NRSG 245 exam 2 study guide
A patient is admitted to a medical unit and prescribed intravenous (IV) ampicillin/sulbactam after a specimen was sent for culture and sensitivity (C&S) from the emergency department (ED). the nurse knows the priority reason for notifying the prescriber of culture results as soon as they are available is that ampicillin/sulbactam?
a. has many more adverse effects than most other antibiotics
b. is a broad spectrum antibiotic, and there may be an effective narrow-spectrum antibiotic
c. is a very expensive antibiotic
d. is a narrow spectrum antibiotic and may not be effective for the cultured organism CORRECT ANSWER b
Which patient would most likely have an infection that is resistant to antibiotic therapy
a a child w asthma who develops pneumonia
b. an adult construction worker who drinks from his worksite water supply and develops giardiasis
c an adult who developed a wound infection while in the hospital after surgery
d. an older adult who got an infected paper cut CORRECT ANSWER c
which infection would be classified as a superinfection
a. Monilial vaginal infection that develops during antibiotic therapy
b. peritonitis that develops after surgery for a ruptured appendix
c pneumonia in a patient with chronic bronchitis
d. varicella outbreak after injection with varicella vaccine CORRECT ANSWER a The nurse has consulted the prescriber because a patient reports an allergy to the prescribed penicillin antibiotic. The prescriber is aware of the allergy, but the patient is experiencing a life-threatening infection and no other suitable antibiotic is available. what is the priority nursing action?
a administer the antibiotic
b. ask the patient if he or she is willing to take the antibiotic
c. obtain orders for treatment of a possible allergic reaction
d. refuse to administer the antibiotic CORRECT ANSWER c
it would be a priority to report which test result if a patient is prescribed tetracycline?
a. Glucose-6- phosphate dehydrogenase (G6PD)
b. Human chorionic gonadotropin (hCG) 5325 mlU/mL
c. international normalized ratio (INR) 1.1
d. sodium 132 mEq/L CORRECT ANSWER b
what test results should the nurse monster when caring for a patient who is at risk for a G6PD deficiency who is prescribed a sulfonamide antibiotic?
a. aspartate aminotransferase (AST) and alanine aminotransgerase (ALT)
b. blood urea nitrogen (BUN) and creatinine
c. Glucose and A1c
d. hemoglobin and hematocrit CORRECT ANSWER d
in most infections the level of antibiotic at the site of infection needs to be
a. at the minimum inhibitory concentration (MIC)
b. 2-3 times the MIC
c. 4-8 times the MIC d. 10-20 times the MIC CORRECT ANSWER c
what is an acceptable reason for giving antibiotic prophylaxis
a. before cardiac surgery
b. before examination of the eyes where dilating drops were instilled
c. when patient experiences yellowish or yellow-green nasal discharge
d. whenever the patient has a fever CORRECT ANSWER a
which assessment is of greatest priority for the nurse to complete before administering a penicillin antibiotic a. allergy history
b. blood urea nitrogen
c. temperature
d. wound drainage CORRECT ANSWER a
Parents ask why their son has been prescribed amoxicillin and clavulanate if amoxicillin has been ineffective in the past. The nurse's response is based on the addition of clavulanate
a. aids the penicillin in attaching to microbial penicillin- binding proteins
b. affects a wider spectrum of bacteria
c. prevents penicillinase from inactivating the amoxicillin
d. provides additional activity to disrupt the bacterial cell wall CORRECT ANSWER c
which organism was previously susceptible to penicillin, but has developed resistance to penicillin G?
a. gas gangrene caused by Clostridium perfringens
A patient is admitted to a medical unit and prescribed intravenous (IV) ampicillin/sulbactam after a specimen was sent for culture and sensitivity (C&S) from the emergency department (ED). the nurse knows the priority reason for notifying the prescriber of culture results as soon as they are available is that ampicillin/sulbactam?
a. has many more adverse effects than most other antibiotics
b. is a broad spectrum antibiotic, and there may be an effective narrow-spectrum antibiotic
c. is a very expensive antibiotic
d. is a narrow spectrum antibiotic and may not be effective for the cultured organism CORRECT ANSWER b
Which patient would most likely have an infection that is resistant to antibiotic therapy
a a child w asthma who develops pneumonia
b. an adult construction worker who drinks from his worksite water supply and develops giardiasis
c an adult who developed a wound infection while in the hospital after surgery
d. an older adult who got an infected paper cut CORRECT ANSWER c
which infection would be classified as a superinfection
a. Monilial vaginal infection that develops during antibiotic therapy
b. peritonitis that develops after surgery for a ruptured appendix
c pneumonia in a patient with chronic bronchitis
d. varicella outbreak after injection with varicella vaccine CORRECT ANSWER a The nurse has consulted the prescriber because a patient reports an allergy to the prescribed penicillin antibiotic. The prescriber is aware of the allergy, but the patient is experiencing a life-threatening infection and no other suitable antibiotic is available. what is the priority nursing action?
a administer the antibiotic
b. ask the patient if he or she is willing to take the antibiotic
c. obtain orders for treatment of a possible allergic reaction
d. refuse to administer the antibiotic CORRECT ANSWER c
it would be a priority to report which test result if a patient is prescribed tetracycline?
a. Glucose-6- phosphate dehydrogenase (G6PD)
b. Human chorionic gonadotropin (hCG) 5325 mlU/mL
c. international normalized ratio (INR) 1.1
d. sodium 132 mEq/L CORRECT ANSWER b
what test results should the nurse monster when caring for a patient who is at risk for a G6PD deficiency who is prescribed a sulfonamide antibiotic?
a. aspartate aminotransferase (AST) and alanine aminotransgerase (ALT)
b. blood urea nitrogen (BUN) and creatinine
c. Glucose and A1c
d. hemoglobin and hematocrit CORRECT ANSWER d
in most infections the level of antibiotic at the site of infection needs to be
a. at the minimum inhibitory concentration (MIC)
b. 2-3 times the MIC
c. 4-8 times the MIC d. 10-20 times the MIC CORRECT ANSWER c
what is an acceptable reason for giving antibiotic prophylaxis
a. before cardiac surgery
b. before examination of the eyes where dilating drops were instilled
c. when patient experiences yellowish or yellow-green nasal discharge
d. whenever the patient has a fever CORRECT ANSWER a
which assessment is of greatest priority for the nurse to complete before administering a penicillin antibiotic a. allergy history
b. blood urea nitrogen
c. temperature
d. wound drainage CORRECT ANSWER a
Parents ask why their son has been prescribed amoxicillin and clavulanate if amoxicillin has been ineffective in the past. The nurse's response is based on the addition of clavulanate
a. aids the penicillin in attaching to microbial penicillin- binding proteins
b. affects a wider spectrum of bacteria
c. prevents penicillinase from inactivating the amoxicillin
d. provides additional activity to disrupt the bacterial cell wall CORRECT ANSWER c
which organism was previously susceptible to penicillin, but has developed resistance to penicillin G?
a. gas gangrene caused by Clostridium perfringens
