Bethanechol
Metronidazole
Vancomycin
Levofloxacin
100

What is a drug class of Bethanchol?

What is Cholinergic? 

100

What are the therapeutic actions for Metronidazole? 

What is elminates parasites, reduces symptoms of infection and anaerobic bacteria? 

100

What type of bacteria does vancomycin target?

What is gram-positive bacteria? 

100

What antibiotic class is levofloxacin apart of? 

What is fluoroquinolone?

200

What should your patient report to a hospital specialist? (name 2)

What is Wheezing, SOB, Excessive sweating, Drooling and Diarrhea? 

200

What are side effects of metronidazole? (Name 3)

What is N/V, loss of appetite, metallic taste, diarrhea, headache and dry mouth?

200

What antibiotic class is vancomycin?

What is glycopeptide?

200

What is a serious black box warning associated with levofloxacin?

What is risk of tendon rupture?

300

What are contradictions of Bethanechol? (name 2)

What is Blocked Urinary tract, stomach ulcer and recent bladder and GI surgery ? 

300

What should patients avoid when taking metronidazole? 

What is Alcohol? 

300

What lab values should be monitored to evaluate kidney function?

What is BUN and creatinine? 

300

T or F Patient can lay down immediately after taking it?

What is False? (patients should be sitting upright for 30 min after taking)

400

What chemical messenger does bethanechol mimic? 

What is Acetylcholine? 

400

T or F

Can a pregnant woman take metronidazole?

What is False? 

400

What is vancomycin primary mechanism of action? 

What is inhibits cell wall synthesis(kills bacteria)?

400

What advice should be given to patients about sun exposure while taking levofloxacin?

What is use sunscreen, avoid sun exposure? (increases the risk of photosensitivity)

500

A nurse is preparing to administer bethanechol to a client with postoperative urinary retention. Which of the following findings would require the nurse to hold the medication and notify the provider?

A. Blood pressure 148/86 mm Hg
B. Heart rate 52 beats per minute
C. Reports of dry mouth
D. Urine output of 150 mL in the last 4 hours

What is B. Heart rate of 52bpm? 

Rational: 

  • Bethanechol is a direct muscarinic agonist, which increases parasympathetic activity.
  • This can lead to Bradycardia
500

A nurse is providing discharge teaching to a client prescribed metronidazole for an anaerobic infection. Which of the following statements by the client indicate a need for further teaching?

A. “I will avoid alcohol while taking this medication.”
B. “I may notice a metallic taste in my mouth.”
C. “I can stop taking the medication once I feel better.”
D. “My urine may appear dark while on this drug.”
E. “I should report numbness or tingling in my hands or feet.”

What is C. "I can stop taking the medication once I feel better."

Rational:The full course must be completed to prevent treatment failure and resistance.

500

T or F Vancomycin can be infused rapidly?

What is false? (should be infused over 60 min.)

500

What should a patient report if they are taking levofloxacin?

What is new muscle pain? 

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