx cx cx cx




Safe penicillin during pregancy - ansAmoxicillin
cx cx cx cx cx




patient education for Cephalosporins -
cx cx cx cx




ansReport to provider any loose stools, complete full course of antibiotics, s/s of allergy
cx cx cx cx cx cx cx cx cx cx cx cx cx cx




Cephalosporins in pregnancy - ansAll appear safe for use cx cx cx cx cx cx cx cx




patient education for Tetracyclines -
cx cx cx cx




ansphotosensitivity (wear sunscreen!), complete full course, s/s of allergy
cx cx cx cx cx cx cx cx cx




Tetracyclines in pregnancy - ansCan lead to fetal death; avoided for use
cx cx cx cx cx cx cx cx cx cx cx




Patient education for macrolides -
cx cx cx cx




ansTake with meals to avoid GI upset, contraindicated w/ warfarin
cx cx cx cx cx cx cx cx cx cx




Aminoglycoside patient teaching - ansPatients should report tinnitus, high- cx cx cx cx cx cx cx cx




frequency hearing loss, persistent headache, nausea, dizziness or vertigo
cx cx cx cx cx cx cx cx




sulfonamides patient teaching - ansFinish full course cx cx cx cx cx cx




Increase fluid intake to 8-10 cups/daycx cx cx cx cx




Take on empty stomach
cx cx cx




Avoid sun exposure/wear sunscreen
cx cx cx




Sulfonamides during pregnancy - cx cx cx




ansnot to be used during 1st trimester, can cause kernicterus in infants
cx cx cx cx cx cx cx cx cx cx cx cx




Gentamicin renal dose adjustments - ansdecreased dosage for renal impaired
cx cx cx cx cx cx cx cx cx




tinea capitis treatment - ansoral griseofulvin
cx cx cx cx cx




drug to treat aspergillosis (Fungal Pneumonia) - ansVoriconazole
cx cx cx cx cx cx cx




Which Anthelmintics carry risk for hypotension with patients on antihypertensives? -
cx cx cx cx cx cx cx cx cx cx




ansIvermectin and Moxidectin
cx cx cx




Which Anthelmintics can cause bone marrow suppression and liver impairment? -
cx cx cx cx cx cx cx cx cx cx




ansMebendazole and Albendazole
cx cx cx




Which Anthelmintic is generally safe to give w/out baseline data? - ans
cx cx cx cx cx cx cx cx cx cx cx




Which Anthelmintic is safe for use in pregnancy? - ansPraziquantel, Moxidectin
cx cx cx cx cx cx cx cx cx cx




Risks associated with Didanosine -
cx cx cx cx




anspancreatitis, neuropathy, lactic acidosis, hepatotoxicity, optic disorders
cx cx cx cx cx cx cx