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Exam 4_ Anti-infectives
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Exam 4_ Anti-infectives
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Exam 4: Anti-infectivesA client asks the nurse how an anti-infective produces a therapeutic effect. What should be
included in the nurse's teaching plan?
Penicillin interferes with biosynthesis of the bacteria cell wall.
A client is receiving aminoglycoside therapy. The nurse would be alert for:
Kidney dysfunction
A 30-year-old female client received an insect bite that has progressed to cellulitis over the
past several days. What client characteristics should the nurse prioritize when administering
anti-infectives?
The client is in the second trimester of pregnancy
A group of nursing students are learning about the factors that underlie recent increases in
the incidence and prevalence of antibiotic-resistant microorganisms. What factor is known to
contribute to antibiotic resistance?
Overuse of antibiotics
The client is taking an antibiotic for a urinary tract infection. The client asks how the antibiotic
interferes with the growth of bacteria. The nurse explains that the antibiotic has the ability to
suppress or kill an infecting microbe without injury to the host. This is referred to as:
selective toxicity
A female client comes to the clinic reporting vaginal discharge with itching. When obtaining
the client's medication history, what would the nurse consider as significant?
broad spectrum anti-infective for recent infection
When caring for infants and the elderly who are in need of an antimicrobial agent, the nurse
is aware that when compared with doses for young and middle-aged adults, these clients
may require:
a lower dose
The pharmacology instructor is discussing ways to decrease the incidence and severity of
adverse effects among children taking anti-infective agents. What would the instructor
mention is one way to do this in children?
keep clients well hydrated
, A medical nurse on a night shift is reviewing a client's medication administration record for
the following day. The nurse notes that a combination antimicrobial drug is prescribed. What
is implied by the fact that the client has been prescribed a combination drug?
The client may have an infection caused by multiple microorganisms.
Successful treatment with bacteriostatic antibiotics depends upon what factor?
adequate duration of drug therapy
The nurse is caring for several medical clients who have infections. For which client would
the administration of a broad spectrum antibiotic be most appropriate?
A client with signs of infection who is awaiting the results of laboratory testing
The nurse caring for a 24-year-old woman admitted with pneumonia explains how antibiotics
work to help cure her pneumonia. Which statement would be correct about how antibiotic
therapy works?
Antibiotics work by inhibiting cell wall synthesis.
A client is febrile and is suspected of having a respiratory infection. A sputum culture has
been collected and the results of sensitivity testing are expected within 48 hours. The nurse
should anticipate that the client may:
be immediately prescribed a broad-spectrum antibiotic.
The analysis of a client's wound drainage identifies one antibiotic to use for treatment. In
which way will the nurse explain this medication to treat the client's infection?
"This antibiotic is considered a narrow-spectrum drug because it is specific for your
infection."
Administration of what type of antibiotic by the nurse would be most likely to cause a
superinfection?
broad spectrum
A nurse is aware that the concept of selective toxicity is foundational to antimicrobial therapy.
Which statement most accurately describes selective toxicity?
A drug harms microbes without harming human cells.
A client with an upper respiratory tract infection was prescribed roxithromycin, an antibiotic.
The nurse tells the client that irregular administration of this medication could lead to what
outcome?
development of drug resistance
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