Exam 29: Penicillins and Cephalosporins

The nurse is preparing to administer amoxicillin (Amoxil)to a patient and learns that the patient previously experienced a rash when taking penicillin.Which action will the nurse take?

The patient will begin taking penicillin G procaine (Wycillin).The nurse notes that the solution is milky in color.What action will the nurse take?

The nurse is teaching a nursing student about the minimal effective concentration (MEC)of antibiotics.Which statement by the nursing student indicates understanding of this concept?

The nurse is preparing to administer the first dose of intravenous ceftriaxone (Rocephin)to a patient.When reviewing the patient's chart,the nurse notes that the patient previously experienced a rash when taking amoxicillin.What is the nurse's next action?

Which actions can contribute to bacterial resistance to antibiotics? (Select all that apply.)

The nurse is providing teaching to a patient who will begin taking a cephalosporin to treat an infection.Which statement by the patient indicates a need for further teaching?

The nurse is caring for a patient who is receiving an intravenous antibiotic.The nurse notes that the provider has ordered serum drug peak and trough levels.The nurse understands that these tests are necessary for which type of drugs?

The nurse is preparing to administer the first dose of an antibiotic to a patient admitted for a urinary tract infection.Which action is most important prior to administering the antibiotic?

The nurse is caring for a patient who has recurrent urinary tract infections.The patient's current infection is not responding to an antibiotic that has been used successfully several times in the past.The nurse understands that this is most likely due to

The nurse is preparing to administer an antibiotic to a patient who has been receiving the antibiotic for 2 days after a culture was obtained.The nurse notes increased erythema and swelling,and the patient has a persistent high fever of 39° C.What is the nurse's next action?

A patient is admitted to the hospital for treatment of pneumonia after complaining of high fever and shortness of breath.The patient was not able to produce sputum for a culture.The nurse will expect the patient's provider to order

The nurse is caring for a patient who takes low-dose erythromycin as a prophylactic medication.The patient will begin taking cefaclor for treatment of an acute infection.The nurse should discuss this with the provider because taking both of these medications simultaneously can cause which effect?

The nurse is caring for a patient who is receiving an intravenous antibiotic.The patient has a serum drug trough of 1.5 mcg/mL.The normal trough for this drug is 1.7 mcg/mL to 2.2 mcg/mL.What will the nurse expect the patient to experience?

A patient is receiving high doses of a cephalosporin.Which laboratory values will this patient's nurse monitor closely?

The nurse is teaching a patient who will be discharged home from the hospital to take amoxicillin (Amoxil)twice daily for 10 days.Which statement by the nurse is correct?

The nurse is preparing to give a dose of a cephalosporin medication to a patient who has been receiving the antibiotic for 2 weeks.The nurse notes ulcers on the patient's tongue and buccal mucosa.Which action will the nurse take?

A patient will begin taking amoxicillin.The nurse should instruct the patient to avoid which foods?