NUR 210 CERTIFICATION EVALUATION
QUESTIONS AND ANSWERS FULL
SOLUTION GRADED A+
●● Bactericidal
Answer: kills bacteria
●● Drugs with narrow therapeutic window need
Answer: peak/trough
●● Factors to consider (antibiotics)
Answer: Age, nutrition, WBC's, immune system, organ function
●● Narrow spectrum antibiotics
Answer: Effective against specific bacteria
●● Example of narrow spectrum antibiotics
Answer: Penicillin and erythromycin
●● Broad spectrum antibiotics
Answer: affect a broad range of gram-positive or gram-negative bacteria
,●● example of broad spectrum antibiotic
Answer: Tetracycline and cephalosporin
●● Adverse reactions of antibiotics
Answer: Allergic reactions:
-rash, pruritus, hives (treat with antihistamine, vascular collapse,
laryngeal edema, bronchospasm, cardiac arrest (treat with epinephrine,
bronchodilators, antihistamine)
Superinfection: secondary infection due to disturbed normal flora (in
mouth, GI, respiratory tract, GU, skin; frequently fungal infections
Oran toxicity:liver and kidneys
●● Penicillin broad spectrum
Answer: Ampicillin
Amoxicillin
●● Use if penicillin broad spectrum (amoxicillin)
Answer: Upper respiratory infection, gi, gu, skin infections, h. pylori/e.
coli
●● Action of amoxicillin
Answer: binds to bacterial cell wall causing cell death (bactericidal)
, ●● Side effects of amoxicillin
Answer: nausea, vomiting, diarrhea, abdominal pain, stomatitis,
headache, crystalluria, dermatitis, confusion, rash
●● amoxicillin patient teaching
Answer: -to take as prescribed
-finish entire course of meds
-report sore throat, fever and fatigue (sign of superinfection)
-take in equal intervals to maintain blood serum levels
-do not take with acidic food (decreases effect)
●● Amoxicillin Nursing Considerations
Answer: -IV or PO
-Use cautiously in renal patients
-monitor I&O
-Nephrotoxicity at high doses
-signs of anaphylaxis: rash, itching, dyspnea
-monitor stool for blood: pseudomembranous
●● Amoxicillin contraindications
Answer: Contraindicated for clients who have a severe allergy to
penicillin and cephalosporins
QUESTIONS AND ANSWERS FULL
SOLUTION GRADED A+
●● Bactericidal
Answer: kills bacteria
●● Drugs with narrow therapeutic window need
Answer: peak/trough
●● Factors to consider (antibiotics)
Answer: Age, nutrition, WBC's, immune system, organ function
●● Narrow spectrum antibiotics
Answer: Effective against specific bacteria
●● Example of narrow spectrum antibiotics
Answer: Penicillin and erythromycin
●● Broad spectrum antibiotics
Answer: affect a broad range of gram-positive or gram-negative bacteria
,●● example of broad spectrum antibiotic
Answer: Tetracycline and cephalosporin
●● Adverse reactions of antibiotics
Answer: Allergic reactions:
-rash, pruritus, hives (treat with antihistamine, vascular collapse,
laryngeal edema, bronchospasm, cardiac arrest (treat with epinephrine,
bronchodilators, antihistamine)
Superinfection: secondary infection due to disturbed normal flora (in
mouth, GI, respiratory tract, GU, skin; frequently fungal infections
Oran toxicity:liver and kidneys
●● Penicillin broad spectrum
Answer: Ampicillin
Amoxicillin
●● Use if penicillin broad spectrum (amoxicillin)
Answer: Upper respiratory infection, gi, gu, skin infections, h. pylori/e.
coli
●● Action of amoxicillin
Answer: binds to bacterial cell wall causing cell death (bactericidal)
, ●● Side effects of amoxicillin
Answer: nausea, vomiting, diarrhea, abdominal pain, stomatitis,
headache, crystalluria, dermatitis, confusion, rash
●● amoxicillin patient teaching
Answer: -to take as prescribed
-finish entire course of meds
-report sore throat, fever and fatigue (sign of superinfection)
-take in equal intervals to maintain blood serum levels
-do not take with acidic food (decreases effect)
●● Amoxicillin Nursing Considerations
Answer: -IV or PO
-Use cautiously in renal patients
-monitor I&O
-Nephrotoxicity at high doses
-signs of anaphylaxis: rash, itching, dyspnea
-monitor stool for blood: pseudomembranous
●● Amoxicillin contraindications
Answer: Contraindicated for clients who have a severe allergy to
penicillin and cephalosporins
