Chapter 5 Drugs for Bacterial Infections
c) "If I take birth control pills with my ampicillin, I may become pregnant." - ✔✔The LPN is providing
discharge teaching to a 38-year-old patient receiving treatment with ampicillin. Which statement
indicates that the patient understands the nurse's instructions?
a) "If I take aspirin, I may need an extra dose of ampicillin every day."
b) "I should take this drug on an empty stomach so it works better."
c) "If I take birth control pills with my ampicillin, I may become pregnant."
d) "Taking tetracycline with the ampicillin makes it work better."
b) "I have to wait 30 minutes after taking the first dose of the drug before leaving the clinic." - ✔✔The
LPN is educating a patient about penicillin. Which statement indicates that the patient understands
the nurse's teaching?
a) "I should expect a decrease in my symptoms after 4 days of treatment."
b) "I have to wait 30 minutes after taking the first dose of the drug before leaving the clinic."
c) "This drug will not interfere with my birth control pills."
d) "I should take my drug for at least 14 days and then contact the healthcare provider."
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d) Observe the patient for evidence of shortness of breath, rash, or hives. - ✔✔The nurse has just
given the first dose of intramuscular penicillin to a patient. What would the nurse do next?
a) Take the patient's blood pressure and pulse immediately after the injection.
b) Observe the injection site of the drug for evidence of irritation.
c) Instruct the patient to lie down for at least 4 hours before leaving the clinic.
d) Observe the patient for evidence of shortness of breath, rash, or hives.
a) Notify the healthcare provider of the changes. - ✔✔The LPN is caring for a patient who is
receiving treatment with a sulfonamide drug. The patient's urine output decreases from 100 mL/h to
40 mL/h. What action would the nurse take first?
a) Notify the healthcare provider of the changes.
b) Document the findings as the only action.
c) Encourage the patient to drink more fluids.
d) Determine if the patient is experiencing incontinence.
b) A 7-year-old male with no history of chronic illnesses - ✔✔Which of the following patients would
not be a candidate for treatment with tetracycline?
a) A 72-year-old female with a history of cardiac dysrhythmias
b) A 7-year-old male with no history of chronic illnesses
c) A 58-year-old male with a history of kidney stones
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d) A 21-year-old female who is considering becoming pregnant
a) Receiving vancomycin and reports ringing in the ears - ✔✔Which patient requires the nurse to
intervene immediately?
a) Receiving vancomycin and reports ringing in the ears
b) Receiving amoxicillin and takes aspirin
c) Receiving tetracycline and was exposed to sunlight
d) Receiving erythromycin and reports diarrhea
b) Bacteriostatic - ✔✔The LPN is explaining to a patient that penicillin acts by interfering with the
creation of the mucopeptide cell wall of the cell. Which term accurately describes this type of action?
a) Bactericidal
b) Bacteriostatic
c) Broad-spectrum
d) Antimicrobial
c) Drink large amounts of water while taking this drug. - ✔✔A patient presents to the emergency
department with symptoms of low back pain and difficulty urinating. The patient is diagnosed with a
urinary tract infection and is prescribed a sulfonamide. Which information is most important to include
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in the teaching plan?
a) Take this drug with food.
b) If symptoms do not improve within 1 week, contact the healthcare provider.
c) Drink large amounts of water while taking this drug.
d) When feeling better, stop taking the drug.
d) Cephalosporins - ✔✔Which anti-infective is classified according to generations?
a) Lincomycin
b) Doxycycline
c) Ciprofloxacin
d) Cephalosporins
b) Immediately seek medical assistance if having difficulty breathing. - ✔✔Which information is most
important to include in a teaching plan for a patient starting ampicillin therapy?
a) Take the drug with an antacid to avoid nausea and vomiting.
b) Immediately seek medical assistance if having difficulty breathing.
c) Discontinue the drug as soon as symptoms disappear to avoid toxicity.
d) Hives are to be expected within the first few days of therapy.
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d) Avoid prolonged sun exposure while taking this drug. - ✔✔The nurse is caring for a patient
receiving a sulfonamide. Which information is most important to include in the teaching plan?
a) Be sure to limit intake of caffeine products while taking this drug.
b) Do not combine this drug with milk products.
c) Do not combine this drug with consumption of alcohol.
d) Avoid prolonged sun exposure while taking this drug.
c) Bacteria - ✔✔The patient asks the LPN why the provider ordered an antibiotic drug. The LPN
explains that antibiotics are effective against which type of microbe?
a) Fungi
b) Viruses
c) Bacteria
d) Parasites
a) Superinfection - ✔✔A woman presents to the clinic with symptoms of a vaginal yeast infection.
The patient reports that symptoms began 3 days after starting a course of antibiotics for a throat
infection. Which term best describes the cause of the patient's yeast infection?
a) Superinfection
b) Drug sensitivity
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c) Cross-infection
d) Drug resistance
b) Ciprofloxacin - ✔✔Which drug is the drug of choice for the prevention and treatment of anthrax
exposure?
a) Piperacillin
b) Ciprofloxacin
c) Sulfamethizole
d) Tetracycline
c) Vancomycin - ✔✔Which IV drug will cause "red man" syndrome if infused too rapidly?
a) Amikacin
b) Ciprofloxacin
c) Vancomycin
d) Levofloxacin
(headache, dizziness, hearing loss, stomatitis, dermatitis)
a) Hearing loss
c) Rash with fever
d) Kidney damage
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