Nr 566 Midterm Study Guide Updated Actual Questions And Correct Answers

NR 566 MIDTERM STUDY GUIDE UPDATED
ACTUAL QUESTIONS AND CORRECT ANSWERS
Question:
1. Common CAP pathogens
Answer:
S. Pneumoniae (most common)
H. Influenzae (smokers/COPD) P. Aeruginosa (CF)

Question:
2. CAP first line treatment
Answer:
Macrolides, Doxycyline, Amoxicillin

Question:
3. what to give if 1st CAP treatment doesn't work?
Answer:
Respiratory Fluoroquinolone if not received abx in the past 3 months

Question:
4. Mycoplasma pneumoniae
Answer:
atypical pneumonia; commonly seen in children

Question:
5. pediatric atypical pneumonia treatment
Answer:
Macrolides (Erythromycin), if failed then Respiratory fluoroquinolone

Question:
6. CAP treatment during pregnancy
Answer:
Amoxicillin, cephalosporins, or Erythromycin

Question:
7. Treatment of chlamydial pneumonia in infant
Answer:
Macrolide (Azithromycin): 500mg orally on day 1 followed by 250 mg once daily on days 2-5

Question:
8. When to use broad/empiric spectrum antibiotics?
Answer:
Before cultures are resulted/ critically ill patient after first culture obtained, based on NP knowledge of
patient history, local susceptibility/geographic location

Question:
9. When to use narrow spectrum antibiotics?

, Answer:
Used when the culture and sensitivity is resulted, and pathogen is known.

Question:
10. how to treat C.diff
Answer:
Stop the antibiotic that may have caused it 1st: Vancomycin 125 mg PO QID x 10 days. 2nd:
Metronidazole 500mg PO TID x 10 days address hydration

Question:
11. Drug class known for ALL drugs in class to promote development of C. Diff
Answer:
2nd and 3rd generation Cephalosporins

Question:
12. Penicillin: Cross-sensitivity reactions with which drug classes
Answer:
Cephalosporins & Carbapenems (Allergy may be mild or severe)

Question:
13. Safe penicillin during pregancy
Answer:
Amoxicillin

Question:
14. patient education for Cephalosporins
Answer:
Report to provider any loose stools, complete full course of antibiotics, s/s of allergy

Question:
15. Cephalosporins in pregnancy
Answer:
All appear safe for use

Question:
16. patient education for Tetracyclines
Answer:
photosensitivity (wear sunscreen!), complete full course, s/s of allergy

Question:
17. Tetracyclines in pregnancy
Answer:
Can lead to fetal death; avoided for use

Question:
18. Patient education for macrolides
Answer:
Take with meals to avoid GI upset, contraindicated w/ warfarin