HOSMERIT
GALEN PHARM EXAM 4 WITH 100% CORRECT
ANSWERS 2025 A+ GRADED
Aminoglycosides"Mycins" prototype (Obtain Culture and Sensitivity) - Correct
Answer-Gentamycin
Gentamycin clinical use - Correct Answer-Used in gram negative sepsis & many life-
threatening infections.Inactive against anaerobic bacteria.
Gentamycin side effects - Correct Answer-GI upset, rash, visual disturbances,
photosensitivity, dizziness, weakness
gentamycin adverse reactions - Correct Answer-Nausea/ DiarrheaVery OTOTOXIC
andNEPHROTOXIC.(Loop diuretics ↑ototoxicity), Superinfection
gentamycin nursing implications - Correct Answer-Monitor for ↑BUN and SERUM
CREATININE for Nephrotoxicity. Monitor I & O, Monitor: Bun, CreatinineShould be
given for NO LONGER than 10 days!!!
Penicillins"Cillins" protoypes (Obtain Culture and Sensitivity) - Correct Answer-
Amoxicillin, Ampicillin
(can be given with food. NO Acidic fruits and juices.)
Amoxicillin & Ampicillin clinical use - Correct Answer-Broad Spectrum PCNUsed to
treatgram + and gram -, commonly used for respiratory infections, otitis media, H.
Pylori, E. coli
Amoxicillin & Ampicillin side effects - Correct Answer-GI disturbance, headaches,
rash,stomatitis, dizziness, anxiety, confusion
Amoxicillin & Ampicillin adverse reactions - Correct Answer-Thrombocytopenia,
leukopenia, angioedema, Hepatotoxicity
Amoxicillin & Ampicillin nursing implications - Correct Answer-↓ effectiveness of Oral
contraceptives, assess for allergies to cephalosporins, asthma, Renal impairment
Labmonitor: ALT, AST, BUN, CreatinineMonitor for bleeding
Cephalosporins"Cefs" prototypes (Obtain Culture and Sensitivity) - Correct Answer-
Ceftriaxone, Cefpodoxime
Ceftriaxone & Cefpodoxime clinical use - Correct Answer-Third generation
cephalosporin
, Ceftriaxone & Cefpodoxime side effects - Correct Answer-GI upset, headaches,
dizziness, rash, dyspepsia
Ceftriaxone & Cefpodoxime adverse reactions - Correct Answer-Bleeding,
angioedema,hepatoxicity, agranulocytosis, renal failure
Ceftriaxone & Cefpodoxime nursing implications - Correct Answer-Cross-sensitivity
w/penicillin.Give WITH Food! Encourage patients to eat yogurt, buttermilk or use
probiotics to avoid superinfectionMonitor labs: ALT, AST, LDH, PT, INR
Tetracyclines prototype (Obtain Culture and Sensitivity) - Correct Answer-
Doxycycline(Vibramycin)
Doxycycline(Vibramycin) clinical use - Correct Answer-Broad spectrum, low dose
therapy used to tx ACNESTD's, respiratory infections, UTI's
Doxycycline(Vibramycin) side effects - Correct Answer-GI upset, photosensitivity
Doxycycline(Vibramycin) adverse reactions - Correct Answer-Discolors teeth
permanently if given to children under 8 yrs.
Metronidazole adverse reactions - Correct Answer-Superinfection resulting in oral
and vaginal candidiasis, severe reaction is taken with alcohol, Steven Johnson,
leukopenia, seizures
Metronidazole nursing implications - Correct Answer-Monitor liver enzymes, take
immediate release tablet with food, take extended release tablet on empty stomach,
NOALCOHOL, monitor liver enzymes, BUN, creatinine clearance, CBC, HBG,
Hematocrit
Glycopeptides prototype (Obtain Culture and Sensitivity) - Correct Answer-
Vancomycin
Doxycycline(Vibramycin) nursing implications - Correct Answer-Milk products
preventabsorption.↓ oral contraceptive effectiveness, avoid antacids, iron, Monitor
liver enzymes, BUN Creatinine
Peptides prototype (Obtain a culture and sensitivity) - Correct Answer-Metronidazole
Metronidazole clinical uses - Correct Answer-H. Pylori, STD's, C-diff, lower
respiratoryinfections, skin infections
Metronidazole side effects - Correct Answer-Headaches, insomnia, weakness, dry
mouth, GI distress
GALEN PHARM EXAM 4 WITH 100% CORRECT
ANSWERS 2025 A+ GRADED
Aminoglycosides"Mycins" prototype (Obtain Culture and Sensitivity) - Correct
Answer-Gentamycin
Gentamycin clinical use - Correct Answer-Used in gram negative sepsis & many life-
threatening infections.Inactive against anaerobic bacteria.
Gentamycin side effects - Correct Answer-GI upset, rash, visual disturbances,
photosensitivity, dizziness, weakness
gentamycin adverse reactions - Correct Answer-Nausea/ DiarrheaVery OTOTOXIC
andNEPHROTOXIC.(Loop diuretics ↑ototoxicity), Superinfection
gentamycin nursing implications - Correct Answer-Monitor for ↑BUN and SERUM
CREATININE for Nephrotoxicity. Monitor I & O, Monitor: Bun, CreatinineShould be
given for NO LONGER than 10 days!!!
Penicillins"Cillins" protoypes (Obtain Culture and Sensitivity) - Correct Answer-
Amoxicillin, Ampicillin
(can be given with food. NO Acidic fruits and juices.)
Amoxicillin & Ampicillin clinical use - Correct Answer-Broad Spectrum PCNUsed to
treatgram + and gram -, commonly used for respiratory infections, otitis media, H.
Pylori, E. coli
Amoxicillin & Ampicillin side effects - Correct Answer-GI disturbance, headaches,
rash,stomatitis, dizziness, anxiety, confusion
Amoxicillin & Ampicillin adverse reactions - Correct Answer-Thrombocytopenia,
leukopenia, angioedema, Hepatotoxicity
Amoxicillin & Ampicillin nursing implications - Correct Answer-↓ effectiveness of Oral
contraceptives, assess for allergies to cephalosporins, asthma, Renal impairment
Labmonitor: ALT, AST, BUN, CreatinineMonitor for bleeding
Cephalosporins"Cefs" prototypes (Obtain Culture and Sensitivity) - Correct Answer-
Ceftriaxone, Cefpodoxime
Ceftriaxone & Cefpodoxime clinical use - Correct Answer-Third generation
cephalosporin
, Ceftriaxone & Cefpodoxime side effects - Correct Answer-GI upset, headaches,
dizziness, rash, dyspepsia
Ceftriaxone & Cefpodoxime adverse reactions - Correct Answer-Bleeding,
angioedema,hepatoxicity, agranulocytosis, renal failure
Ceftriaxone & Cefpodoxime nursing implications - Correct Answer-Cross-sensitivity
w/penicillin.Give WITH Food! Encourage patients to eat yogurt, buttermilk or use
probiotics to avoid superinfectionMonitor labs: ALT, AST, LDH, PT, INR
Tetracyclines prototype (Obtain Culture and Sensitivity) - Correct Answer-
Doxycycline(Vibramycin)
Doxycycline(Vibramycin) clinical use - Correct Answer-Broad spectrum, low dose
therapy used to tx ACNESTD's, respiratory infections, UTI's
Doxycycline(Vibramycin) side effects - Correct Answer-GI upset, photosensitivity
Doxycycline(Vibramycin) adverse reactions - Correct Answer-Discolors teeth
permanently if given to children under 8 yrs.
Metronidazole adverse reactions - Correct Answer-Superinfection resulting in oral
and vaginal candidiasis, severe reaction is taken with alcohol, Steven Johnson,
leukopenia, seizures
Metronidazole nursing implications - Correct Answer-Monitor liver enzymes, take
immediate release tablet with food, take extended release tablet on empty stomach,
NOALCOHOL, monitor liver enzymes, BUN, creatinine clearance, CBC, HBG,
Hematocrit
Glycopeptides prototype (Obtain Culture and Sensitivity) - Correct Answer-
Vancomycin
Doxycycline(Vibramycin) nursing implications - Correct Answer-Milk products
preventabsorption.↓ oral contraceptive effectiveness, avoid antacids, iron, Monitor
liver enzymes, BUN Creatinine
Peptides prototype (Obtain a culture and sensitivity) - Correct Answer-Metronidazole
Metronidazole clinical uses - Correct Answer-H. Pylori, STD's, C-diff, lower
respiratoryinfections, skin infections
Metronidazole side effects - Correct Answer-Headaches, insomnia, weakness, dry
mouth, GI distress
