NSG 318 EXAM SCRIPT FULL QUESTIONS
AND CORRECT ANSWERS GUARANTEED
TO PASS
●● Indications for amoxicillin
Answer: Otitis Media (middle ear infection), Tonsillitis, Sinusitis,
Gastric/duodenal ulcers, Skin, Respiratory and Urinary tract infections
(UTIs).
●● Side Effects of amoxicillin
Answer: Nausea, vomiting, diarrhea, rash.
●● Adverse Reactions of amoxicillin
Answer: Liver damage, blood disorders.
●● Contraindications for amoxicillin
Answer: Allergy to penicillins, severe renal impairment. Reduces
effectiveness of oral contraceptives.
●● CAMS for amoxicillin
Answer: St. John's Wort, Garlic - Reduced effectiveness, increased
bleeding risk.
,●● Nursing Considerations for amoxicillin
Answer: Assess for allergies to penicillins; monitor for signs of an
allergic reaction, GI upset, and superinfection. Caution with renal
impairment.
●● Antibacterial: Third-generation Cephalosporin
Answer: Prototype: ceftriaxone. MOA - Inhibits bacterial cell wall
synthesis causing cell lysis; bactericidal effect.
●● Indications for ceftriaxone
Answer: OM, Meningitis, Appendicitis, Gonorrhea, Septicemia, Surgical
infection prophylaxis, Skin, Respiratory, Bone/joint, Gynecologic, and
UTIs.
●● Side Effects of ceftriaxone
Answer: Diarrhea, nausea, rash, injection site reactions. Potential for
superinfections (noted by mouth sores).
●● Adverse Reactions of ceftriaxone
Answer: Liver dysfunction, kidney dysfunction, blood clotting
problems.
●● Contraindications for ceftriaxone
,Answer: Caution with severe liver impairment. Disulfiram-like reaction:
Can cause nausea, vomiting, flushing, headache, and abdominal cramps
when alcohol is consumed during treatment.
●● CAMS for ceftriaxone
Answer: Garlic, Ginseng - Reduced effectiveness, bleeding
complications.
●● Nursing Considerations for ceftriaxone
Answer: Monitor for signs of an allergic reaction, especially in those
with a history of cephalosporin allergies. Monitor liver and renal
function.
●● Antibacterial Macrolides
Answer: Prototype: azithromycin. MOA - Inhibits the steps of protein
synthesis; bacteriostatic or bactericidal effect.
●● Indications for azithromycin
Answer: Bacterial conjunctivitis, OM, Tonsillitis, Sinusitis, STIs, Skin &
Respiratory infections.
●● Side Effects of azithromycin
Answer: Diarrhea, nausea, abdominal pain, rash.
, ●● Adverse Reactions of azithromycin
Answer: QT prolongation, liver toxicity.
●● Contraindications for azithromycin
Answer: Allergy to macrolides, liver impairment, caution in heart
patients. Ideally take on an empty stomach.
●● CAMS for azithromycin
Answer: Grapefruit, St. John's Wort - Increased risk of QT prolongation,
reduced antibiotic effectiveness.
●● Nursing Considerations for azithromycin
Answer: Monitor for QT prolongation and liver function, especially in
those with a history of arrhythmias or liver impairment.
●● Antibacterial: Tetracycline
Answer: Prototype: doxycycline. MOA - Inhibits the steps of protein
synthesis; bacteriostatic or bactericidal.
●● Indications for doxycycline
Answer: Acne, Anthrax, Plague, Gingivitis, STIs, Rickettsia, Cholera,
Respiratory, Urinary tract, and Skin infections.
AND CORRECT ANSWERS GUARANTEED
TO PASS
●● Indications for amoxicillin
Answer: Otitis Media (middle ear infection), Tonsillitis, Sinusitis,
Gastric/duodenal ulcers, Skin, Respiratory and Urinary tract infections
(UTIs).
●● Side Effects of amoxicillin
Answer: Nausea, vomiting, diarrhea, rash.
●● Adverse Reactions of amoxicillin
Answer: Liver damage, blood disorders.
●● Contraindications for amoxicillin
Answer: Allergy to penicillins, severe renal impairment. Reduces
effectiveness of oral contraceptives.
●● CAMS for amoxicillin
Answer: St. John's Wort, Garlic - Reduced effectiveness, increased
bleeding risk.
,●● Nursing Considerations for amoxicillin
Answer: Assess for allergies to penicillins; monitor for signs of an
allergic reaction, GI upset, and superinfection. Caution with renal
impairment.
●● Antibacterial: Third-generation Cephalosporin
Answer: Prototype: ceftriaxone. MOA - Inhibits bacterial cell wall
synthesis causing cell lysis; bactericidal effect.
●● Indications for ceftriaxone
Answer: OM, Meningitis, Appendicitis, Gonorrhea, Septicemia, Surgical
infection prophylaxis, Skin, Respiratory, Bone/joint, Gynecologic, and
UTIs.
●● Side Effects of ceftriaxone
Answer: Diarrhea, nausea, rash, injection site reactions. Potential for
superinfections (noted by mouth sores).
●● Adverse Reactions of ceftriaxone
Answer: Liver dysfunction, kidney dysfunction, blood clotting
problems.
●● Contraindications for ceftriaxone
,Answer: Caution with severe liver impairment. Disulfiram-like reaction:
Can cause nausea, vomiting, flushing, headache, and abdominal cramps
when alcohol is consumed during treatment.
●● CAMS for ceftriaxone
Answer: Garlic, Ginseng - Reduced effectiveness, bleeding
complications.
●● Nursing Considerations for ceftriaxone
Answer: Monitor for signs of an allergic reaction, especially in those
with a history of cephalosporin allergies. Monitor liver and renal
function.
●● Antibacterial Macrolides
Answer: Prototype: azithromycin. MOA - Inhibits the steps of protein
synthesis; bacteriostatic or bactericidal effect.
●● Indications for azithromycin
Answer: Bacterial conjunctivitis, OM, Tonsillitis, Sinusitis, STIs, Skin &
Respiratory infections.
●● Side Effects of azithromycin
Answer: Diarrhea, nausea, abdominal pain, rash.
, ●● Adverse Reactions of azithromycin
Answer: QT prolongation, liver toxicity.
●● Contraindications for azithromycin
Answer: Allergy to macrolides, liver impairment, caution in heart
patients. Ideally take on an empty stomach.
●● CAMS for azithromycin
Answer: Grapefruit, St. John's Wort - Increased risk of QT prolongation,
reduced antibiotic effectiveness.
●● Nursing Considerations for azithromycin
Answer: Monitor for QT prolongation and liver function, especially in
those with a history of arrhythmias or liver impairment.
●● Antibacterial: Tetracycline
Answer: Prototype: doxycycline. MOA - Inhibits the steps of protein
synthesis; bacteriostatic or bactericidal.
●● Indications for doxycycline
Answer: Acne, Anthrax, Plague, Gingivitis, STIs, Rickettsia, Cholera,
Respiratory, Urinary tract, and Skin infections.
