Antibiotics & Infection Control
This antibiotic is the treatment of choice after anthrax exposure.
What is ciprofloxacin?
Rationale:
Ciprofloxacin prevents systemic anthrax infection and is the recommended therapy after exposure.
A client taking vancomycin should report this adverse effect immediately.
What are hearing changes or tinnitus?
Rationale:
Vancomycin can cause ototoxicity leading to permanent hearing damage.
Methotrexate for rheumatoid arthritis is typically taken this often.
What is once weekly?
Rationale:
Daily dosing can cause severe toxicity.
Eye drops should be placed in this area of the eye.
What is the conjunctival sac?
Rationale:
Instilling drops here prevents injury and improves absorption.
This medication is contraindicated in a child with a penicillin allergy.
What is amoxicillin-clavulanate?
Rationale:
Clients allergic to penicillin are considered allergic to all penicillin derivatives.
Prophylactic antibiotics are NOT recommended for this condition.
What is a fever of unknown origin?
Rationale:
Prophylactic antibiotics are used for prevention in high-risk procedures, not unexplained fevers.
A nurse should do this first if a client says a pill looks different.
What is ask the client to describe the usual pill?
Rationale:
Medication verification is essential before administration
This finding indicates prednisone is effective for rheumatoid arthritis.
What is improved range of motion?
Rationale:
Prednisone reduces inflammation and joint pain.
Taking diphenhydramine at this time can reduce daytime sedation.
What is bedtime?
Rationale:
Sedation is a common adverse effect.
Clients taking prednisone long term should monitor for this metabolic complication.
What is hyperglycemia?
Rationale:
Prednisone raises blood glucose levels.
Clients taking azithromycin should report this finding immediately.
What is yellowing of the skin or eyes?
Rationale:
May indicate liver toxicity.
This medication is the FIRST priority during anaphylaxis.
What is epinephrine?
Rationale:
Epinephrine reverses airway swelling and hypotension rapidly.
Etanercept is administered by this route.
What is subcutaneous injection?
Rationale:
Etanercept is a biologic DMARD given weekly SQ.
Rifampin commonly causes this harmless body fluid discoloration.
What is orange-red urine and secretions?
Rationale:
Clients should be taught this expected effect.
This statement shows correct understanding of amoxicillin-clavulanate teaching.
What is “I can take this medication with food”?
Rationale:
Food helps decrease GI upset.
This classic influenza manifestation includes fever, chills, and muscle aches.
What is sudden onset flu-like symptoms?
Rationale:
Influenza commonly causes abrupt systemic symptoms including fatigue and myalgia.
This infant position increases aspiration risk during oral medication administration.
What is the supine position?
Rationale:
Infants should be semi-upright during medication administration.
This medication is considered a conventional DMARD.
What is methotrexate?
Rationale:
Methotrexate slows RA disease progression.
This anticholinergic adverse effect commonly occurs with antihistamines.
What is dry mouth?
Rationale:
Antihistamines decrease secretions.
This common erythromycin adverse effect often improves when the drug is taken with food.
What is nausea and vomiting?
Rationale:
GI upset is common with erythromycin therapy.
For a 2-year-old receiving eardrops, pull the auricle in this direction.
What is down and backward?
Rationale:
Straightens the ear canal in young children.
This manifestation is classic for salicylism.
What is tinnitus?
Rationale:
Ringing in the ears commonly occurs with aspirin toxicity.
Clients taking allopurinol should drink approximately this much fluid daily.
What are 3 quarts (3000 mL)?
Rationale:
Hydration prevents kidney stone formation.
This manifestation after IV ampicillin requires immediate intervention.
What is wheezing?
Rationale:
Wheezing indicates airway compromise from anaphylaxis.
This calcineurin inhibitor helps prevent kidney transplant rejection.
What is voclosporin?
Rationale:
Calcineurin inhibitors suppress immune response.
Dextromethorphan is contraindicated in clients taking this medication type.
What are SSRIs?
Rationale:
Combining them increases serotonin syndrome risk.
Guaifenesin is indicated for this respiratory manifestation.
What is chest congestion with thick mucus?
Rationale:
Guaifenesin loosens secretions to improve airway clearance.
After taking alendronate, clients should remain upright for this amount of time.
What is 30 minutes?
Rationale:
Prevents esophageal irritation and esophagitis.
Corticosteroids help asthma and COPD by doing this.
What is reducing airway inflammation and mucus production?
Rationale:
This improves airflow and symptom control.
This antidote is used for acetaminophen overdose.
What is acetylcysteine?
Rationale:
Protects the liver by replenishing glutathione.