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NR 566 MIDTERM EXAM 2025 (QUESTIONS AND ANSWERS) GUARANTEED PASS

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NR 566 MIDTERM EXAM 2025 (QUESTIONS AND ANSWERS) GUARANTEED PASS

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NR 566 MIDTERM EXAM 2025 (QUESTIONS AND
ANSWERS) GUARANTEED PASS


What pathogen is highly associated with CAP in general population?

streptococcus pneumoniae




Other common pathogens with CAP

atypical bacteria (mycoplasma pneumonia)

viruses (influenza, respiratory syncytial virus)




First line treatment CAP in previous healthy adults

Amoxicillin, doxycycline, macrolides (DAM)




Treatment of CAP in pregnancy

amoxicillin, cephalosporins, erythromycin (ACE)




Treatment for mycoplasma pneumonia in the pediatric patient

Macrolides (erythromycin, clarithromycin, azithromycin)

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treatment of chlamydial pneumonia in infant

Erythromycin base/ethylsuccinate




Broad spectrum antibiotics - when to use?

empiric therapy

When you don't know which bacteria it is

more likely to facilitate emergence of drug-resistant organisms and superinfections

prescribe these before culture results back

suspects patient has UTI




Narrow spectrum antibiotics - when to use?

When the pathogen is known

Preferred




What are empiric antibiotics?

Broad Spectrum antibiotics that are given BEFORE the results are in for certain circumstances.

Also can be prescribed when the NP believes it is a certain disease.



A)Prescription for an antibiotic for severe infection based on knowledge

B)Prescription of an antibiotic for severe infection based on clinical evaluation

C)Prescription of antibiotic for severe infection based on most likely causative agent




When to prescribe empiric antibiotics?

E for Emergency

E for enticpation

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Embulatory patients



Pt has severe infxn, initiate treatment before test results available




How to treat C Diff

Stop taking the abx that caused it



flagyl and vancomycin




Drug class known for all drugs in class to promote development of C diff

cephalosporins (especially second or third generations)




Penicillin's have cross-sensitivity with which drug class?

cephalosporins




Can you take penicillin's if pregnant?

Yes




Can you prescribe cephalosporins if pregnant?

yes




Patient education needed for cephalosporins

Can promote C diff, instruct patients to report increase in stool frequency

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