NUR 340 Exam 3 Questions & 100% Corr
m m m m m m m
ect Answers m
A mnursemismpreparingmtomadministermthemantibioticmformamhospitalizedmpatientmwhoma
cquiredma mMethicillin-
resistantmStaph.maureus m(MRSA)minfection.mBasedmonmthemnurses'mknowledgemofmantib
iotics mformthemtreatmentmofmMRSA,mwhichmmedicationmmaymbemordered?
VancomycinmNeo
mycinmCefazolinm
Ceftaroline mMetro
nidazolemPiperacil
lin
✓ :~~ Answer:mVancomycin mandmceftaroline
Rationale:mMethicillin-
resistantmStaph.maureus(MRSA),mhighlymresistantmbacteria,maremresistantmtomallmpenicilli
ns mandmallmcephalosporins.mBecausemmostmstrainsmofmMRSAmaremmultidrugmresistant,mma
nymothermantibioticsmaremineffective,mincludingmtetracyclines,mclindamycin,mtrimethop
rim/sulfamethoxazole, mandmbeta-
lactam magents m(exceptmceftaroline).mPreferredmdrugs maremIVmvancomycin,mlinezolidm[Z
yvox],mdaptomycinm[Cubicin],mtelavancinm[Vibativ],mclindamycin,mandmceftaroline.mSee
m Lehnemp.m1017
Master01 | m m September,m2024/2025 |mLatestmupdate
, 2m|mPmamgmem|m©mcopyrightm 2024/2025m|mGrademA+
A mnursemtranscribesmamnewmprescriptionmformpotassium mpenicillinmGmgivenmintravenou
slym(IV)mqm8mhours mandmgentamicinmIVmqm12mhours.mWhichmplanmis mthembestmschedulemf
ormadministeringmthesemdrugs?
a.) penicillinmatm0800,m1600,mandm2400;mgentamicinmatm1200mandm2400
b.) penicillinmatm0600,m1400,mandm2200;mgentamicinmatm0600mandm1800
c.) penicillinmatm0800,m1600,mandm2400;mgentamicinmatm0600mandm1800
d.) penicillinmatm0100,m0900,mandm1700;mgentamicinmatm0900mandm1800
✓ :~~
Answer:mCmRationale:mGentamicinmshouldmnevermbemadministeredmcon
currentlymwithmpenicillin,mbecausemtheymwillminteract,mandmthempenicillinmm
ayminactivatemthemaminoglycoside.mAllmoptionsmexceptmAmshowmconcurrentm
administration.mSeemLehnemp.m1064
A mpatientmwhomworks masmamlandscapermis mpreparingmtombemdischargedmhome.mCiprofloxa
cinm(Cipro)mhasmbeenmprescribedmformoutpatientmtherapy.mWhichmofmthemfollowingmwillmt
hemnursemincludeminmthemdischargemteachingmformthis mpatient?
"Yoummaymtakemthemmedicationmwithmmilkmofmmagnesia."m"
Usemsunscreen mandmprotectivemclothingmwhenmoutdoors."m"
Takemthemmedicationmwithmcrackers mandmcheese."
"Takemthemmedicationmuntilmallmsymptoms msubside."
✓ :~~ "Usemsunscreen mandmprotectivemclothingmwhenmoutdoors."
,Master01 |
m m September,m2024/2025 |mLatestmupdate
, 3m|mPmamgmem|m©mcopyrightm 2024/2025m|mGrademA+
Rationale:mThempatient,mamlandscaper,mshouldmbemadvisedmtomwearmsunscreenmandmpr
otectivemclothingmwhenmoutdoors,mbecausemthemmedicationmmaymcausemphototoxicit
y.mThemmedicationmshouldmbemtakenmuntilmitmismgone,mnotmjustmuntilmthempatient's msy
mptoms maremimproved.mAbsorptionmofmfluoroquinolonesmis mreducedmwhenmtakenmwith
m a mnumbermofmproducts mincludingmaluminummormmagnesium mcontainingmantacids mand
m milkmormothermdairymproducts.mSeemLehnemp.m1087
A mhospitalizedmpatientmismreceivingmgentamicinm(Garamycin)m80mmgmIVmtwicemdailymfo
rmacutemosteomyelitis.mWhichmdata maboutmthempatientmis mmostmimportantmformthemnu
rsemto mobtainmbeforemadministeringmthemgentamicin?
a.) oralmtemperature
b.) reports mofmnausea
c.) BUNmandmcreatinine mlevels
d.) whenmanmantacidmwas madministered
✓ :~~ Answer:mC
Rationale:mAlthoughmthempatient's mtemperaturemwillmbemmonitoredmonmamregularmbasi
s minmthemhospital,mgentamicinmismnephrotoxicmandmcanmcausemrenalmfailure.mTherefor
emmonitoringmrenalmfunctionmismcritical.mNausea mismnotmamcommonmsidemeffectmofmIVmg
entamicin.mBecausemthemdrugmismadministeredmIV,manmantacidmwillmnotmaffectmabsorp
tionmofmthemgentamicin.
Master01 | m m September,m2024/2025 |mLatestmupdate