Gut Health
The nurse is caring for a client who reports having loose, watery diarrhea after taking the prescribed course of antibiotics. The nurse provides patient-teaching that this bacterium is a common cause of antibiotic-associated diarrhea.
What is Clostridioides difficile
A client presents to the clinic with a persistent cough and green sputum. The healthcare provider suspects a bacterial respiratory infection. The nurse suspects that this diagnostic test will ordered to guide antibiotic therapy.
What is a Culture and Sensitivity.
The nurse recognizes that the overuse of antibiotics can lead to this growing global health threat.
What is Antibiotic resistance
A 6-month-old infant presents to the pediatrician's office with white patches on their tongue and the inside of their cheeks. The mother reports the infant has been fussy and refusing to nurse as frequently as usual. Upon examination, the pediatrician notes the characteristic "cottage cheese" appearance of oral candidiasis. The nurse determines this medication is MOST likely to be prescribed for this condition.
What is nystatin.
A nurse prepares to educate the client about a medication that was prescribed to them. The nurse describes the mechanism of action of the medication: It inhibits the enzyme neuraminidase, which may alter virus particle aggregation and release. The client repeated back the name of this medication.
What is Oseltamivir
A client is prescribed a 10-day course of amoxicillin-clavulanate for a sinus infection. The nurse recognizes that a common side effect of antibiotic therapy is disruption of the normal gut flora. The nurse anticipates that this will be also be prescribed.
What is lactobacillus.
The nurse is caring for a client who was prescribed an antibiotic after having a culture and sensitivity test completed. The client calls the clinic and asks the nurse how they should read the results of that test. The nurse educates the client about what the different letters of the results mean.
What are S = susceptibility (what should be used to treat the identified bacteria); R = resistance (will not help treat the identified bacteria); I = indeterminate (may or may not help treat the identified bacteria)
A client comes to the Emergency room with signs of jaundice and complaints of peripheral neuropathy. The client reports being on a new medication. The nurse anticipates that this is the medication the client was started on.
What is isoniazid?
A four year old client receiving chemotherapy for cancer is diagnosed with thrush and is prescribed a medication for it. The nurse prepares patient-teaching for the client and the client's parents. The nurse knows to include these potential medication side effects in the education provided.
What are rash (contact dermatitis or Steven-Johnson syndrome), abdominal issues (which could include nausea, vomiting, diarrhea).
The nurse is preparing to administer morning medications that include erythromycin, ciprofloxacin, and ampicillin. Prior to administering these medications, the nurse considers whether the medication should be given on an empty stomach or be given with food and assesses if the clients meet this criteria.
What is assessing if the client has had anything to eat or drink recently - best on an empty stomach (only with a little food/fluids if it greatly upsets stomach)
A client was recently hospitalized for pneumonia and received a prolonged course of broad-spectrum antibiotics. Several days after discharge, they presents to the clinic with frequent, watery diarrhea, abdominal cramping, and a low-grade fever. The healthcare provider suspects a Clostridioides difficile infection. The nurse anticipates the client will receive a prescription for these medications.
What is Metronidazole or Vancomycin
The nurse is aware that that some antimicrobials are hard on the liver and can cause hepatotoxicity. The nurse recognizes that these labs should be monitored when a client is prescribed those medications.
What are ALT, AST, GGT
ALT 0 to 45 IU/L
AST 0 to 35 IU/L
GGT 0 to 30 IU/L
A client has been receiving an antibiotic for urosepsis. The nurse begins to question the client's hearing. The nurse recognizes these antibiotics may be the cause.
What are Aminoglycoside, Erythromycin, Azithromycin, Clarithromycin, Vancomycin
A pregnant client in her second trimester is diagnosed with HIV. She is prescribed a medication that works by inhibiting viral RNA synthesis by inhibiting the enzyme DNA polymerase (reverse transcriptase). The nurse recognizes the client was prescribed this medication.
What is zidovudine/azidothymidine (AZT).
The nurse is preparing to administer morning medications that include tetracycline, ciprofloxacin, and levofloxacin. The nurse knows that the clients should not have been given foods/fluids/medications that contain these components within the last few hours.
What are calcium, iron, magnesium, aluminum, or zinc as they all decrease absorption of those antibiotics.
A nurse is putting on an educational presentation on c-diff. After researching the topic, the nurse determines these classes of antibiotics have a risk of causing c-diff.
What are Clindamycin, Cephalosporins, Fluoroquinolones, Penicillins, Carbapenems, and Aztreonam
A client is receiving Gentamicin. The nurse understands the importance of monitoring for toxicity. The nurse prioritizes assessing these lab values to assess for this.
What are Creatinine and BUN/ or peak and trough levels
A nurse was caring for a client receiving antibiotics for sepsis. The nurse notes a decrease in urine output and a rise in blood creatinine, BUN, and GFR levels. The nurse determines these antibiotics may be the cause of this.
What are Aminoglycosides, Vancomycin, Beta-lactams (Penicillins, Cephalosporins, aztreonam, Carbapenems), Sulfadiazine, Fluoroquinolones, Tetracyclines.
A pregnant client is being treated for pneumonia. The nurse evaluates the prescribed orders to clarify that none of these antibiotics are ordered.
What are Tetracyclines, Fluoroquinolones, Streptomycin, Sulfonamides, Aminoglycosides
A client is receiving a fluoroquinolone antibiotic for pneumonia. The nurse is aware that there is a black box warning about this drug class and is aware to monitor for these symptoms.
What are Tendinitis and tendon rupture; Peripheral neuropathy; Central nervous system effects; Exacerbation of muscle weakness in clients with myasthenia gravis