Exam 30: Macrolides, Tetracyclines, Aminoglycosides, and Fluoroquinolones

A female patient who is allergic to penicillin will begin taking an antibiotic to treat a lower respiratory tract infection.The patient tells the nurse that she almost always develops a vaginal yeast infection when she takes antibiotics and that she will take fluconazole (Diflucan)with the antibiotic being prescribed.Which macrolide order would the nurse question for this patient?

The nurse is caring for a 70-kg patient who is receiving gentamicin (Garamycin)85 mg 4 times daily.The patient reports experiencing ringing in the ears.The nurse will contact the provider to discuss

The nurse is preparing to administer clarithromycin to a patient.When performing a medication history,the nurse learns that the patient takes warfarin to treat atrial fibrillation.The nurse will perform which action?

The nurse is preparing to administer intravenous gentamicin to an infant through an intermittent needle.The nurse notes that the infant has not had a wet diaper for several hours.The nurse will perform which action?

The nurse is caring for several patients who are receiving antibiotics.Which order will the nurse question?

The nurse is caring for a patient who will begin taking doxycycline to treat an infection.The nurse should plan to give this medication

A patient is diagnosed with mycoplasma pneumonia.Which antibiotic will the nurse expect the provider to order to treat this infection?

The nurse is preparing to begin a medication regimen for a patient who will receive intravenous ampicillin and gentamicin.Which is an important nursing action?

The nurse caring for a patient who will receive penicillin to treat an infection asks the patient about previous drug reactions.The patient reports having had a rash when taking amoxicillin (Amoxil).The nurse will contact the provider to

The nurse is preparing to give a dose of oral clindamycin (Cleocin)to a patient who is being treated for a skin infection caused by Staphylococcus aureus.The patient has had several doses of the medication and reports having nausea.Which action will the nurse take next?

The nurse is providing discharge teaching for a patient who will receive oral levofloxacin (Levaquin)to treat pneumonia.The patient takes an oral hypoglycemic medication and uses over-the-counter (OTC)antacids to treat occasional heartburn.The patient reports frequent arthritis pain and takes acetaminophen when needed.Which statement by the nurse is correct when teaching this patient?

The nurse is reviewing a patient's chart prior to administering gentamycin (Garamycin)and notes that the last serum peak drug level was 9 mcg/mL and the last trough level was 2 mcg/mL.What action will the nurse take?

The nurse is caring for a patient who is receiving a high dose of intravenous azithromycin to treat an infection.The patient is also taking acetaminophen for pain.The nurse should expect to review which lab values when monitoring for this drug's side effects?

The nurse provides home care instructions for a patient who will take a high dose of azithromycin after discharge from the hospital.Which statement by the patient indicates understanding of the teaching?

The nurse assumes care for a patient who is currently receiving a dose of intravenous vancomycin (Vancocin)infusing at 20 mg/min.The nurse notes red blotches on the patient's face,neck,and chest and assesses a blood pressure of 80/55 mm Hg.Which action will the nurse take?

The nurse is caring for a patient who is receiving a high dose of tetracycline (Sumycin).Which laboratory values will the nurse expect to monitor while caring for this patient?

A female patient will receive doxycycline to treat a sexually transmitted illness (STI).What information will the nurse include when teaching this patient about this medication?

The nurse is caring for a 7-year-old patient who will receive oral antibiotics.Which antibiotic order will the nurse question for this patient?