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NUR 210 EXAM 4 QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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NUR 210 EXAM 4 QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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NUR 210 EXAM 4 QUESTIONS ANDANSWERS WITH SOLUTIONS 2024
Bacteriostatic - ANSWER inhibits bacterial growth
Bactericidal - ANSWER kills bacteria
Drugs with narrow therapeutic window need - ANSWER peak/trough
Factors to consider (antibiotics) - ANSWER Age, nutrition, WBC's, immune system, organ function
Narrow spectrum antibiotics - ANSWER Effective against specific bacteria
Example of narrow spectrum antibiotics - ANSWER Penicillin and erythromycin
Broad spectrum antibiotics - ANSWER affect a broad range of gram-positive or gram-negative bacteria
example of broad spectrum antibiotic - ANSWER Tetracycline and cephalosporin
Adverse reactions of antibiotics - ANSWER Allergic reactions:
-rash, pruritus, hives (treat with antihistamine, vascular collapse, laryngeal edema, bronchospasm,
cardiac arrest (treat with epinephrine, bronchodilators, antihistamine)
Superinfection: secondary infection due to disturbed normal flora (in mouth, GI, respiratory tract, GU,
skin; frequently fungal infections
Oran toxicity:liver and kidneys
Penicillin broad spectrum - ANSWER Ampicillin
Amoxicillin
Use if penicillin broad spectrum (amoxicillin) - ANSWER Upper respiratory infection, gi, gu, skin
infections, h. pylori/e. coli
, Action of amoxicillin - ANSWER binds to bacterial cell wall causing cell death (bactericidal)
Side effects of amoxicillin - ANSWER nausea, vomiting, diarrhea, abdominal pain, stomatitis, headache,
crystalluria, dermatitis, confusion, rash
amoxicillin patient teaching - ANSWER -to take as prescribed
-finish entire course of meds
-report sore throat, fever and fatigue (sign of superinfection)
-take in equal intervals to maintain blood serum levels
-do not take with acidic food (decreases effect)
Amoxicillin Nursing Considerations - ANSWER -IV or PO
-Use cautiously in renal patients
-monitor I&O
-Nephrotoxicity at high doses
-signs of anaphylaxis: rash, itching, dyspnea
-monitor stool for blood: pseudomembranous
Amoxicillin contraindications - ANSWER Contraindicated for clients who have a severe allergy to penicillin
and cephalosporins
-IBD, UC, asthma, mono, renal failure
Cephalosporins - ANSWER inhibit cell wall synthesis (bactericidal)
Cephalosporin example - ANSWER Ceftriaxone
Side effects of ceftriaxone - ANSWER anorexia, nausea, vomiting, abdominal cramps, headache,
stomatitis
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