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 medication is known to treat both herpes simplex and genital herpes?
acyclovir (Zovirax)
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 is the lab value drawn prior to an IV Vancomycin dose?
Trough
What medication used to treat tuberculosis (TB) is known to cause staining of the teeth?
rifampin
The nurse will need to educate a client's caregiver on what specific precaution when administering topical acyclovir?
wear gloves when applying this medication
What is the first thing the nurse will do if a client develops dyspnea after starting the initial dose of IV levofloxacin?
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 safety education will the nurse provide to a client receiving acyclovir?
Avoid driving or hazardous tasks until you know how this medication will affect you, as it can cause drowsiness or dizziness.
If a client reports suddenly stopping 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.