NSG 318 EXAM 4 2026 ASSESSMENT SCRIPT
QUESTION BANK DETAILED RESPONSES
◉ Nursing Considerations for azithromycin.
Answer: Monitor for QT prolongation and liver function, especially
in those with a history of arrhythmias or liver impairment.
◉ Antibacterial: Tetracycline.
Answer: Prototype: doxycycline. MOA - Inhibits the steps of protein
synthesis; bacteriostatic or bactericidal.
◉ Indications for doxycycline.
Answer: Acne, Anthrax, Plague, Gingivitis, STIs, Rickettsia, Cholera,
Respiratory, Urinary tract, and Skin infections.
◉ Side Effects of doxycycline.
Answer: Nausea, vomiting, diarrhea, photosensitivity.
◉ Adverse Reactions of doxycycline.
Answer: Liver toxicity, esophageal irritation.
◉ Contraindications for doxycycline.
,Answer: Pregnancy (especially in the first trimester). If client uses
oral contraceptives, they will need another medication or backup
contraceptive.
◉ CAMS for doxycycline.
Answer: Antacids, avoid dairy products containing calcium, Calcium
supplements, St. John's Wort - Reduced absorption, reduced
effectiveness, inadequate treatment.
◉ Nursing Considerations for doxycycline.
Answer: Monitor for photosensitivity, assess for signs of esophageal
irritation, and educate patients to avoid prolonged sun exposure.
Caution in pregnancy.
◉ Aminoglycoside.
Answer: Inhibits bacterial protein synthesis; bactericidal effect
◉ Prototype of Aminoglycoside.
Answer: gentamicin
◉ Indications for Aminoglycoside.
Answer: Serious respiratory, skin, urinary, bone/joint,
intraabdominal infections, Plague, Bacteremia, Septicemia,
Endocarditis, Meningitis, Hepatic encephalopathy
,◉ Side Effects of Aminoglycoside.
Answer: Nausea, vomiting, diarrhea, rash
◉ Adverse Reactions of Aminoglycoside.
Answer: Ototoxicity, nephrotoxicity
◉ Contraindications for Aminoglycoside.
Answer: Ototoxicity risk (especially in renal failure), pregnancy (use
with caution), elderly patients at higher risk
◉ CAMS for Aminoglycoside.
Answer: Ginseng, Garlic-increased risk of Nephrotoxicity, ototoxicity
◉ Nursing Considerations for Aminoglycoside.
Answer: Assess renal function closely, especially in elderly patients.
Monitor for ototoxicity and nephrotoxicity, and avoid co-
administration with other nephrotoxic drugs. Encourage fluids!
Helps to flush the kidneys.
◉ Quinolone.
Answer: Inhibits the enzyme DNA gyrase, which is needed for
bacterial DNA synthesis; bactericidal effect
, ◉ Prototype of Quinolone.
Answer: levofloxacin
◉ Indications for Quinolone.
Answer: Anthrax, plague, skin, soft-tissue, bone/joint, gynecologic,
intrabdominal, urinary, and respiratory tract infections
◉ Side Effects of Quinolone.
Answer: Nausea, diarrhea, headache, dizziness
◉ Adverse Reactions of Quinolone.
Answer: Tendon rupture, QT prolongation, seizures
◉ Contraindications for Quinolone.
Answer: tendon rupture, history of seizures, caution in those with
renal impairment, pregnancy (use with caution)
◉ CAMS for Quinolone.
Answer: St. John's Wort, Magnesium, Dairy, calcium, iron
supplements - reduced effectiveness, reduced absorption, treatment
failure
QUESTION BANK DETAILED RESPONSES
◉ Nursing Considerations for azithromycin.
Answer: Monitor for QT prolongation and liver function, especially
in those with a history of arrhythmias or liver impairment.
◉ Antibacterial: Tetracycline.
Answer: Prototype: doxycycline. MOA - Inhibits the steps of protein
synthesis; bacteriostatic or bactericidal.
◉ Indications for doxycycline.
Answer: Acne, Anthrax, Plague, Gingivitis, STIs, Rickettsia, Cholera,
Respiratory, Urinary tract, and Skin infections.
◉ Side Effects of doxycycline.
Answer: Nausea, vomiting, diarrhea, photosensitivity.
◉ Adverse Reactions of doxycycline.
Answer: Liver toxicity, esophageal irritation.
◉ Contraindications for doxycycline.
,Answer: Pregnancy (especially in the first trimester). If client uses
oral contraceptives, they will need another medication or backup
contraceptive.
◉ CAMS for doxycycline.
Answer: Antacids, avoid dairy products containing calcium, Calcium
supplements, St. John's Wort - Reduced absorption, reduced
effectiveness, inadequate treatment.
◉ Nursing Considerations for doxycycline.
Answer: Monitor for photosensitivity, assess for signs of esophageal
irritation, and educate patients to avoid prolonged sun exposure.
Caution in pregnancy.
◉ Aminoglycoside.
Answer: Inhibits bacterial protein synthesis; bactericidal effect
◉ Prototype of Aminoglycoside.
Answer: gentamicin
◉ Indications for Aminoglycoside.
Answer: Serious respiratory, skin, urinary, bone/joint,
intraabdominal infections, Plague, Bacteremia, Septicemia,
Endocarditis, Meningitis, Hepatic encephalopathy
,◉ Side Effects of Aminoglycoside.
Answer: Nausea, vomiting, diarrhea, rash
◉ Adverse Reactions of Aminoglycoside.
Answer: Ototoxicity, nephrotoxicity
◉ Contraindications for Aminoglycoside.
Answer: Ototoxicity risk (especially in renal failure), pregnancy (use
with caution), elderly patients at higher risk
◉ CAMS for Aminoglycoside.
Answer: Ginseng, Garlic-increased risk of Nephrotoxicity, ototoxicity
◉ Nursing Considerations for Aminoglycoside.
Answer: Assess renal function closely, especially in elderly patients.
Monitor for ototoxicity and nephrotoxicity, and avoid co-
administration with other nephrotoxic drugs. Encourage fluids!
Helps to flush the kidneys.
◉ Quinolone.
Answer: Inhibits the enzyme DNA gyrase, which is needed for
bacterial DNA synthesis; bactericidal effect
, ◉ Prototype of Quinolone.
Answer: levofloxacin
◉ Indications for Quinolone.
Answer: Anthrax, plague, skin, soft-tissue, bone/joint, gynecologic,
intrabdominal, urinary, and respiratory tract infections
◉ Side Effects of Quinolone.
Answer: Nausea, diarrhea, headache, dizziness
◉ Adverse Reactions of Quinolone.
Answer: Tendon rupture, QT prolongation, seizures
◉ Contraindications for Quinolone.
Answer: tendon rupture, history of seizures, caution in those with
renal impairment, pregnancy (use with caution)
◉ CAMS for Quinolone.
Answer: St. John's Wort, Magnesium, Dairy, calcium, iron
supplements - reduced effectiveness, reduced absorption, treatment
failure
