Deck 32: Drugs for Bacterial Infections

Question 1

The physician orders penicillin for a female client who has a sinus infection. What is a priority question to ask the client prior to administering the medication?

A) "Do you plan to become pregnant?"
B) "Are you taking birth control pills?"
C) "Are you breast -feeding?"
D) "Are you pregnant?"

Answer 1

"Are you taking birth control pills?"

Question 2

The student nurse asks the nursing instructor for help with her microbiology class. The student is studying bacteria. What does the best plan of the nursing instructor include? Select all that apply.

A) Bacteria are multicellular organisms.
B) E -coli are gram -negative bacteria.
C) Bacteria are either aerobic or anaerobic.
D) Spherical -shaped bacteria are called cocci.
E) Gram -staining is one way to identify bacteria.

Answer 2

E -coli are gram -negative bacteria.
Spherical -shaped bacteria are called cocci.
Gram -staining is one way to identify bacteria.

Question 3

The client has MRSA and receives vancomycin (Vancocin) intravenously (IV). The nurse assesses an upper body rash and decreased urine output. What is the nurse's priority action?

A) Administer an antihistamine, and notify the physician.
B) Obtain a sterile urine specimen, and notify the physician.
C) Obtain a stat X -ray, and notify the physician.
D) Hold the next dose of vancomycin (Vancocin), and notify the physician.

Answer 3

Hold the next dose of vancomycin (Vancocin), and notify the physician.

Question 4

The client comes to the emergency department with a fever of 41° C. What will the best plan of the nurse include?

A) Plan to obtain a sterile urine specimen.
B) Plan to obtain blood cultures.
C) Plan to obtain liver and renal function tests.
D) Plan to obtain a complete blood count (CBC) test.

Question 5

The physician orders cefepime (Maxipime) for a client. What is a priority question for the nurse to ask the client prior to administration of this drug?

A) "Are you pregnant?"
B) "Are you allergic to penicillin?"
C) "Are you allergic to tetracycline?"
D) "Are you breast -feeding?"

Question 6

The client comes to the emergency department complaining of a sore throat. He has white patches on his tonsils, and he has swollen cervical lymph nodes. What will the best plan of the nurse include?

A) Plan to administer a broad -spectrum antibiotic.
B) Plan to administer a narrow -spectrum antibiotic.
C) Plan to obtain a throat culture.
D) Plan to obtain blood cultures.

Question 7

The client tells the nurse that the doctor told him his antibiotic did not kill his infection, but just slowed its growth. The client is anxious. What is the best response by the nurse to decrease the client's anxiety?

A) "This is okay because your infection is not really that serious."
B) "This is okay because your blood work is being monitored daily."
C) "This is okay because your doctor is an infectious disease specialist."
D) "This is okay because your body will help kill the infection too."

Question 8

The client receives gentamicin (Garamycin) intravenous (IV) in the clinical setting. What is a priority nursing action?

A) Monitor the client for hearing loss.
B) Increase the fluids for the client during therapy.
C) Place the client on isolation precautions.
D) Draw daily blood chemistries.

Question 9

The client receives an injection of penicillin G benzathine (Bicillin LA) in the outpatient clinic. What is a priority nursing action by the nurse prior to administering this injection?

A) Inform the client she will need to wait for 30 minutes before leaving the clinic.
B) Tell the client she will need to have someone drive her home.
C) Ask the client if she has ever had an allergic reaction to penicillin.
D) Have the client lie down and assess vital signs before she leaves.

Question 10

The nurse works in infection control and teaches a class to staff nurses about the ways that resistance to antibiotics can occur. The nurse evaluates that learning has occurred when the nurses make which statement?

A) "Resistance to antibiotics can occur by the common use of them for nosocomial infections."
B) "Resistance to antibiotics can occur when physicians prescribe too many of them for elderly clients."
C) "Resistance to antibiotics can occur by the prophylactic use of them for pre -operative clients."
D) "Resistance to antibiotics can occur when physicians prescribe too many of them for children with ear infections."

Question 11

The client receives multiple antibiotics to treat a serious infection. What will the priority assessment of the client by the nurse include?

A) assessing whether or not the client has adequate food and fluid intake
B) assessing blood cultures for the presence of bacteria
C) assessing for diarrhea, and difficult or painful urination
D) assessing renal and liver function tests

Question 12

The nurse works on an infectious disease unit. What is the best understanding of the nurse about the major role of the nurse on this unit?

A) Educating the client about the illness and antibiotic therapy.
B) Monitoring liver and renal function tests.
C) Ensuring that all antibiotic medications are given on time.
D) Ensuring that everyone entering the clients' rooms wash their hands.

Question 13

The client receives multiple drugs for treatment of tuberculosis. The nurse teaches the client the rationale for multiple drug treatment, and evaluates learning as effective when the client makes which statement?

A) "Multiple drugs are necessary because the bacteria are likely to develop resistance to just one drug."
B) "Multiple drug treatment is necessary for me to be able to develop immunity to tuberculosis."
C) "Current research indicates that the most effective way to treat tuberculosis is with multiple drugs."
D) "Treatment for tuberculosis is complex, and multiple drugs must be continued for as long as I am contagious."

Question 14

The nurse plans to teach the client with acquired immune deficiency syndrome (AIDS) about bacterial infections. Which statement describes the best plan of the nurse? Select all that apply.

A) "Pathogens are divided into two classes, bacteria and viruses."
B) "Most bacteria have developed antibiotic resistance."
C) "Actually, most bacteria will not harm us.'
D) "If just a few bacteria make you sick, this is virulence."
E) "Pathogenicity means the bacteria can cause an infection."

Question 15

The client is prescribed amoxicillin (Amoxil) for 10 days to treat strep throat. After 5 days, the client tells the nurse he plans to stop the medication because he feels better. What is the best response by the nurse?

A) "You should get another throat culture if your symptoms return."
B) "You should get another throat culture to see if the infection is gone."
C) "If you stop the medicine early, this could result in resistance to the antibiotic."
D) "If you stop the medicine early, this could result in damage to your heart."