Chapter 35. Drugs for Bacterial Infections
Question 1
Type: MCMA
The nurse plans to teach the client with acquired immune deficiency syndrome (AIDS) about bacterial infections.
Which information should the nurse include in this teaching?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. "If just a few bacteria make you sick, this is virulence."
2. "Most bacteria have developed antibiotic resistance."
3. "Pathogens are divided into two classes, bacteria and viruses."
4. "Pathogenicity means the bacteria can cause an infection."
5. "Actually, most bacteria will not harm us."
Correct Answer: 1,4,5
Rationale 1: A highly virulent microbe is one that can produce disease when present in minute numbers.
Rationale 2: Antibiotic resistance is a problem; however, only a few, not most, bacteria have developed it.
Rationale 3: Human pathogens include viruses, bacteria, fungi, unicellular organisms, and multicellular animals.
Rationale 4: The ability of an organism to cause infection is called pathogenicity.
Rationale 5: Only a few dozen pathogens commonly cause disease in humans; most are harmless.
Global Rationale: A highly virulent microbe is one that can produce disease when present in minute numbers.
The ability of an organism to cause infection is called pathogenicity. Only a few dozen pathogens commonly
cause disease in humans; most are harmless. Antibiotic resistance is a problem; however, only a few, not most,
bacteria have developed it. Human pathogens include viruses, bacteria, fungi, unicellular organisms, and
multicellular animals.
Cognitive Level: Applying
Client Need: Physiological Integrity
Client Need Sub: Pharmacological and Parenteral Therapies
QSEN Competencies: III.A.1 Demonstrate knowledge of basic scientific methods and processes.
,AACN Essentials Competencies: III.1 Explain the interrelationships among theory, practice, and research.
NLN Competencies: Knowledge and Science: Integration of knowledge from nursing and other disciplines.
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 35-1 Distinguish between the terms pathogenicity and virulence.
MNL Learning Outcome: 6.1.1 Examine etiology, pathophysiology, and clinical manifestations. Page
Number: 538
Question 2
Type: MCMA
The student nurse asks the nursing instructor for help with her microbiology class. The student is studying
bacteria. What does the best instruction by the nursing instructor include?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. Bacteria are either aerobic or anaerobic.
2. Bacteria are multicellular organisms.
3. E. coli are gram-negative bacteria.
4. Gram-staining is one way to identify bacteria.
5. Spherical-shaped bacteria are called cocci.
Correct Answer: 3,4,5
Rationale 1: Some organisms have the ability to change their metabolism and survive in either aerobic or
anaerobic conditions.
Rationale 2: Bacteria are single-celled organisms.
Rationale 3: E. coli are gram-negative bacteria.
Rationale 4: Gram-staining is one way to identify bacteria.
Rationale 5: Spherical-shaped bacteria are called cocci.
Global Rationale: E. coli are gram-negative bacteria. Gram-staining is one way to identify bacteria.
Sphericalshaped bacteria are called cocci. Some organisms have the ability to change their metabolism and
survive in either aerobic or anaerobic conditions. Bacteria are single-celled organisms.
Cognitive Level: Applying
Client Need: Physiological Integrity
Client Need Sub: Pharmacological and Parenteral Therapies
, QSEN Competencies: III.A.1 Demonstrate knowledge of basic scientific methods and processes.
AACN Essentials Competencies: III.1 Explain the interrelationships among theory, practice, and research.
NLN Competencies: Knowledge and Science: Integration of knowledge from nursing and other disciplines.
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 35-2 Explain how bacteria are described and classified.
MNL Learning Outcome: 6.1.1 Examine etiology, pathophysiology, and clinical manifestations. Page
Number: 538
Question 3
Type: MCSA
The client tells the nurse that the doctor told him his antibiotic did not kill his infection but just slowed its
growth. The client is anxious. What is the best response by the nurse to decrease the client's anxiety?
1. "This is okay because your body will help kill the infection too."
2. "This is okay because your doctor is an infectious disease specialist."
3. "This is okay because your blood work is being monitored daily."
4. "This is okay because your infection is not really that serious."
Correct Answer: 1
Rationale 1: Some drugs do not kill the bacteria but instead slow their growth and depend on the body's natural
defenses to dispose of the microorganisms. These drugs, which slow the growth of bacteria, are called
bacteriostatic.
Rationale 2: Telling the client that the doctor is a specialist does not answer the question and will increase
anxiety.
Rationale 3: Telling the client that his blood work is being monitored does not answer the question and will
increase anxiety.
Rationale 4: Telling a client with an infection that the infection is not serious will increase anxiety because, to
the client, all infections are serious.
Global Rationale: Some drugs do not kill the bacteria but instead slow their growth and depend on the body's
natural defenses to dispose of the microorganisms. These drugs, which slow the growth of bacteria, are called
bacteriostatic. Telling the client that the doctor is a specialist does not answer the question and will increase
anxiety. Telling the client that his blood work is being monitored does not answer the question and will increase
anxiety. Telling a client with an infection that the infection is not serious will increase anxiety because, to the
client, all infections are serious.
Cognitive Level: Analyzing
Client Need: Physiological Integrity
Question 1
Type: MCMA
The nurse plans to teach the client with acquired immune deficiency syndrome (AIDS) about bacterial infections.
Which information should the nurse include in this teaching?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. "If just a few bacteria make you sick, this is virulence."
2. "Most bacteria have developed antibiotic resistance."
3. "Pathogens are divided into two classes, bacteria and viruses."
4. "Pathogenicity means the bacteria can cause an infection."
5. "Actually, most bacteria will not harm us."
Correct Answer: 1,4,5
Rationale 1: A highly virulent microbe is one that can produce disease when present in minute numbers.
Rationale 2: Antibiotic resistance is a problem; however, only a few, not most, bacteria have developed it.
Rationale 3: Human pathogens include viruses, bacteria, fungi, unicellular organisms, and multicellular animals.
Rationale 4: The ability of an organism to cause infection is called pathogenicity.
Rationale 5: Only a few dozen pathogens commonly cause disease in humans; most are harmless.
Global Rationale: A highly virulent microbe is one that can produce disease when present in minute numbers.
The ability of an organism to cause infection is called pathogenicity. Only a few dozen pathogens commonly
cause disease in humans; most are harmless. Antibiotic resistance is a problem; however, only a few, not most,
bacteria have developed it. Human pathogens include viruses, bacteria, fungi, unicellular organisms, and
multicellular animals.
Cognitive Level: Applying
Client Need: Physiological Integrity
Client Need Sub: Pharmacological and Parenteral Therapies
QSEN Competencies: III.A.1 Demonstrate knowledge of basic scientific methods and processes.
,AACN Essentials Competencies: III.1 Explain the interrelationships among theory, practice, and research.
NLN Competencies: Knowledge and Science: Integration of knowledge from nursing and other disciplines.
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 35-1 Distinguish between the terms pathogenicity and virulence.
MNL Learning Outcome: 6.1.1 Examine etiology, pathophysiology, and clinical manifestations. Page
Number: 538
Question 2
Type: MCMA
The student nurse asks the nursing instructor for help with her microbiology class. The student is studying
bacteria. What does the best instruction by the nursing instructor include?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. Bacteria are either aerobic or anaerobic.
2. Bacteria are multicellular organisms.
3. E. coli are gram-negative bacteria.
4. Gram-staining is one way to identify bacteria.
5. Spherical-shaped bacteria are called cocci.
Correct Answer: 3,4,5
Rationale 1: Some organisms have the ability to change their metabolism and survive in either aerobic or
anaerobic conditions.
Rationale 2: Bacteria are single-celled organisms.
Rationale 3: E. coli are gram-negative bacteria.
Rationale 4: Gram-staining is one way to identify bacteria.
Rationale 5: Spherical-shaped bacteria are called cocci.
Global Rationale: E. coli are gram-negative bacteria. Gram-staining is one way to identify bacteria.
Sphericalshaped bacteria are called cocci. Some organisms have the ability to change their metabolism and
survive in either aerobic or anaerobic conditions. Bacteria are single-celled organisms.
Cognitive Level: Applying
Client Need: Physiological Integrity
Client Need Sub: Pharmacological and Parenteral Therapies
, QSEN Competencies: III.A.1 Demonstrate knowledge of basic scientific methods and processes.
AACN Essentials Competencies: III.1 Explain the interrelationships among theory, practice, and research.
NLN Competencies: Knowledge and Science: Integration of knowledge from nursing and other disciplines.
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 35-2 Explain how bacteria are described and classified.
MNL Learning Outcome: 6.1.1 Examine etiology, pathophysiology, and clinical manifestations. Page
Number: 538
Question 3
Type: MCSA
The client tells the nurse that the doctor told him his antibiotic did not kill his infection but just slowed its
growth. The client is anxious. What is the best response by the nurse to decrease the client's anxiety?
1. "This is okay because your body will help kill the infection too."
2. "This is okay because your doctor is an infectious disease specialist."
3. "This is okay because your blood work is being monitored daily."
4. "This is okay because your infection is not really that serious."
Correct Answer: 1
Rationale 1: Some drugs do not kill the bacteria but instead slow their growth and depend on the body's natural
defenses to dispose of the microorganisms. These drugs, which slow the growth of bacteria, are called
bacteriostatic.
Rationale 2: Telling the client that the doctor is a specialist does not answer the question and will increase
anxiety.
Rationale 3: Telling the client that his blood work is being monitored does not answer the question and will
increase anxiety.
Rationale 4: Telling a client with an infection that the infection is not serious will increase anxiety because, to
the client, all infections are serious.
Global Rationale: Some drugs do not kill the bacteria but instead slow their growth and depend on the body's
natural defenses to dispose of the microorganisms. These drugs, which slow the growth of bacteria, are called
bacteriostatic. Telling the client that the doctor is a specialist does not answer the question and will increase
anxiety. Telling the client that his blood work is being monitored does not answer the question and will increase
anxiety. Telling a client with an infection that the infection is not serious will increase anxiety because, to the
client, all infections are serious.
Cognitive Level: Analyzing
Client Need: Physiological Integrity
