Exam 5: Anti-Infective Drugs: Antibacterial, Antitubercular, and Antifungal Agents

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Which of the following instructions should be part of a teaching plan for all patients receiving treatment with antitubercular drugs? (Select all that apply.)

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A, B, E, F

A patient with a confirmed active tuberculosis (TB) exposure asks how the first-line drugs such as isoniazid (INH) work to prevent infection. What response demonstrates your understanding of the action of isoniazid?

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B

A patient receiving antibiotics for the treatment of a bacterial wound infection develops a secondary fungal infection. The patient asks you to explain why the fungal infection developed. What is your best response?

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A

A patient is being treated for pinworms with anthelmintics. In addition to taking the drug, what else should be included in the patient's teaching plan?

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What is the action of an antibiotic that is classified as bacteriostatic?

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In reviewing a patient's reported drug allergies, which drug class sensitivity would suggest the patient should not be given a sulfonamide?

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A patient with candida infection in the mouth has been prescribed nystatin suspension. Which instruction should be included in the teaching plan for this patient?

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You are counseling a patient who is to begin a course of tetracycline for the treatment of Lyme disease. What instructions would be important to provide to this patient?

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A patient is being discharged home on antibacterial drug therapy. What instructions should you teach the patient about allergic reactions? (Select all that apply.)

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Which statement is true regarding macrolides?

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A breast-feeding mother has been prescribed antimicrobial therapy for an infection. What information should be included in her teaching plan?

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Which adverse reactions are associated with the use of broad-spectrum antibiotics? (Select all that apply.)

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You are caring for a hospitalized patient receiving gentamycin IV, an aminoglycoside, for the treatment of Pseudomonas pneumonia. Which laboratory values would be important to monitor to avoid adverse effects from drugs of this classification?

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You are providing education for a patient prescribed a fluoroquinolone. Which response made by the patient indicates that teaching has been effective?

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You are caring for a patient with type 2 diabetes who has been prescribed a course of a sulfonamide (Bactrim) for a urinary tract infection. Which statement by the patient reflects understanding of potential drug interactions?

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You are caring for an elderly patient who is newly admitted with a suspected urinary tract infection requiring antimicrobial therapy. Which of the following tests would you expect the healthcare provider to order before initiating treatment?

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A patient prescribed vancomycin (Vancocin) has developed redness on the face, neck, chest, back, and arms. The family asks the nurse if the drug should be stopped because of this response. What is your best answer?

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Under which circumstances may the body's normal flora cause infection? (Select all that apply.)

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You are caring for an elderly patient in a long-term care facility who has been prescribed a cephalosporin. Which adverse effect should you monitor the patient for while taking this drug?

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You are teaching a patient about possible side effects when taking penicillin, a broad-spectrum antibiotic. What is the most common side effect you would stress in teaching the patient about this drug?

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