NUR 3145 exam 2 fsu UPDATED ACTUAL
Exam Questions and CORRECT Answers
Destroy growth of bacteria or fungi - CORRECT ANSWER Bactericidal
Inhibit growth of bacteria or fungi - CORRECT ANSWER Bacteriostatic
Primary goals of antimicrobial agents - CORRECT ANSWER -Destroy (or inhibit growth
of) bacteria
-At the same time, not harm host tissue
General Adverse Reactions - CORRECT ANSWER Determine any previous allergy or
adverse reactions before administration!
Always ask WHAT KIND OF reaction
Allergic reactions/hypersensitivity
Rash
Fever, chills
Urticaria, pruritus
Generalized erythema
Anaphylaxis - 911 - CORRECT ANSWER Clinical signs and symptoms
May have all of the previous reactions
Laryngeal edema (airway swelling)
Dyspnea, SOB
Hypotension, tachycardia
,Treatment
Epinephrine
Antihistamines
Corticosteroids
Airway maintenance
superinfection - CORRECT ANSWER Eradication or reduction of normal flora growth
Allows growth of other flora
Candida endogenous to body
Overgrowth
AKA yeast infection
Thrush
S/Sx: fever, perineal itching, cough, lethargy, or any unusual discharge
General Guidelines - CORRECT ANSWER Identify infecting organism
Follow agency guidelines
Collect specimens
Culture and sensitivity (C & S)
Obtain before giving first dose of antibiotic
Take specimen immediately to lab
Treatment begun
Based on tentative microorganism ID
,Broad-spectrum antibiotics
Combinations
C & S results return
Antibiotics changed to one that will fight infection best
Blood levels drawn for therapeutic levels
peak levels - CORRECT ANSWER Highest blood level
Drawn 30 minutes after dose is administered (completed)
trough levels - CORRECT ANSWER Lowest blood level
Drawn immediately before administering ordered dose
treatment considerations: patient defense mechanisms - CORRECT ANSWER Diminished
defenses
Chronic disease
Severity of infection
Renal status
Liver function
type of microorganisms - CORRECT ANSWER Gram positive
Gram negative
Aerobic
Anaerobic
Treatment Considerations:Dosage/duration - CORRECT ANSWER Adequate dosage
Adequate length of therapy
Therapy failure
, Too small a dose
Too short a time period
May cause remission or exacerbation
May cause development of resistance to therapy
General nursing implications - CORRECT ANSWER Monitor for therapeutic effects
Improvement of signs and symptoms of infection
Return to normal vital signs
Negative culture and sensitivity tests
Disappearance of fever, lethargy, drainage, and redness
Monitor for adverse reactions
patient teaching - CORRECT ANSWER Take full course of medication
DON'T STOP because you feel better!
Take evenly spaced doses
Never share or save medication
Inform of adverse drug reactions
Inform of drug-drug interactions
Inform of food-drug interactions
common side effects: GI - CORRECT ANSWER Nausea
Vomiting
Diarrhea
Nursing implications - CORRECT ANSWER Assess drug allergies; renal, liver, and
cardiac function; and other lab studies
Obtain thorough patient health history, including immune status
Exam Questions and CORRECT Answers
Destroy growth of bacteria or fungi - CORRECT ANSWER Bactericidal
Inhibit growth of bacteria or fungi - CORRECT ANSWER Bacteriostatic
Primary goals of antimicrobial agents - CORRECT ANSWER -Destroy (or inhibit growth
of) bacteria
-At the same time, not harm host tissue
General Adverse Reactions - CORRECT ANSWER Determine any previous allergy or
adverse reactions before administration!
Always ask WHAT KIND OF reaction
Allergic reactions/hypersensitivity
Rash
Fever, chills
Urticaria, pruritus
Generalized erythema
Anaphylaxis - 911 - CORRECT ANSWER Clinical signs and symptoms
May have all of the previous reactions
Laryngeal edema (airway swelling)
Dyspnea, SOB
Hypotension, tachycardia
,Treatment
Epinephrine
Antihistamines
Corticosteroids
Airway maintenance
superinfection - CORRECT ANSWER Eradication or reduction of normal flora growth
Allows growth of other flora
Candida endogenous to body
Overgrowth
AKA yeast infection
Thrush
S/Sx: fever, perineal itching, cough, lethargy, or any unusual discharge
General Guidelines - CORRECT ANSWER Identify infecting organism
Follow agency guidelines
Collect specimens
Culture and sensitivity (C & S)
Obtain before giving first dose of antibiotic
Take specimen immediately to lab
Treatment begun
Based on tentative microorganism ID
,Broad-spectrum antibiotics
Combinations
C & S results return
Antibiotics changed to one that will fight infection best
Blood levels drawn for therapeutic levels
peak levels - CORRECT ANSWER Highest blood level
Drawn 30 minutes after dose is administered (completed)
trough levels - CORRECT ANSWER Lowest blood level
Drawn immediately before administering ordered dose
treatment considerations: patient defense mechanisms - CORRECT ANSWER Diminished
defenses
Chronic disease
Severity of infection
Renal status
Liver function
type of microorganisms - CORRECT ANSWER Gram positive
Gram negative
Aerobic
Anaerobic
Treatment Considerations:Dosage/duration - CORRECT ANSWER Adequate dosage
Adequate length of therapy
Therapy failure
, Too small a dose
Too short a time period
May cause remission or exacerbation
May cause development of resistance to therapy
General nursing implications - CORRECT ANSWER Monitor for therapeutic effects
Improvement of signs and symptoms of infection
Return to normal vital signs
Negative culture and sensitivity tests
Disappearance of fever, lethargy, drainage, and redness
Monitor for adverse reactions
patient teaching - CORRECT ANSWER Take full course of medication
DON'T STOP because you feel better!
Take evenly spaced doses
Never share or save medication
Inform of adverse drug reactions
Inform of drug-drug interactions
Inform of food-drug interactions
common side effects: GI - CORRECT ANSWER Nausea
Vomiting
Diarrhea
Nursing implications - CORRECT ANSWER Assess drug allergies; renal, liver, and
cardiac function; and other lab studies
Obtain thorough patient health history, including immune status
