Antimicrobial
Herbal Supplements
Substance Abuse
100

If a patient has a penicillin allergy, the nurse understands that the patient may have a possible cross-sensitivity and/or allergy to what other antibacterial drug class?

Cephalosporins

100

Black cohosh can be used for

the reduction of premenstrual syndrome symptoms

100

This screening tool is used to measure adolescent alcohol use and misuse.  

Adolescent Alcohol Involvement Scale (AAIS)

200

Your 78-year old patient who has septicemia is receiving IV aminoglycoside therapy. What adverse effect is most important for the nurse to monitor? What symptoms may the patient exhibit?

Ototoxicity - dizziness, tinnitus, and progressive hearing loss

200

This herbal medication may improve a patient's short term memory loss and cognitive function.

Ginkgo biloba extract
200

Your patient is taking daily disulfiram (Antabuse) for his chronic alcoholism. What should he avoid?

alcohol

300

This is the basis on which antimicrobial agents are selected.

Sensitivity of the microorganism

300

This dietary supplement must be used with extreme caution in patients taking platelet inhibitors.

Garlic

300

This effect will occur if a patient being treated with naltrexone (ReVia) for substance abuse ingests opioids or alcohol.

An absence of the "high" associated with drugs.

400

Your patient is scheduled to receive tetracycline and aluminum hydroxide (Amphojel) at the same time. The nurse understands the tetracycline should be scheduled ____ hour/s before or ___ hour/s after their aluminum hydroxide?

For optimal effectiveness, tetracyclines should be administered 1 hour before or 2 hours after ingesting antacids, milk, or other dairy products or products containing calcium, aluminum, magnesium, or iron. Taking the drugs this closely together will most likely inhibit absorption of the antibiotic. Tetracycline does not tend to interact with orange juice, but the beverage may be contraindicated in a patient who needs to take antacids.

400

This herb is used to stimulate the innate immune system.

Echinacea

400

This would be a first priority problem in the patient withdrawing from cocaine.

self-directed violence

500

This can occur with the use of broad-spectrum antibiotics over an extended period of time.

Secondary infections

500

Your diabetic patient reports they are taking an aloe juice drink to treat their constipation. Which potential adverse reaction should you prioritize when assessing your patient.

Blood glucose monitoring

Blood glucose would be the priority because when aloe is taken orally, it may have hypoglycemic effects.

500

This effect occurs when a patient has ingested alcohol with disulfiram (Antabuse).

Severe vomiting

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