Deck 44: Antibiotics Part 2: Aminoglycosides, Fluoroquinolones, and Other Drugs

Question 1

When administering vancomycin (Vancocin),what important information should the nurse keep in mind?

A)It is ineffective in the treatment of MRSA.
B)It should be infused over at least 30 minutes.
C)Fluids should be restricted during vancomycin therapy.
D)Infuse the drug over 1 hour to reduce red man syndrome.

Answer 1

Infuse the drug over 1 hour to reduce red man syndrome.

Question 2

What is the main advantage of levofloxacin (Levaquin)over other quinolones?

A)Once-daily dosing
B)Twice-daily dosing
C)A more potent anti-infective effect
D)Fewer adverse effects

Answer 2

Once-daily dosing

Question 3

When a patient is on gentamicin therapy,what symptoms or laboratory results could indicate a potentially serious toxicity?

A)Skin rash and fever
B)A peak level of 7 mcg/mL
C)Tinnitus and hearing loss
D)Decreased blood urea nitrogen (BUN) and creatinine levels

Answer 3

Tinnitus and hearing loss

Question 4

Which medication is commonly prescribed to treat recurrent pulmonary infections associated with cystic fibrosis?

A)gentamicin sulphate
B)tobramycin
C)amikacin sulphate
D)norfloxacin (Apo-Norflox)

Question 5

When patients are taking aminoglycosides,which are potent antibiotics,which laboratory result must the nurse carefully monitor?

A)Alanine aminotransferase (ALT)
B)Glycosylated hemoglobin
C)Serum creatinine
D)Aspartate aminotransferase (AST)

Question 6

Which laboratory value is sometimes increased by quinolones?

A)BUN levels
B)Creatinine levels
C)ALT levels
D)Glucose levels

Question 7

A patient who has been hospitalized for 2 weeks has developed a pressure ulcer that contains methicillin-resistant Staphylococcus aureus (MRSA).Which antibiotic does the nurse expect will be chosen for his therapy?

A)penicillin
B)nitrofurantoin (MacroBID)
C)vancomycin (Vancocin)
D)Quinupristin/dalfopristin (Synercid)

Question 8

The nurse is administering aminoglycoside therapy.For which signs of toxicity does the nurse closely monitor the patient? (Select all that apply.)

A)Electrocardiogram changes
B)Urinary casts
C)Hearing loss
D)Dizziness
E)Blood dyscrasias
F)Increased BUN levels
G)Jaundice
H)Proteinuria

Question 9

Metronidazole (Flagyl)is widely used for which type of infection?

A)Skin infection
B)Gynecological infection
C)Aerobic infection
D)Respiratory infection

Question 10

Which nursing diagnosis is appropriate for the patient who has started aminoglycoside therapy?

A)Constipation
B)Risk for injury (hearing loss)
C)Disturbed body image related to gynecomastia
D)Imbalanced nutrition, less than body requirements, related to nausea