Question

B) D) A nurse manager is providing an educational program on antibiotie sensitivity to bacterial infections. The mure show include in the teaching that vancomycin is indicated for which of the following infections? Pseudomonas aeruginosa Klebsiella Candida Methicillin-resistant Staphylococcus aureus A nurse is caring for a client who has streptococcal pneumonia and a prescription for penicillin G by intermittent IV bolus. 10 minutes into the infusion of the third dose, the client reports that the IV site itches and that he feels dizzy and short of breath. Which of the following actions should the nurse take first? A) Stop the infusion. B) Call the client's provider. c) Elevate the head of the bod. D) Auscultate the client's breath sounds. A nurse is caring for a child who is allergic to penicillin. The nurse should verify which of the following prescriptions with the provider? Amoxicillin-clavulanate Gentamicin Erythromycin Amphotericin B B) 14. The nurse is caring for a patient who is starting a long-term course of Azithromycin for management of COPD. Which of the following complications will the RN monitor for? A. Ototoxicity B. Diarrhea C. Tendon rupture D. QT prolongation A nurse is teaching a client who has chronic kidney disease and a new prescription for epoetin alfa. The nurse should instruct the client to increase dietary intake of which of the following substances? A) Iron B) C) D) Protein Potassium Sodium

Answer 1

11) The correct option is - D Methicillin resistant staphylococcus aureus. Vancomycin belongs to glycopeptide class of antibiotics. It is the choice of drug for Methicillin resistant staphylococcus aureus and also for many gram positive bacteria. It is ineffective against pseudomonas, gram negative bacteria(e.g Klebisiella sps.) and fungal species(Candida sps.) so options A, B and C are incorrect.

12)The correct option is - A Stop the infusion. The first step to be taken when a patient complains any allergic reactions during an infusion is to stop the infusion as this will prevent the further entry of the drug into the patient. Calling the patient's provider is required but it is not the first step as it takes time and the patient's condition can get worse meanwhile. Elevating the bed and auscultating the breath sounds should be done right after stopping the infusion.

13)The correct option is - A. Amoxicillin-clavulanate. As amoxicillin belongs to penicillin like antibiotics class of drugs. B- gentamycin belongs to aminoglycosides, so it is safe in this child, C - erythromycin belongs to macrolide class of antibiotics and amphotericin B is antifungal which are safe in this patient.

14)The correct option is - D Azithromycin on long term use can cause QT Prolongation and one should always monitor for it. Diarrhea is a common side effect caused by azithromycin but it is not a complication,ototoxicity is caused by aminoglycosides like amikacin, gentamycin etc. Tendon rupture is caused by fluoroquinolones like ofloxacin, levofloxacin etc.So options A,B,C are incorrect.

15)The correct option is - A CKD patients have renal anemia and most of them have iron deficiency anemia so prescribing oral or iv iron is recommened in CKD patients. Potassium, sodium and protein are not recommended in CKD patients as they are hard for kidneys to excrete.