NR 566 QUIZ 1 REVIEW

Which patients should penicillins be used with extreme caution? Patients with renal impairment, preexisting hearing impairment, and those receiving ototoxic and nephrotoxic drugs. Correct! Patients with a history of severe allergic reactions to cephalosporins, or carbapenems. Patients with QT prolongation. Patients using valproate to control seizures. Rationale: Penicillins should be used with extreme caution in patients with a history of severe allergic reactions to penicillins, cephalosporins, or carbapenems. Review Summary of Key Prescribing Considerations for Penicillins. Question 3 4 / 4 pts Using your textbook, match the antibiotic class to the patient care concern for pregnant persons. Correct! All appear to be safe for use in pregnancy ( cephalosporin) Correct! Although there are no well-controlled studies in pregnant women, evidence we do have suggests there is no second or third trimester fetal risk.( PCN) Correct! Animal studies reveal that these drugs can cause fetal harm in pregnancy. Thus this class of drugs should be avoided in during pregnancy.(TETRACYCLINE) Correct! There is evidence that use of this drug class in pregnancy can harm the fetus so they should not be used.(AMINOGLYCOSIDE) Correct! Systemic drugs in this class may cause birth defects, especially if taken during the first semester. If taken near term, the infant may develop kernicterus.(SULFONAMIDES) Rationale: This information can be found in the Summary of Key Prescribing Considerations in the chapter that covers this drug class.