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pharm chapter 34
Chapter 34
23
Pharmacology
10/31/2011

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Term
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.
Definition
1."Pathogenicity means the bacteria can cause an infection."
2."If just a few bacteria make you sick, this is virulence."
3."Actually, most bacteria will not harm us."
Term
The student nurse asks the nursing instructor for help with her microbiology
class. GThe student is studying bacteria. What does the best plan of the nursing instructor include? Select all that apply.
Definition
1.Spherical-shaped bacteria are called cocci.
2.Gram-staining is one way to identify bacteria.
3.E-coli are gram-negative bacteria.
Term
The client tells the nurse that the doctor told him his antibiotic did not kill his
infection, but just slowed its growth. DThe client is anxious. What is the best response by
the nurse to decrease the client's anxiety?
Definition
"This is okay because your body will help kill the infection too."
Term
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?
Definition
Educating the client about the illness and antibiotic therapy.
Term
The client receives multiple antibiotics to treat a serious infection. What will the
priority assessment of the client by the nurse include?
Definition
Assessing for diarrhea, and difficult or painful urination
Term
The nurse works in infection control and teaches a class to staff nurses about the
ways that resistance to antibiotics can occur. D The nurse evaluates that learning has
occurred when the nurses make which statement?
Definition
"Resistance to antibiotics can occur by the common use of them for nosocomial infections."
Term
The client comes to the emergency department with a fever of 104° F. What will the best plan of the nurse include?
Definition
Plan to obtain blood cultures
Term
The client receives gentamicin (Garamycin) intravenous (IV) in the clinical setting. What is a priority nursing action?
Definition
Monitor the client for hearing loss
Term
The client has MRS A and receives vancomycin (Vancocin) intravenously
(IV).[JThe nurse assesses an upper body rash and decreased urine output. What is the nurse's priority action?
Definition
Hold the next dose of vancomycin (Vancocin), and notify the physician.
Term
The client receives multiple drugs for treatment of tuberculosis. GThe nurse teaches
the client the rationale for multiple drug treatment, and evaluates learning as effective when the client makes which statement?
Definition
"Multiple drugs are necessary because the bacteria are likely to develop resistance to just one drug.
Term
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?
Definition
Inform the client she will need to wait for 30 minutes before leaving the clinic.
Term
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?
Definition
Plan to obtain a throat culture
Term
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?
Definition
"If you stop the medicine early, this could result in damage to your heart."
Term
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?
Definition
"Are you taking birth control pills?"
Term
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?
Definition
"Are you allergic to penicillin?"
Term
Pathogenicity is different than virulence in that pathogenicity can:
Definition
Lead to the ability of organisms to cause infection.
Term
What is the action of bactericidal drugs?
Definition
They will kill the bacteria.
Term
Discharge planning for the client prescribed tetracycline will include which of the following?
Definition
Do not take the medication with milk.
Term
The nurse is caring for a client receiving gentamicin IV. The nurse would observe for adverse effects of:
Definition
Ototoxicity.
Term
Which of the following laboratory tests will be performed to determine whether a specific bacterium is resistant to a specific drug?
Definition
Culture and sensitivity test
Term
The drug that would most likely be used in the treatment of tuberculosis is:

Definition
Isoniazid (INH).
Term
Treatment of tuberculosis usually involves:
Definition
The use of two or more drugs at the same time.
Term
Following surgery, a client is placed on cefotaxine (Claforan). The assessment for possible adverse effects should include observing for:
Definition
Diarrhea.