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NR 293 Final Exam Questions and Answers Graded A 2024

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bacteriostatic -Correct Answer drugs that do not kill the bacteria, but slows their growth culture and sensitivity -Correct Answer take a blood culture so we can determine where the bacteria is growing; sensitivity report determines the best treatment antibiotic combos -Correct Answer Additive potentiative antagonisitic empiric therapy -Correct Answer treatment of an infection before specific culture information has been obtained definitive therapy -Correct Answer antibiotic therapy tailored to treat organisms identified with cultures prophylactic therapy -Correct Answer treatment with antibiotics to prevent an infection, as in intraabdominal surgery or after trauma MOA of sulfonamides -Correct Answer Bacteriostatic inhibit bacterial growth prevent bacterial synthesis of folic acid uses of sulfonamides -Correct Answer Gramp positive and negative, broad spectrum respiratory tract infections infections of the small bowel UTIs: enterobacter, ecoli, klebsiella, proteus vulgaris, staphylococcus aureus contraindications of sulfonamides -Correct Answer drug allergy pregnant women infants younger than 2 months potassium oral contraceptives (ineffective) Adverse effects of sulfonamides -Correct Answer mild to moderate rash photosensitivity GI distress stomatitis crystalluria fatigue depression headache dizziness blood dyscrasias Steven Johnsons syndrome renal failure hyperkalemia prototype for sulfonamides, and administration -Correct Answer sulfamethoxazole combined with trimethropim Administered IV, PO, Topical patient education/ nursing interventions for sulfonamides -Correct Answer Pt. Education: take with a full glass of water increase fluid intake report sore throat, bruising, bleeding avoid direct sunlight Nursing interventions: push fluids Monitor CBC signs of bleeding (liver damage) check for superinfection beta lactam penicilins MOA -Correct Answer safest class bacteriocidal inhibition of bacterial cell wall synthesis uses of penicillins -Correct Answer strep staph pneumonia meningitis skin, bone, and joint infections stomach infections blood and valve infections gas gangrene tetanus anthrax sickle cell anemia in infants broad spectrum penicillin -Correct Answer bacteriocidal ecoli salmonella influenza adverse effects of penicillin -Correct Answer allergy most common rash pruritus fever anaphylaxis lowered WBC, RBC, platelet count GI upset patient education for penicillins -Correct Answer side effects bleeding increase fluid intake take with food drugs for penicillin -Correct Answer broad spectrum: amoxicillin combination: piperacillin plus tazobactam (zosyn) give 3 times a day infused over 4 hours or every 6 hours infused over 1 hour cephalosporins MOA -Correct Answer largest class interfere with bacterial cell wall synthesis, bind to the same penicillin binding proteins uses of cephalosporins -Correct Answer treatment of gram positive and negative anaerobic bacteria mostly gram negative patients who cannot tolerate the less expensive penicillins respiratory infections urinary infections skin infections bone and joint infections genital infections contraindications of cephalosporins -Correct Answer may cause cross allergy potential with penicillin adverse effects of cephalosporins -Correct Answer weakness pruritus GI distress high doses can cause bleeding seizures nephrotoxicity

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NR 293 Final Exam



NR 293 Final Exam Questions and
Answers Graded A 2024
bacteriostatic -Correct Answer ✔drugs that do not kill the bacteria, but slows their
growth

culture and sensitivity -Correct Answer ✔take a blood culture so we can determine
where the bacteria is growing; sensitivity report determines the best treatment

antibiotic combos -Correct Answer ✔Additive
potentiative
antagonisitic

empiric therapy -Correct Answer ✔treatment of an infection before specific culture
information has been obtained

definitive therapy -Correct Answer ✔antibiotic therapy tailored to treat organisms
identified with cultures

prophylactic therapy -Correct Answer ✔treatment with antibiotics to prevent an infection,
as in intraabdominal surgery or after trauma

MOA of sulfonamides -Correct Answer ✔Bacteriostatic
inhibit bacterial growth
prevent bacterial synthesis of folic acid

uses of sulfonamides -Correct Answer ✔Gramp positive and negative, broad spectrum
respiratory tract infections
infections of the small bowel
UTIs: enterobacter, ecoli, klebsiella, proteus vulgaris, staphylococcus aureus

contraindications of sulfonamides -Correct Answer ✔drug allergy
pregnant women
infants younger than 2 months
potassium
oral contraceptives (ineffective)

Adverse effects of sulfonamides -Correct Answer ✔mild to moderate rash
photosensitivity
GI distress
stomatitis
crystalluria
fatigue


NR 293 Final Exam

,NR 293 Final Exam


depression
headache
dizziness
blood dyscrasias
Steven Johnsons syndrome
renal failure
hyperkalemia

prototype for sulfonamides, and administration -Correct Answer ✔sulfamethoxazole
combined with trimethropim
Administered IV, PO, Topical

patient education/ nursing interventions for sulfonamides -Correct Answer ✔Pt.
Education:
take with a full glass of water
increase fluid intake
report sore throat, bruising, bleeding
avoid direct sunlight

Nursing interventions:
push fluids
Monitor CBC
signs of bleeding (liver damage)
check for superinfection

beta lactam penicilins MOA -Correct Answer ✔safest class
bacteriocidal
inhibition of bacterial cell wall synthesis

uses of penicillins -Correct Answer ✔strep
staph
pneumonia
meningitis
skin, bone, and joint infections
stomach infections
blood and valve infections
gas gangrene
tetanus
anthrax
sickle cell anemia in infants

broad spectrum penicillin -Correct Answer ✔bacteriocidal
ecoli
salmonella
influenza



NR 293 Final Exam

,NR 293 Final Exam


adverse effects of penicillin -Correct Answer ✔allergy most common
rash
pruritus
fever
anaphylaxis
lowered WBC, RBC, platelet count
GI upset

patient education for penicillins -Correct Answer ✔side effects
bleeding
increase fluid intake
take with food

drugs for penicillin -Correct Answer ✔broad spectrum:
amoxicillin

combination:
piperacillin plus tazobactam (zosyn)
give 3 times a day infused over 4 hours or every 6 hours infused over 1 hour

cephalosporins MOA -Correct Answer ✔largest class
interfere with bacterial cell wall synthesis, bind to the same penicillin binding proteins

uses of cephalosporins -Correct Answer ✔treatment of gram positive and negative
anaerobic bacteria
mostly gram negative
patients who cannot tolerate the less expensive penicillins
respiratory infections
urinary infections
skin infections
bone and joint infections
genital infections

contraindications of cephalosporins -Correct Answer ✔may cause cross allergy potential
with penicillin

adverse effects of cephalosporins -Correct Answer ✔weakness
pruritus
GI distress

high doses can cause
bleeding
seizures
nephrotoxicity




NR 293 Final Exam

, NR 293 Final Exam


patient education of cephalosporins -Correct Answer ✔side effects
administration
monitor kidney function with 1st generation

drugs for cephalosporins -Correct Answer ✔first generation
Cefazolin (ancef)
not effective for beta lactase
gram positive bacteria
may cause kidney toxicity

macrolides MOA -Correct Answer ✔broad spectrum
inhibit protein synthesis
binds reversibly to 50S ribosomal subunits of microbes

uses of macrolides -Correct Answer ✔whooping cough
legionnaires disease
Hpylori
streptococcus
influenza
mycoplasma pneumonia

generic use:
respiratory
GI tract
skin
soft tissue

adverse effects of macrolides -Correct Answer ✔tinnitus
ototoxicity
mild GI distress
diarrhea
abdominal pain
superinfectionm
hepatotoxicity

patient education/ nursing interventions -Correct Answer ✔Patient education:
finish full regimen
monitor hepatic function
food-drug interactions (fruit juices)
take on empty stomach

Nursing interventions:
monitor hepatic function
bleeding, bruising, dark tea looking urine, jaundice




NR 293 Final Exam

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