Exam 26: Antibacterials

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 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 female patient who is taking trimethoprim-sulfamethoxazole (TMP-SMZ)(Bactrim,Septra)to treat a urinary tract infection reports vaginal itching and discharge.The nurse will perform which action?

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 give a dose of trimethoprim-sulfamethoxazole (TMP-SMX)and learns that the patient takes warfarin (Coumadin).The nurse will request an order for

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 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 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?

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 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?

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?

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

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

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

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?

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?