Question 1

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

Accepted Answer

Tetracycline is best absorbed 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?

Accepted Answer

Aminoglycosides cause ototoxicity.

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?

Accepted Answer

Vibramycin usually causes the client to experience a decrease in the serum potassium level.

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:

Accepted Answer

Aminoglycosides are nephrotoxic; therefore, urine output must be evaluated.

Question 5

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

Accepted Answer

This medication is known to cause hepatic damage.

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?

Accepted Answer

Tetracycline can cause teeth discoloration in young children. The other options are not true.

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 _____.

Accepted Answer

The combination of tetracycline along with digoxin may result in an increased effect of the digoxin.

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:

Accepted Answer

Tetracycline decreases the effectiveness of oral contraceptives.

Question 9

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

Accepted Answer

This medication may be hepatotoxic, and liver enzymes must be monitored.

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?

Accepted Answer

Aminoglycosides are nephrotoxic and ototoxic.

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?

Accepted Answer

This is the time that an intravenous dosage of Garamycin would reach its peak level.

Question 12

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

Accepted Answer

Erythromycin is the drug of choice when penicillin is not an option.

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?

Accepted Answer

The peak level of IV tetracycline occurs one half-hour to one hour after the dose is administered.

Question 14

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

Accepted Answer

The absorption of doxycycline and minocycline is improved with food ingestion.

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.

Accepted Answer

The longer half-life allows for daily dosing and shorter duration of medication.

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:

Accepted Answer

Interaction of these two medications may lead to hypoglycemia.

Question 17

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

Accepted Answer

Erythromycin should be given slowly when given IV to avoid pain and the development of phlebitis.

Quiz 30: Macrolides, Tetracyclines, Aminoglycosides, and Fluoroquinolones