NURS 5334 EXAM 1 2024-2025 WITH
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What is Silvadene cream used for?
antibiotic and burns
What are 6 microbes that typically cause a UTI?
Klebsiella
Proteus mirabilis
E. Coli
Pseudomonas
Staphylococci
Enterococci
How do Fluoroquinolones work?
Broad spectrum agent that disrupts DNA replication and cell division
Why would you refrain from prescribing Fluoroquinolones to someone who is an active athlete?
Side effect of Achilles tendon rupture especially in geriatric and young populations
Why would you refrain from prescribing a Fluoroquinolones to someone with Neisseria Gonorrhoeae?
Resistance develops slowing but has become common in Neisseria Gonorrhoeae
Which Fluoroquinolones inhibits bacterial DNA gyrase and topoisomerase II in order to destroy a
bacteria?
Ciprofloxacin
What Fluoroquinolones is the drug of choice for Anthrax?
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,Ciprofloxacin
Which second generation Fluoroquinolones is good for respiratory infections, UTI, intractable infectious
diarrhea, pyelo and prostatitis?
Levofloxacin
Which second generation Fluoroquinolones works for eye, ear drops, skin, lungs, prostate, and UTI?
Ofloxacin
What does Moxifloxacin and Gemifloxacin treat? (Third Generation Fluoroquinolone)
Respiratory infections
The Fourth Generation Delafloxacin treats infections of the ____.
Skin
Which Fluoroquinolone is the ONLY drug that can treat Gram Negative UTI?
Nalidixic Acid
Why should we refrain from giving Nalidixic Acid to children?
Cartilage erosion in children
Which antibiotic is used for gut and Vaginal infections (Protozoal infections, anaerobes, H. Pylori, C. diff,
trichonanias, and BV)
Metronidazole
Do not use Metronidazole during the ____ trimester of pregnancy?
First
Amanda has an uncomplicated UTI, she is allergic to sulfa, nitrofurantoin, and is currently pregnant.
What drug should you recommend for her treatment?
Amoxicillin
Clavulanate
Cephalexin
Prophylaxis recurrent UTIs: Provider would give Trimethoprim/sulfamethoxazole how frequently for
how long?
3x weekly for 6 months
Prophylaxis recurrent UTIs: Provider would give Trimethoprim how frequently for how long?
100mg ha for 6 months
Prophylaxis recurrent UTIs: Provider would give Nitrofurantoin how frequently for how long?
50-100mg hs for 6 months
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, Which narrow spectrum antibiotic is good for strep and syphilis and contains a Beta Lactam ring in their
structure?
Penecillins
How do Beta-lactam antibiotics work?
Weaken the cell wall causing bacteria to take up excessive amounts of water and rupture
Other than penicillins what are the 6 other antibiotics that contain a Beta lactam ring in their structure?
Which penicillin is recommended for kids but is often dismissed to to it's bad taste?
Penicillin V
Oxacillin/Nafcillin/Dicloxacillin are ____ resistant Penicillins.
Penicillinase
Oxacillin/Nafcillin/Dicloxacillin can be used to fight against which two gram positive bacteria?
Staph Aureus and Staph Epidermis
What is the result of rapidly administering Penicillin G?
Hyperkalemia
Why type of antibiotic is given if the patient has an allergy to penicillins, but is avoided if patient has
experienced penicillin induced anaphylaxis?
Cephalosporins
Which three antibiotics are effective and safe alternatives for patients with a penicillin allergy?
Vancomycin
Erythromycin
Clindamycin
What are the two Broad Spectrum Penicillins that has the same antimicrobial spectrum as Penicillin G
plus increased activity against H. Influenzae, E. Coli, Salmonella, and Shigella species?
Ampicillin and Amoxicillin
What is the two main adverse effects of Ampicillin?
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