NUR 226 HESI Final Medications/ NUR 226 – HESI Final Medications
(Must-Know)
Amoxicillin (Penicillin) - correct answer Antibiotic, bactericidal; achieves cell wall glycopeptide
destruction.
Amoxicillin Side Effects - correct answer Renal impairment, GI symptoms.
Amoxicillin Nursing Actions/Considerations - correct answer Take with meals, monitor kidney
function, including intake/output.
Amoxicillin Desired Outcomes - correct answer Treatment of infections like pneumonia,
meningitis, and endocarditis (prophylactically).
Cephalexin (Cephalosporin) - correct answer Antibiotic, bactericidal; achieves cell wall
glycopeptide destruction.
Cephalexin Side Effects - correct answer Renal insufficiency and diarrhea; cross-sensitivity with
penicillin.
Cephalexin Nursing Actions/Considerations - correct answer Monitor kidney function, GI
function, and immune response.
Cephalexin Desired Outcomes - correct answer Treatment of infections like UTI, post-operative
infections, pelvic infections, and meningitis.
Imipenem (Carbapenem) - correct answer Bactericidal; achieves cell wall glycopeptide
destruction.
Imipenem Side Effects - correct answer Cross-sensitivity to penicillin or cephalosporins, renal
insufficiency, diarrhea.
Imipenem Nursing Actions/Considerations - correct answer Monitor kidney function, GI, and
immune response.
Imipenem Desired Outcomes - correct answer Treatment of infections like pneumonia,
peritonitis, and UTI.
Vancomycin (Glycopeptide) - correct answer Antibiotic, bactericidal; achieves cell wall
glycopeptide destruction.
Vancomycin Side Effects - correct answer Ototoxicity, C. Difficile infection (supra-infection).
Vancomycin Nursing Actions/Considerations - correct answer Monitor for hearing loss, monitor
GI during use for MRSA infections.
, Vancomycin Desired Outcomes - correct answer Treatment of MRSA infections and C. Difficile
infections.
Tetracycline (Tetracycline) - correct answer Antibiotic, bactericidal; inhibits protein synthesis at
the 30s ribosome.
Tetracycline Side Effects - correct answer GI, hepatotoxicity, photosensitivity.
Tetracycline Nursing Actions/Considerations - correct answer Avoid high daily doses (due to
hepatotoxicity), monitor GI, and ensure the patient is not out in the sun.
Tetracycline Desired Outcomes - correct answer Treatment of periodontal disease, chlamydia
trachomatis, Lyme disease, and H. pylori.
Azithromycin (Macrolide) - correct answer Antibiotic, bacteriostatic (bactericidal at high doses);
inhibits protein synthesis at the 30s ribosome.
Azithromycin Side Effects - correct answer GI, prolonged QT intervals, ototoxicity.
Azithromycin Nursing Actions/Considerations - correct answer Avoid use with warfarin and
digoxin, monitor liver function.
Azithromycin Desired Outcomes - correct answer Treatment of Legionnaires Disease, Pertussis,
Diphtheria, chlamydial infections, and streptococcal infections.
Gentamicin (Aminoglycoside) - correct answer Antibiotic, bactericidal (oxidation of 30s creates
toxic proteins); inhibits protein synthesis at the 30s ribosome.
Gentamicin Side Effects - correct answer Ototoxicity, nephrotoxicity.
Gentamicin Nursing Actions/Considerations - correct answer Monitor for hearing and vision
loss, tinnitus, monitor I/O, BUN, creatinine, cloudy urine, avoid use with penicillin.
Gentamicin Desired Outcomes - correct answer Treatment of E. coli and Pseudomonas
Aeruginosa infections.
Ciprofloxacin (Fluroquinolone) - correct answer Antibiotic, bactericidal; inhibits DNA synthesis.
Ciprofloxacin Side Effects - correct answer GI, Achilles tendon rupture, thrush, vaginal yeast
infections (supra-infections), peripheral neuropathy.
Ciprofloxacin Nursing Actions/Considerations - correct answer Decrease doses for impaired
kidney function.
Ciprofloxacin Desired Outcomes - correct answer Treatment of urinary, respiratory, GI tract
infections, and infections in bones, joints, skin, and soft tissue.
Trimethoprim/sulfamethoxazole (Sulfonamide) - correct answer Antibiotic, bacteriostatic;
arrests folic acid production, which inhibits DNA synthesis.
(Must-Know)
Amoxicillin (Penicillin) - correct answer Antibiotic, bactericidal; achieves cell wall glycopeptide
destruction.
Amoxicillin Side Effects - correct answer Renal impairment, GI symptoms.
Amoxicillin Nursing Actions/Considerations - correct answer Take with meals, monitor kidney
function, including intake/output.
Amoxicillin Desired Outcomes - correct answer Treatment of infections like pneumonia,
meningitis, and endocarditis (prophylactically).
Cephalexin (Cephalosporin) - correct answer Antibiotic, bactericidal; achieves cell wall
glycopeptide destruction.
Cephalexin Side Effects - correct answer Renal insufficiency and diarrhea; cross-sensitivity with
penicillin.
Cephalexin Nursing Actions/Considerations - correct answer Monitor kidney function, GI
function, and immune response.
Cephalexin Desired Outcomes - correct answer Treatment of infections like UTI, post-operative
infections, pelvic infections, and meningitis.
Imipenem (Carbapenem) - correct answer Bactericidal; achieves cell wall glycopeptide
destruction.
Imipenem Side Effects - correct answer Cross-sensitivity to penicillin or cephalosporins, renal
insufficiency, diarrhea.
Imipenem Nursing Actions/Considerations - correct answer Monitor kidney function, GI, and
immune response.
Imipenem Desired Outcomes - correct answer Treatment of infections like pneumonia,
peritonitis, and UTI.
Vancomycin (Glycopeptide) - correct answer Antibiotic, bactericidal; achieves cell wall
glycopeptide destruction.
Vancomycin Side Effects - correct answer Ototoxicity, C. Difficile infection (supra-infection).
Vancomycin Nursing Actions/Considerations - correct answer Monitor for hearing loss, monitor
GI during use for MRSA infections.
, Vancomycin Desired Outcomes - correct answer Treatment of MRSA infections and C. Difficile
infections.
Tetracycline (Tetracycline) - correct answer Antibiotic, bactericidal; inhibits protein synthesis at
the 30s ribosome.
Tetracycline Side Effects - correct answer GI, hepatotoxicity, photosensitivity.
Tetracycline Nursing Actions/Considerations - correct answer Avoid high daily doses (due to
hepatotoxicity), monitor GI, and ensure the patient is not out in the sun.
Tetracycline Desired Outcomes - correct answer Treatment of periodontal disease, chlamydia
trachomatis, Lyme disease, and H. pylori.
Azithromycin (Macrolide) - correct answer Antibiotic, bacteriostatic (bactericidal at high doses);
inhibits protein synthesis at the 30s ribosome.
Azithromycin Side Effects - correct answer GI, prolonged QT intervals, ototoxicity.
Azithromycin Nursing Actions/Considerations - correct answer Avoid use with warfarin and
digoxin, monitor liver function.
Azithromycin Desired Outcomes - correct answer Treatment of Legionnaires Disease, Pertussis,
Diphtheria, chlamydial infections, and streptococcal infections.
Gentamicin (Aminoglycoside) - correct answer Antibiotic, bactericidal (oxidation of 30s creates
toxic proteins); inhibits protein synthesis at the 30s ribosome.
Gentamicin Side Effects - correct answer Ototoxicity, nephrotoxicity.
Gentamicin Nursing Actions/Considerations - correct answer Monitor for hearing and vision
loss, tinnitus, monitor I/O, BUN, creatinine, cloudy urine, avoid use with penicillin.
Gentamicin Desired Outcomes - correct answer Treatment of E. coli and Pseudomonas
Aeruginosa infections.
Ciprofloxacin (Fluroquinolone) - correct answer Antibiotic, bactericidal; inhibits DNA synthesis.
Ciprofloxacin Side Effects - correct answer GI, Achilles tendon rupture, thrush, vaginal yeast
infections (supra-infections), peripheral neuropathy.
Ciprofloxacin Nursing Actions/Considerations - correct answer Decrease doses for impaired
kidney function.
Ciprofloxacin Desired Outcomes - correct answer Treatment of urinary, respiratory, GI tract
infections, and infections in bones, joints, skin, and soft tissue.
Trimethoprim/sulfamethoxazole (Sulfonamide) - correct answer Antibiotic, bacteriostatic;
arrests folic acid production, which inhibits DNA synthesis.
