Deck 30: Macrolides, Tetracyclines, Aminoglycosides, and Fluoroquinolones

Question 1

The client will be prescribed Achromycin. The nurse anticipates that this medication will be given:

A) with each meal.
B) with extra water.
C) on an empty stomach.
D) one half-hour after meals.

Answer 1

on an empty stomach.

Question 2

The client has been started on Garamycin. She complains to the nurse of changes in her level of hearing. What is the highest priority nursing intervention on the part of the nurse?

A) Restrict fluid intake.
B) Assess for paralytic ileus.
C) Hold the next dose of medication and notify the physician.
D) Monitor urine for sugar.

Answer 2

Hold the next dose of medication and notify the physician.

Question 3

The client has been ordered to be treated with Vibramycin. What effect should the nurse anticipate seeing in the client's laboratory values?

A) Increased serum potassium
B) Decreased serum potassium
C) Increased serum calcium
D) Decreased serum calcium

Answer 3

Decreased serum potassium

Question 4

The client has been prescribed Garamycin. The highest priority nursing intervention related to a life-threatening side effect of the medication is to monitor for:

A) blood pressure changes.
B) decrease in pulse rate.
C) nausea and vomiting.
D) decreased urinary output.

Question 5

The highest priority nursing intervention for the client receiving azithromycin (Zithromax) is to:

A) assess liver enzymes on a regular basis.
B) instruct the client to take the drug on an empty stomach.
C) administer a laxative daily to prevent constipation.
D) administer each dose of medication with antacids.

Question 6

A 7-year-old client is being evaluated for treatment with tetracycline. Which knowledge is most important for the nurse to share with the client and parents about tetracycline?

A) Tetracycline is safe if taken during pregnancy.
B) Tetracycline may cause permanent discoloration to the teeth if taken before age 8 years.
C) Tetracycline causes bone marrow suppression in clients of all ages.
D) Tetracycline should be taken with milk or milk products and antacids to avoid gastrointestinal side effects.

Question 7

The client has been ordered to be treated with tetracycline. He is also being treated with digoxin. The nurse anticipates that, based on the interaction of the two drugs, the client will experience _____ effects of the _____.

A) increased; digoxin
B) increased; tetracycline
C) decreased; digoxin
D) decreased; tetracycline

Question 8

A client is ordered to receive tetracycline. The client reports that she is using oral contraceptives. The nurse's recommendations are based on the fact that when tetracycline is taken with an oral contraceptive, the desired action of the oral contraceptive is:

A) increased.
B) decreased.
C) affected in an unpredictable way.
D) nullified.

Question 9

A client is taking a high dose of azithromycin (Zithromax). The client should be monitored for which adverse reaction?

A) Nephrotoxicity
B) Hepatotoxicity
C) Neurotoxicity
D) Blood dyscrasias

Question 10

A young child is diagnosed with meningitis and is prescribed an aminoglycoside. Based on the potentially toxic effects of the medication, what is the highest priority nursing intervention?

A) Schedule hearing tests and assess of urine output.
B) Assess urine output and bone marrow function.
C) Assess renal and hepatic function.
D) Assess visual acuity and color discrimination.

Question 11

A nurse is administering gentamicin (Garamycin) intravenously to a client. The drug is due to be administered at 2100. The nurse should anticipate that the peak level will be drawn at which time?

A) 2030
B) 2100
C) 2145
D) 2330

Question 12

The client has a hypersensitivity to penicillin. The nurse anticipates that the drug of choice for this client will be:

A) cefuroxime (Ceftin, Zinacef).
B) clindamycin (Cleocin).
C) erythromycin (E-mycin, Ilotycin).
D) gentamicin SO₄ (Garamycin).

Question 13

The client is scheduled to receive a dose of IV tetracycline at 9 PM. At what time should the nurse schedule her peak drug level to be drawn?

A) 9:15 PM
B) 9:45 PM
C) 11:00 PM
D) 11:45 PM

Question 14

The client is being treated with minocycline. The nurse anticipates what dosage schedule for the medication?

A) Coordinated with meals
B) Given once daily
C) Given on an empty stomach
D) Coordinated with bedtime

Question 15

A client has a bacterial infection and is ordered to receive Zithromax. Based on its half-life, the nurse anticipates giving this drug _____ per day.

A) once
B) twice
C) three times
D) four times

Question 16

A client who takes oral hypoglycemics for type 2 diabetes mellitus is diagnosed with a severe infection and is ordered to receive levofloxacin (Levaquin). Based on the interaction of the medications, the highest priority nursing intervention is to frequently assess:

A) complete blood count.
B) BUN and creatinine levels.
C) liver enzymes.
D) serum blood glucose level.

Question 17

A client is to receive erythromycin intravenously. What is the highest priority nursing intervention?

A) Call the physician; the drug should not be given IV.
B) Administer the solution slowly to avoid pain.
C) Administer the solution quickly to prevent infection.
D) Call the pharmacist to verify the correct route.