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Exam (elaborations)

NR 566 Week 1 Open Book Quiz (100% Correct)

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1. Question: I understand the value of doing my own work and learning the skills needed to support my future independent practice as a nurse practitioner. I understand that while there may be opportunities beyond my faculty’s control for me to collaborate or share answers with peers, that it would not benefit my own personal and professional growth to do so. I agree to do my own work and take personal responsibility for my learning. 2. Question: If a patient is taking Bactrim and their creatinine clearance falls below 15 mL/min, what should the provider do? 3. Question: In patients with a creatinine clearance of 15-30 mL/min taking Bactrim, how should the dosing be adjusted? 4. Question: What baseline data is needed to prescribe trimethoprim/sulfamethoxazole? (Select all that apply) 5. Question: Using your textbook, match the antibiotic class to the patient care concern for children/adolescents. 6. Question: Which representative antibiotics are inhibitors of cell wall synthesis as listed in your course textbook? (Select all that apply) 7. Question: Which medication requires patient education to avoid prolonged exposure to sunlight? 8. Question: Which drug class is contraindicated for UTI in the third trimester of pregnancy and in older adults with decreased renal function? 9. Question: Which patients should penicillins be used with extreme caution? 10. Question: Which antibiotic class is most likely to be given to someone with otitis media if there are no contraindications? 11. Question: Which antimicrobial agents do the most to facilitate the emergence of antimicrobial resistance according to your textbook? 12. Question: Which antibiotic drug class is generally not expected to cause adverse effects in breastfed infants? 13. Question: Using your textbook, match the antibiotic class to the patient care concern for pregnant persons. 14. Question: Which patients being treated with a penicillin are at high risk for toxicity? (Select all that apply) 15. Question: Which antibiotic requires the following monitoring? CBC in patients with symptoms of blood disorders, CD4+ counts in patients with HIV and potassium 4 days after starting treatment in patients with possible hyperkalemia 16. Question: Locate the Prescribers' Digital Reference website () to answer this question. A patient is prescribed Amoxicillin for an infection. They have a creatinine clearance of 24mL/min. What dose of amoxicillin should they be prescribed? 17. Question: Match the recommended treatment for UTI according to the assigned textbook for this course. 18. Question: Acute otitis externa presents with what symptoms that differentiates it from otitis media to determine diagnosis and treatment? (Select all that apply) 19. Question: Which antibiotic drug class listed is known for all drugs within the class promoting the development of a Clostridioidies difficile infection? 20. Question: What is the likely causative agent for acute otitis media? 21. Question: Trimethoprim should be avoided in patients with which deficiency? 22. Question: Which antibiotic does the course textbook recommend for treating a UTI in breastfeeding women? 23. Question: Which representative antibiotics are bacteriostatic inhibitors of protein synthesis as listed in your course textbook? (Select all that apply) 24. Question: Which UTI drug can cause permanent lung damage? 25. Question: Which antibiotic classes should have a culture and sensitivity prior to prescribing and which ones do not according to your textbook? 26. Question: Using your textbook, match the antibiotic class to the patient care concern for infants. Use each option only once by selecting the option that is most true.

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Question 1
pts
I understand the value of doing my own work and learning the skills needed
to support
my future independent practice as a nurse practitioner. I understand that
while there may be opportunities beyond my faculty’s control for me to
collaborate or share answers with peers, that it would not benefit my own
personal and professional growth to do so. I agree to do my own work and
take personal responsibility for my learning.



I do



I do not

Thank you for acknowledging your personal responsibility for your learning
and professional practice while acting with honesty and integrity.


Question 2
pts
If a patient is taking Bactrim and their creatinine clearance falls below 15
mL/min, what should the provider do?


Have patient continue the medication until it is complete.



It depends on how many doses the patient has taken.




Stop the drug immediately.



List the drug as an allergy and instruct the patient to stop taking it
immediately.

Rationale: If creatinine clearance falls below 15 mL/min when taking
Trimethoprim/Sulfamethoxazole (Bactrim), the drug use must be
discontinued. This is covered on page 694 of your course textbook.

, Question 3
pts
In patients with a creatinine clearance of 15-30 mL/min taking Bactrim, how
should the
dosing be adjusted?



Reduced by 50%



Reduced by 25%



Increased by 50%



Increased by 25%

Rationale: In patients with renal impairment (creatinine clearance of 15–
30 mL/min), dosage should be decreased by 50%. This is covered on
page 690 and 694 of your course textbook.


Question 4
pts
What baseline data is needed to prescribe trimethoprim/sulfamethoxazole?
(Select all that apply)



Establish an infection appropriate for this drug class exists




Complete blood count with white cell differential for prolonged therapy



Hepatic function if there is concern in may be compromised

, Renal function if there is concern in may be compromised

Rationale: This information can be found in the Summary of Key Prescribing
Considerations in the chapter that covers this drug class.


Question 5
pts
Using your textbook, match the antibiotic class to the patient care concern for
children/adolescents.
Use each option only once by selecting the option that is most true.


Commonly used to treat bacterial infections, including otitis media and
gonococcal and pneumococcal infections.
Cephalosporins




Common drug used to treat bacterial infections.
Penicillins




Should not be used in children younger than 8 years because they may cause
permanent discoloration of the teeth.
Tetracyclines




Safe for use against bacterial infections but not commonly used in outpatient
settings.
Aminoglycosides



Rationale: This information can be found in the Summary of Key Prescribing
Considerations in the chapter that covers this drug class.


Question 6
pts
Which representative antibiotics are inhibitors of cell wall synthesis as listed
in your course textbook? (Select all that apply)

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Uploaded on
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