Exam 46: Antimicrobial Agents

The health care provider has prescribed penicillin and probenecid for a patient with a sexually transmitted disease.What is the purpose of combining these medications?

A patient has been receiving home health care and IV antimicrobial therapy for osteomyelitis (infection of the bone) of the lower right leg for the past 4 weeks.What will the nurse assess to evaluate the effectiveness of the antimicrobial agent? (Select all that apply.)

On what is the selection of an antimicrobial agent based?

An older adult with a history of asthma, rhinitis, and no known drug allergies has been admitted to receive IV antimicrobial therapy for bronchitis.The patient has received the oral form of the antimicrobial agent in the past.Which factors increase the risk for an allergic reaction? (Select all that apply.)

Which patient can safely be treated with a fluoroquinolone medication?

The nurse is planning to administer ertapenem IV to a patient in the intensive care unit.When preparing this medication, the nurse will consider reconstituting it with: (Select all that apply.)

Which drug is the cornerstone of treatment for prophylaxis and treatment of tuberculosis (TB)?

Which drugs may reach toxic blood levels if administered with macrolide antibiotics? (Select all that apply.)

A patient allergic to penicillin is being evaluated for a gram-negative infection.Which antimicrobial drug class would the health care provider be cautious in prescribing because of a possible cross sensitivity and/or allergic reaction?

A patient is admitted with glomerulonephritis.IV gentamicin therapy is started after cultures indicate gram negative bacilli in the blood.The patient also receives IV furosemide (Lasix).The nurse will monitor for signs and symptoms of toxicity related to which organ?

Which conditions may occur with the administration of broad spectrum antibiotics over an extended period of time?

What adverse effect may manifest as dizziness, tinnitus, and progressive hearing loss?

Which drug is incompatible with heparin?

An older adult who has septicemia is receiving IV aminoglycoside therapy.Which symptom is most important for the nurse to monitor?

A patient is scheduled to take tetracycline and aluminum hydroxide (Amphojel) at the same time.When will the nurse administer the medications to achieve the optimal effects?

The nurse will monitor patients on cephalosporins and loop diuretics for which adverse effect?

The nurse is caring for a patient being treated with an antimicrobial agent for the diagnosis of a sexually transmitted infection.Which statement made by the patient shows a need for further education?

A patient indicates during the nursing assessment that he is currently taking zidovudine (Retrovir).For which condition is the patient being treated?