Final Exam Review: NR293 / NR 293
(Latest Update )
Pharmacology for Nursing Practice |
Questions & Answers | 100%
Correct | Grade A - Chamberlain
Question:
What is vancomycin (anti-infective med) used for, and what are the key
considerations?
Answer:
-Treats MRSA and other infections.
-It must be given over at least 60 minutes to avoid Red Man Syndrome.
-Flushing or itching of head, neck, face, upper trunk, decrease in blood
pressure, back pain, fever, chills, paresthesias, tinnitus
· Notify the HCP and HCP may prescribe antihistamine.
,Question:
What is metronidazole (anti-infective med) used for, and what reaction
should patients avoid?
Answer:
-Treats C. diff.
-It can cause a disulfiram-like reaction if the patient consumes alcohol,
leading to violent illness.
Question:
What is nystatin (anti-infective med) used for, and how is it administered?
Answer:
Treats fungal infections like oral candidiasis.
It's a suspension that must be shaken, and the patient either rinses and spits
or rinses and swallows.
Question:
What is neomycin (anti-infective med) used for?
Answer:
Used for bacterial gut infections before stomach surgery.
,Question:
What are the key considerations for tetracycline (anti-infective med)?
Answer:
-Should not be given to pregnant women or children under 9 due to the risk
of teeth staining.
-It causes photosensitivity, so patients should wear protective clothing and
avoid sun exposure.
Question:
What are the risks associated with sulfonamides (anti-infective med)?
Answer:
-Can cause crystallization, potentially damaging the kidneys.
-Encourage patients to drink at least 2 liters of fluid daily.
Question:
What is the key point about cephalosporins (anti-infective med) like
cefotaxime, cefazolin?
Answer:
-Cephalosporins and penicillins have a cross-sensitivity.
-If a patient is allergic to one, they may be allergic to the other.
, Question:
What are quinolones/fluoroquinolones (anti-infective med) used for, and
what are the risks?
Answer:
-Quinolones/fluoroquinolones (e.g., ciprofloxacin, moxifloxacin; ends in "-
floxacin") are broad-spectrum antibiotics used to treat a variety of infections
such as urinary tract infections (UTIs), respiratory infections, and skin
infections.
-Risks:
--Can cause diarrhea as a side effect.
--Have a black box warning for increased risk of tendon rupture, especially in
older adults or those on corticosteroids.
Question:
What are the adverse effects of aminoglycosides (anti-infective med)?
Answer:
-Can cause ototoxicity (hearing loss, tinnitus, balance issues) and renal
toxicity (monitor BUN, creatinine, weight gain, intake/output).
Patient Teaching:
· With nephrotoxic antibiotics you want to eat foods with probiotics to
decrease the risk of superinfection
· Increase fluid intake
