Question 33 A patient is receiving cefazolin in combination with anticoagulants. To minimize the adverse effects during therapy, the nurse will Response Feedback: The nurse should monitor for bleeding gums when the drug is administered in combination with anticoagulants, because patients who receive oral anticoagulants may experience increased bleeding. Administering the medication with small amounts of food and fluids should help minimize adverse effects of GI distress that occur under normal circumstances. Monitoring the site of injection and continuing therapy until 2 days after the symptoms have resolved would represent good general nursing practice. Question 34 Which of the following is critical to helping prevent development of resistant strains of microbes in patients? Response Feedback: Exposure to an antimicrobial agent leads to the development of resistance, so it is important to limit the use of these agents to the treatments of specific pathogens known to be sensitive to the drug being used. Drug dosages are also important in preventing the development of resistance. However, the duration of drug use is critical to ensure that microbes are completely eliminated and not given the chance to grow and develop resistant strains. It is hard to convince patients that the timing of the dose and length of time they continue to take the drug are important. Patients who stop the drug when they start to feel better encourage the emergence of resistant strains. Question 35 A 72yearold patient is prescribed ophthalmic ciprofloxacin for a bacterial infection in her right eye. The nurse will teach her to observe for which of the following adverse effects of the drug? Response Feedback: Adverse reactions to ophthalmic ciprofloxacin usually involve local effects such as burning or discomfort. Other adverse effects of ophthalmic ciprofloxacin are lid margin crusting, crystals, scales, foreign body sensation, pruritus, conjunctival hyperemia, and a bad taste in the mouth. Increased intracranial pressure and tendon ruptures are 1 out of 1 points 1 out of 1 points 1 out of 1 points 1 out of 1 points
Monday, January 16, 2017 9:05:12 PM EST not identified adverse effects of ophthalmic ciprofloxacin. Nephrotoxicity and neurotoxicity are the primary adverse effects of polymyxin B. ← OK
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