NURS 504 Exam 5 LATEST VERSION WITH COMPLETE
QUESTIONS AND ACCURATE DETAILED ANSWERS \Verified
Answers) |Already Graded A+ (RATIONALES)
ANSWERS: The use of broad-spectrum antibiotics can create a risk for a
superinfection.
A nurse has questioned why a client's health care provider has prescribed a
narrow-spectrum antibiotic rather than a broad-spectrum drug in the treatment
of an infection. Which facts provide the best rationale for the use of narrow-
spectrum antibiotics whenever possible?
RATIONALES : Broad-spectrum antibiotics confound the results of subsequent
culture and sensitivity testing. Narrow-spectrum antibiotics normally require a
shorter
duration of treatment. The efficacy of most narrow-spectrum antibiotics has not
been proven. The use of broad-spectrum antibiotics can create a risk for a
superinfection.
ANSWERS: False
Because of their low risk of toxicity, aminoglycosides are replacing many of the
other antibiotics today.
True False
,ANSWERS: fluconazole
A woman is seen in the clinic for treatment of vaginal itching and discharge. The
nurse should be prepared to provide the client with information concerning
which single-dose medication?
RATIONALES : caspofungin terbinafine ketoconazole fluconazole
ANSWERS: To identify the organism causing the infection
Culture and susceptibility tests are performed prior to the prescription of
antimicrobial drugs. What is the specific purpose of the culture?
RATIONALES : To identify the organism causing the infection To determine the
severity of the infection To identify the drugs that might be effective in treatment
To determine the body's response to the infection
ANSWERS: Nausea
A 40-year-old is being treated for an ear infection with a cephalosporin. Which
adverse reactions should the nurse monitor for in the client?
RATIONALES : Hypotension Chest pain Nausea Excessive tearing
, ANSWERS: What the allergic reaction was
A nurse is taking a history on a client new to the clinic. The client reports being
allergic to penicillin. What would it be important for the nurse to find out?
RATIONALES : What the allergic reaction was What was done to stop the reaction
Who was the caregiver at the time of the reaction What type of allergic reaction it
was
ANSWERS: Gram-negative bacteria
Compared with penicillins, cephalosporins more appropriate for treating
infection by what type of microorganism?
RATIONALES : Gram-positive bacteria Gram-negative bacteria Fungi Viruses
ANSWERS: Treatment of oropharyngeal, esophageal, and vaginal
candidiasis Binds to sterols in the fungal cell membrane
Metabolized in the liver and excreted in the urine
Fluconazole is the prototype for antifungals. Which are characteristics of
fluconazole? (Select all that apply.)
RATIONALES :
Treatment of oropharyngeal, esophageal, and vaginal candidiasis Treatment of
malignant melanoma Binds to sterols in the fungal cell membrane Metabolized in
the liver and excreted in the urine Inhibits the growth of tumor cells and
enhances the immune response
QUESTIONS AND ACCURATE DETAILED ANSWERS \Verified
Answers) |Already Graded A+ (RATIONALES)
ANSWERS: The use of broad-spectrum antibiotics can create a risk for a
superinfection.
A nurse has questioned why a client's health care provider has prescribed a
narrow-spectrum antibiotic rather than a broad-spectrum drug in the treatment
of an infection. Which facts provide the best rationale for the use of narrow-
spectrum antibiotics whenever possible?
RATIONALES : Broad-spectrum antibiotics confound the results of subsequent
culture and sensitivity testing. Narrow-spectrum antibiotics normally require a
shorter
duration of treatment. The efficacy of most narrow-spectrum antibiotics has not
been proven. The use of broad-spectrum antibiotics can create a risk for a
superinfection.
ANSWERS: False
Because of their low risk of toxicity, aminoglycosides are replacing many of the
other antibiotics today.
True False
,ANSWERS: fluconazole
A woman is seen in the clinic for treatment of vaginal itching and discharge. The
nurse should be prepared to provide the client with information concerning
which single-dose medication?
RATIONALES : caspofungin terbinafine ketoconazole fluconazole
ANSWERS: To identify the organism causing the infection
Culture and susceptibility tests are performed prior to the prescription of
antimicrobial drugs. What is the specific purpose of the culture?
RATIONALES : To identify the organism causing the infection To determine the
severity of the infection To identify the drugs that might be effective in treatment
To determine the body's response to the infection
ANSWERS: Nausea
A 40-year-old is being treated for an ear infection with a cephalosporin. Which
adverse reactions should the nurse monitor for in the client?
RATIONALES : Hypotension Chest pain Nausea Excessive tearing
, ANSWERS: What the allergic reaction was
A nurse is taking a history on a client new to the clinic. The client reports being
allergic to penicillin. What would it be important for the nurse to find out?
RATIONALES : What the allergic reaction was What was done to stop the reaction
Who was the caregiver at the time of the reaction What type of allergic reaction it
was
ANSWERS: Gram-negative bacteria
Compared with penicillins, cephalosporins more appropriate for treating
infection by what type of microorganism?
RATIONALES : Gram-positive bacteria Gram-negative bacteria Fungi Viruses
ANSWERS: Treatment of oropharyngeal, esophageal, and vaginal
candidiasis Binds to sterols in the fungal cell membrane
Metabolized in the liver and excreted in the urine
Fluconazole is the prototype for antifungals. Which are characteristics of
fluconazole? (Select all that apply.)
RATIONALES :
Treatment of oropharyngeal, esophageal, and vaginal candidiasis Treatment of
malignant melanoma Binds to sterols in the fungal cell membrane Metabolized in
the liver and excreted in the urine Inhibits the growth of tumor cells and
enhances the immune response
