Antibiotics
A nurse is reviewing lab results for a patient with a Gram-positive infection. Which structure makes Gram-positive bacteria more susceptible to antibiotics?
Thick peptidoglycan wall
Silver sulfadiazine is used to treat infections from what type of injury?
Burns (2nd and 3rd degree)
The nurse is preparing to administer heparin. Which lab result is most important to check?
aPTT
The adult body is made up of approximately what percent water?
60%
Which vitamin supplement is most important for a woman planning pregnancy?
Folic acid
A patient with a UTI is prescribed sulfamethoxazole/trimethoprim (Bactrim). Which finding requires the nurse to question the order?
A. Allergy to sulfur
B. Urine culture pending
C. Increased WBC count
D. History of mild nausea with antibiotics
A. Allergy to sulfur
What acne drug is Category X and requires 2 forms of birth control?
Isotretinoin (Accutane)
A patient receiving warfarin has an INR of 5.2. Which intervention is priority?
Vitamin K
A patient with cerebral edema is prescribed hypertonic saline. Which solution should the nurse expect to administer?
0.9% NaCl
Which hormone, produced in the kidneys, stimulates RBC production?
Erythropoietin
A patient allergic to penicillin should not be given this antibiotic class.
Cephalosporins
Before prepping skin with povidone-iodine (Betadine), the nurse asks about allergies. Which allergy is most concerning?
What is the black-box warning for thrombolytics like Alteplase?
Risk of severe bleeding
Which finding in a patient with potassium 2.9 mEq/L is most concerning?
Flat T waves on ECG
Which clinical finding is most consistent with pernicious anemia?
Glossy red tongue
The nurse is administering IV vancomycin. After 10 minutes, the patient develops flushing, itching, and redness of the upper body. Which action is most appropriate?
BONUS: What reaction did the patient developed?
Which hair growth drug is systemic, Category X, and unsafe for women to handle?
Finasteride (Proscar)
Enoxaparin injections must be given where, and why keep the air bubble?
Lower abdomen; bubble ensures full delivery
A patient with serum sodium of 128 mEq/L is most at risk for which complication?
seizures
A patient on epoetin alfa has a hematocrit of 56%. What is the priority nursing action?
A. Hold the dose and notify the provider
B. Continue the dose as ordered
C. Administer supplemental iron
D. Increase fluid intake
A. Hold the dose and notify the provider (risk for stroke/MI if Hct too high)
This class has the broadest antibacterial action and must be infused over 60 minutes.
Carbapenems
Which topical medication is used to treat MRSA colonization in the nares?
Mupirocin
A patient is receiving alteplase (tPA) for a stroke. Which finding requires immediate intervention?
Sudden confusion and slurred speech (signs of intracranial bleed)
A patient receiving albumin should be closely monitored for which complication?
Pulmonary edema
Epoetin alfa is ineffective without what two body resources?
Adequate iron stores and bone marrow function