Analysis Fun
Nurses understand to obtain a culture and sensitivity prior to starting an antibiotic, provide education on proper way to take antibiotic, and understand the difference between narrow and broad spectrum antibiotics. By following these practices, what are they helping?
What is preventing resistance?
A client has been prescribed an antibiotic for their wound infection. The client reports a history of having diarrhea from antibiotics and asks if there is anything they can do to help with this issue. What might the nurse suggest?
What is take an probiotic like lactobacillus?
A client starts to stand up to head to the bathroom, as they have been having diarrhea. With the position change, the client feels light-headed and dizzy. They sit back down and put on their call light. What medication does the nurse suspect caused this side effect?
What is loperamide?
The nurse is preparing to administer the client's omeprazole with the morning medications. As the nurse enters the room, they note the client is eating breakfast. Ideally, is it best to administer this medication with food or on an empty stomach?
What is on an empty stomach? This is a PPI.
A client asks the nurse what constitutes constipation and how they can prevent it. The nurse includes what information in their patient-teaching?
What is constipation can look like 2 bowel movements in a week with abdominal cramping; ways to prevent it can include drinking at least 6-10 glasses of fluids/day, increase dietary fiber (beans, legumes, berries), and increase exercise to promote bowel motility?
When looking at lab results, what terminology would the nurse look for to determine if an antibiotic is appropriate and which is not?
What is susceptible is ideal and resistance will not help?
The nurse recognizes that there are two drug classes of antibiotics that are cross-sensitive to each other. What does this mean and what are the two drug classes?
What is that sensitivity to one drug class may render an individual sensitive to the other drug class - allergy to one can mean an allergy to another. The two classes are penicillin (like amoxicillin) and cephalosporins (like cephalexin)?
A client comes in reporting nausea, vomiting, abdominal pain and a rash to abdomen and back areas. The client also reports recently starting a new medication that they apply to their skin folds. The nurse recognizes that the client may be having side effects to what medication?
What is nystatin?
A visiting home health nurse discovers that their client with newly diagnosed heart failure, cannot afford their medications, lives in an apartment without a working refrigerator, and has no reliable transportation to get to follow-up appointments. Collectively, these non-medical conditions in which people are born, grow, live, work, and age are known as what?
What are Social Determinates of Health?
A client asks the nurse "What is the best way to take psyllium and what will it help with"? What would the nurse include in their explanation?
What is psyllium is a bulk forming laxative that can be helpful for both constipation and diarrhea; the best way to take it to mix it in 8 ounces of fluid and drink right away, followed by some plain liquids?
A client calls into the clinic reporting continued symptoms of illness that they were put on antibiotics for. They want to know what they should do next. What should the nurse ask the client and do?
What is: Ask the client if they have been taking the drug as prescribed, are they taking any over the counter medications, and check the culture and sensitivity?
A client called the office with reports of an upset stomach and diarrhea that they have been taking a medication for. The client reports that after starting the medication, their stool and tongue have both been blackened. The nurse recognizes that the medication the client has been taking is _______ and the client ____ (can or cannot) continue taking. What would be a definite reason not to take this drug?
What is bismuth subsalicylate and the client CAN continue taking?
What is an aspirin allergy?
A client puts on their call light about 15 minutes after the nurse started an IVPB antibiotic infusion. The client reports noting an itchy red rash on their chest and arms. The nurse comes into the room and also notices that the client looks flushed in the face. What medication was most likely infusing?
What is vancomycin?
A nurse reads a prescription for a client with GERD: "Omeprazole 20 mg once daily before breakfast." The nurse notes what "right" is missing from the prescription?
What is the right route?
A client was given ondansetron for their nausea and vomiting. What side/adverse effects does the nurse know to monitor for?
What are cardiac rhythm changes, constipation, diarrhea, headache, Stevens Johnson Syndrome, and serotonin syndrome?
A nurse working on the medical floor is taking care of a number of clients receiving antibiotics. The nurse notices that they will be giving vancomycin and gentamicin as some of the medications that are due. What may need to be checked prior to administering those medications?
What is a peak and/or trough?
A nurse is preparing to administer cephalexin to a client with a urinary tract infection. For what diagnoses would the nurse question giving this medication?
What is multiple episodes of diarrhea as the stool may need to be tested for C-diff?
A nurse notices that one the clients seems to be turning up the sound on their TV. What medication(s) does the nurse suspect may be causing ototoxicity?
What is gentamicin, vancomycin, or erythromycin?
While reviewing the MAR, the nurse realizes they administered a full dose of bisacodyl to the wrong client. What is the first action the nurse must take according to nursing standards and the nursing process?
What is go and the assess the client?
A client reports that they have both bismuth subsalicylate and polyethylene glycol 3350 at home but are not sure what they are for, when they should take them and when they should stop taking them. What information does the nurse include in the patient-teaching?
What is that bismuth subsalicylate is for upset stomach, nausea, and diarrhea as it is an antidiarrheal medication that should be stopped when having formed stools; polyethylene glycol 3350 is an osmotic laxative that pulls in water to soften the stool with being a stimulant that is for constipation and should be stopped if start to have diarrhea?
A nurse is caring for a client with tuberculosis. The client has been taking isoniazid for a few weeks. The nurse observes yellowing of the skin and sclera, darkened urine and pale stools. The nurse calls the provider and asks for what lab to be drawn? What results would they expect to see?
What is liver function labs like ALT, AST, and/or GGT?
What is they would expect to see elevated results. Within normal limits would include: 7 to 56 U/L (ALT); 8 to 33 U/L (AST) and 5 to 40 U/L (GGT)?
A nurse is preparing to administer vancomycin to a client who has been diagnosed with c-diff. In what situations would the nurse question giving that medication?
What is decreased urine output (thinking possible nephrotoxicity) or difficulty with hearing (thinking ototoxicity)?
The nurse assess this to understand the client's capacity to obtain, process, and understand basic health information and services needed to make appropriate healthcare decisions in an attempt to improve client safety, prevent medication errors, and ensure comprehension of discharge instructions.
What is Health Literacy?
A client is newly prescribed famotidine and has many questions regarding the medication. One of those questions is if this medication will help their constipation. What information does the nurse include in their patient-teaching?
What is this medication is not for constipation, it will help heartburn and GERD as it decreases the production of hydrochloric acid and blocks histamine's action; it should be taken before eating; smoking could interfere with it and kidney disease can have an effect on lengthening half life?
A post-operative client is receiving scheduled doses of morphine and now requests an extra dose, stating their pain scale is a 10/10 despite showing no physiological signs of distress. The nurse recognizes this drug is a controlled substance. What must the nurse prioritize alongside continued pain management?
What is monitoring for dependency and/or abuse, as well as tolerance (if there is a history of opioid use for chronic pain)?