NURS 6234 Final Test Approved Exam 2025

Penicillins -Am__________ -P___________ V__ -Am__________ -A___________-cl___________ - ANSWER--Amoxicillin -Penicillin VK -Ampicillin -Amoxicillin-clavulanate Penicillins ADR: -R____ - ____ epset -Ana________ - ___. diff - ANSWER-Rash GI upset anaphylaxis C. diff Indications for Pencillins include: -S____________ phar______ -O______ me_____ -s_______ -pne________ -s_____ infections -d_______ infections - ANSWER--Streptococcal pharyngitis -otitis media -sinusitis -pneumonia -skin infections -dental infections Penicillins interact with w_______, resulting in an increased INR. They also interact with m__________, resulting in reduced clearance of this med. - ANSWER-warfarin Methotrexate T/F: taking penicillins may result in reduced efficacy of oral contraceptives - ANSWER TRUE NUR 6234 NUR 6234 NUR 6234 There is a small risk that PCN's will have cross sensitivity with c__________, such as Cephalexin or Cefdinir. This risk increases if a patient is severely allergic to PCN. - ANSWER-Cephalosporins Cephalosporins -1st gen - c_________ -2nd gen - cefur______ -3rd gen - cef______r, cef_______e - ANSWER-cephalexin cefuroxime cefdinir, ceftriaxone Patients may be prescribed cephalosporins for: -S_____ infections -U___ -r_________ infections -g_________ (ceftriaxone, specifically) - ANSWER-skin inf UTI resp inf gonorrhea T/F: Cephalosporins and PCN have the same ADR's and increase INR (warfarin). - ANSWER-TRUE Tetracyclines -D_________ -M____________ -T___________ - ANSWER-Doxycycline Minocycline Tetracycline A patient may take a Tetracycline for: -A_____ -Atypical p_________ -chl_______ -L_____ disease -R_____ M__________ s_______ f______ - ANSWER-Acne Atypical pneumonia chlamydia Lyme disease Rocky Mountain spotted fever ADR Tetracycline to educate pt: -P____________ -____ upset -E___________s -T_____ discoloration (children) - ANSWER-Photosensitivity NUR 6234 NUR 6234 GI upset Esophagitis Teeth discoloration Patients should NOT take Doxycycline if they are under ___ years old or p_________. - ANSWER-<8 years old pregnant Patients taking Tetracycline should be told to avoid s________, take with a full glass of w_____, and avoid d______/ant______. - ANSWER-sunlight water dairy/antacids Macrolides -Azi__________ -Cla___________ -Ery___________ - ANSWER-Azithromycin Clarithromycin Erythromycin Patients taking Azithromycin may be being treated for: -Aty________ p_________ -S____ t_____ (if ____ allergy) -Ch______ -per_______ - ANSWER-atypical pna strep throat (if allergic to PCN) chlamydia pertussis Patients should be taught to take Macrolides with/without food, and to report palp________ or jau_____ - ANSWER-without! empty stomach palpitations jaundice Azithromycin is contraindicated from l_____ d_______ and pro_______ ___ interval patients - ANSWER-liver disease prolonged QT interval Patients taking Clarithromycin and statins are at risk for r____________. If they are taking warfarin, this may increase their _____. - ANSWER-rhabdomyolysis INR Sulfonamides -T___-S____ (B______) - ANSWER-TMP-SMX (Bactrim) Patients may take TMP-SMX for: NUR 6234 NUR 6234 -U____ -P____ P__________ -M______ skin infections - ANSWER-UTI PCP pna MRSA skin inf Patients may experience the following ADR's from Bactrim: -R_____ -S_______ -J__________ syndrome -Hyper________ -R_____ injury - ANSWER-rash stevens-johnson hyperK+ renal injury Bactrim increases _____ in patients taking Warfarin. Additionally, in patients taking Lisinopril or other ACE inhibitors, this can increase their ____+ - ANSWER-INR K+ Patients who are in their l____ t_____ p__________, allergic to s______, or an infant <___ months can NOT take Bactrim. - ANSWER-late term pregnancy sulfa <2 months Patients taking bactrim should aim to be well h_________, avoid the s____, and report any r_____. - ANSWER-hydrated sun rash Fluoroquinolones -C__________ -L____________ -Moxi___________ - ANSWER-Ciprofloxacin Levofloxacin Moxifloxacin Patients may take ciprofloxacin for: -complicated U____ -P________ -t_________'s d_________ - ANSWER-UTI PNA traveler's diarrhea Patients taking Levofloxacin should know the risks/ADRs: -t______ r_______ NUR 6234 NUR 6234 -______ prolongation -______ effects - ANSWER-tendon rupture QT prolong CNS effects Patients taking Moxifloxacin should beware that -a__________ effect absorption -they should avoid ____- prolonging drugs -w_________ - increase INR - ANSWER-antacids QT prolonging warfarin Patients taking fluroquinolones (c______, l_______ and m______________) should be educated to: -avoid e_________ -separate these medications from a_________ or d_____ -report t______ pain - ANSWER-cipro, levaquin, moxifloxacin -exercise -antacids/dairy -tendon Patients taking Nitrofurans (N_________________) may be taking it for: -U______________ U____ - ANSWER-Uncomplicated UTI ADR's of Nitrofurantoin include: -_____ upset -P__________ f__________ (long term) -p_______________ n________________ - ANSWER-GI upset pulmonary fibrosis peripheral neuropathy Antacids (increase/decrease) absorption of Nitrofurantoin. - ANSWER-decrease!!!! Patients should NOT take Nitrofurantoin if: -pregnant >____ weeks -CrCl <____mL/min - ANSWER-38 30 Patients taking Nitrofurantoin should be educated to: -take with f_____ -urine may turn b_______ - ANSWER-take w/ food brown First line antibiotic tx for uncomplicated UTI in adults is: -N________________ -T___-S____ NUR 6234 NUR 6234 -F________________ - ANSWER-Nitrofurantoin TMP-SMX (bactrim) Fosfomycin First line tx of a complicated UTI in adults (pregnant, septic) would be: -Fluroquinolones (C____________, L____________, M______________)