Nursing Implications
A client is prescribed cefazloin (Ancef). What is the nurse most concerned about if this client reports an allergy to penicillin?
Anaphylaxis>>>Airway
What is the lab value drawn 1 hour after an IV Vancomycin dose?
Peak
Which class of antibiotics is known to cause anaphylaxis more than any other?
penicillin
What medication, typically given for UTIs, would require the nurse to educate a client on utilizing secondary methods of birth control?
trimethoprim-sulfamethoxazole (Bactrim)
What is the first action by the nurse after receiving an order for oral metronidazole (Flagyl) for a client who is weak, pale, and experiencing frequent foul-smelling diarrhea?
Obtain a stool sample for a C&S
What specific lab will the nurse monitor to determine the effectiveness of vancomycin?
WBC count
What antibiotic is known for causing "red man syndrome"?
Vancomycin
What will the nurse need to instruct the client who wears contacts to do while taking rifampin?
do not use your contacts during treatment due to staining, wear glasses instead
What will the nurse do first if hematuria is observed during am rounds while a client is receiving IV vancomycin?
Stop the Vanc dose.
What lab tests will need to be monitored while a client is taking IV Vancomycin? (besides the peak & trough)
CBC (for blood dyscrasias) & BMP (BUN/Creatinine)
What medication used to treat tuberculosis (TB) is known to cause staining of the teeth?
rifampin
What is a safety topic to include in the discharge plan of an ambulatory client receiving tetracycline?
Protective clothing, sunscreen, and sunglasses
What is the first two things the nurse will do if a client develops dyspnea after starting the initial dose of IV levofloxacin?
Stop the infusion & Raise the HOB
Which lab(s) results will will the nurse review prior to administering prescribed gentamycin to a client?
BUN & Creatinine
What medication will cause acute renal failure if taken after the expiration date?
tetracycline
What is important topic to teach a client being discharged on oral clindamycin about storing the medication?
A client reports to the HCP's office after stopping their newly prescribed rifampin for active TB, what will the nurse do first?
Apply a mask on the client
What lab(s) will the nurse review before administering isoniazid for tuberculosis (TB)?
liver enzymes
Which medication, typically used as a pre-op antibiotic, can only be given IV or IM route?
cefazolin
What work-related education should the nurse provide to a client receiving rifampin?
This medication may cause false drug tests results.