C HAPTER 38: A NTIBIOTICS P ART 1
Lilley: Pharmacology and the Nursing Process, 10th Edition
MULTIPLE CHOICE
1. A patient will be having oral surgery and has received an antibiotic to
take for 1 week before the surger y. The nurse knows that this is an
example of which t ype of therapy?
a. Empiric
b. Prophylactic
c. Definitive
d. Resistance
ANS: B
Prophylactic antibiotic therapy is used to prevent infection. Empiric
therapy involves selecting the antibiotic that can best kill the
microorganisms known to be the most common causes of an infection.
Definitive therapy occurs once the culture and sensitivit y results are
known. Resistance is not a t ype of antibiotic therapy.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Implementation
MSC: NC LEX: Physiological Integrit y: Pharmacological and
Parenteral Therapies
2. A patient has a urinary tract infection. The nurse knows that which class
of drugs is especially useful for such infections?
a. Macrolides
b. Carbapenems
, c. Sulfonamides
d. Tetracyclines
ANS: C
Sulfonamides achieve very high concentrations in the kidneys, through
which they are eliminated. Therefore, they are often used in the
treatment of urinary tract infections.
DIF: Cognitive Level: Remembering (Knowledge)
TOP: Nursing Process: Implementation
MSC: NC LEX: Physiological Integrit y: Pharmacological and
Parenteral Therapies
3. During drug therapy for pneumonia, a female patient develops a vaginal
superinfection. The nurse explains that this infection is caused by which
of these?
a. Large doses of antibiotics that kill normal flora
b. The infection spreading from the lungs to the new site of infection
c. Resistance of the pneumonia -causing bacteria to the drugs
d. An allergic reaction to the antibiotics
ANS: A
Normall y occurring bacteria are killed during antibiotic therapy,
allowing other flora to take over and resulting in superinfections. The
other options are incorrect.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Implementation
MSC: NC LEX: Physiologi cal Integrit y: Pharmacological and
Parenteral Therapies
Lilley: Pharmacology and the Nursing Process, 10th Edition
MULTIPLE CHOICE
1. A patient will be having oral surgery and has received an antibiotic to
take for 1 week before the surger y. The nurse knows that this is an
example of which t ype of therapy?
a. Empiric
b. Prophylactic
c. Definitive
d. Resistance
ANS: B
Prophylactic antibiotic therapy is used to prevent infection. Empiric
therapy involves selecting the antibiotic that can best kill the
microorganisms known to be the most common causes of an infection.
Definitive therapy occurs once the culture and sensitivit y results are
known. Resistance is not a t ype of antibiotic therapy.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Implementation
MSC: NC LEX: Physiological Integrit y: Pharmacological and
Parenteral Therapies
2. A patient has a urinary tract infection. The nurse knows that which class
of drugs is especially useful for such infections?
a. Macrolides
b. Carbapenems
, c. Sulfonamides
d. Tetracyclines
ANS: C
Sulfonamides achieve very high concentrations in the kidneys, through
which they are eliminated. Therefore, they are often used in the
treatment of urinary tract infections.
DIF: Cognitive Level: Remembering (Knowledge)
TOP: Nursing Process: Implementation
MSC: NC LEX: Physiological Integrit y: Pharmacological and
Parenteral Therapies
3. During drug therapy for pneumonia, a female patient develops a vaginal
superinfection. The nurse explains that this infection is caused by which
of these?
a. Large doses of antibiotics that kill normal flora
b. The infection spreading from the lungs to the new site of infection
c. Resistance of the pneumonia -causing bacteria to the drugs
d. An allergic reaction to the antibiotics
ANS: A
Normall y occurring bacteria are killed during antibiotic therapy,
allowing other flora to take over and resulting in superinfections. The
other options are incorrect.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Implementation
MSC: NC LEX: Physiologi cal Integrit y: Pharmacological and
Parenteral Therapies
