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NR 566 Midterm Questions & Answers 100% Correct $15.49   Add to cart

Exam (elaborations)

NR 566 Midterm Questions & Answers 100% Correct

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  • NR 566

What pathogen is highly associated with CAP in general population? - ANSWER streptococcus pneumoniae Other common pathogens with CAP - ANSWER atypical bacteria (mycoplasma pneumonia) viruses (influenza, respiratory syncytial virus) First line treatment CAP in previous healthy adults - ANSW...

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  • September 10, 2024
  • 11
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NR 566
  • NR 566
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NR 566 Midterm Questions &
Answers 100% Correct
What pathogen is highly associated with CAP in general population? - ANSWER streptococcus
pneumoniae



Other common pathogens with CAP - ANSWER atypical bacteria (mycoplasma pneumonia)

viruses (influenza, respiratory syncytial virus)



First line treatment CAP in previous healthy adults - ANSWER Amoxicillin, doxycycline, macrolides
(DAM)



Treatment of CAP in pregnancy - ANSWER amoxicillin, cephalosporins, erythromycin (ACE)



Treatment for mycoplasma pneumonia in the pediatric patient - ANSWER Macrolides (erythromycin,
clarithromycin, azithromycin)



treatment of chlamydial pneumonia in infant - ANSWER Erythromycin base/ethylsuccinate



Broad spectrum antibiotics - when to use? - ANSWER empiric therapy

When you don't know which bacteria it is

more likely to facilitate emergence of drug-resistant organisms and superinfections

prescribe these before culture results back

suspects patient has UTI



Narrow spectrum antibiotics - when to use? - ANSWER When the pathogen is known

Preferred



What are empiric antibiotics? - ANSWER Broad Spectrum antibiotics that are given BEFORE the
results are in for certain circumstances.

, sulfonamides renal dosing - ANSWER Avoid in older adults for

For patients with creatinine clearance <30mL/min:

For patients concurrently prescribed warfarin, avoid trimethoprim/sulfamethoxazole, macrolides,
and ciprofloxacin

do not give if creatine is under 15

Drug class known for all drugs in class to promote development of C diff - ANSWER cephalosporins
(especially second or third generations)



Penicillin's have cross-sensitivity with which drug class? - ANSWER cephalosporins



Can you take penicillin's if pregnant? - ANSWER Yes



Can you prescribe cephalosporins if pregnant? - ANSWER yes



Patient education needed for cephalosporins - ANSWER Can promote C diff, instruct patients to
report increase in stool frequency



Can you prescribe tetracyclines in pregnant patients - ANSWER No - can cause tooth staining



Patient education for tetracyclines - ANSWER Photosensitivity. Advise patients to avoid prolonged
exposure to sunlight, to wear protective clothing, and to apply sunscreen to exposed skin/avoid
tanning beds.

Instruct patients not to take this medication together with calcium supplements, milk products, iron
supplements, magnesium-containing laxatives, and most antacids.

Advise patients to notify the provider if diarrhea occurs, as this is an indication of potentially life-
threatening superinfection of the bowel.




Gentamicin (aminoglycoside) - ANSWER monitor Cr cl in elderly

renal adjustments

If renal dx dose reduces or dosing interval increased

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