levels, auditory abilities, and liver enzymes need not to be evaluated for long-term or short-term therapy. Question 21 1 out of 1 points A patient has been prescribed daptomycin for a complicated skin infection. Which of the following will the nurse advise the patient to report immediately? Response Feedback: The nurse should teach the patient the importance of reporting diarrhea, muscle pain and tingling, and fatigue immediately because these signs and symptoms can indicate potentially severe adverse effects. Nausea and vomiting, palpitations, and abdominal pain are all adverse effects of ciprofloxacin. Question 22 0 out of 1 points Which of the following nursing actions is most important in achieving successful antimicrobial therapy with vancomycin? Response Feedback: The goal of monitoring antibacterial therapy like vancomycin is to maintain the serum drug level within the therapeutic margin; this also ensures safety. Serum blood levels should be monitored for drugs that have a high potential for severe adverse effects. The other options can be broad goals of a general drug therapy that may or may not include an antibacterial drug. Antibiotic doses are not typically tapered down. Question 23 0 out of 1 points A 7-year-old child has tonsillitis and is prescribed penicillin V, which is to be administered at home. The nurse will instruct the parents to administer the drug Response The nurse should instruct the parents to administer penicillin V exactly as prescribed
Feedback: at regular intervals. Penicillin V should be taken on an empty stomach 1 hour before or 2 hours after a meal with a glass of water. Penicillin V should not be taken with meals because food may affect the absorption of the drug. Penicillin V is easy to administer in the home setting; it does not need to be given IV under the supervision of a home health nurse. Question 24 1 out of 1 points A patient is being treated for Mycoplasma pneumoniae pneumonia. She is allergic to penicillin and is being given azithromycin (Zithromax) in capsule form. The nurse will inform the patient that she will need to take the capsule Response Feedback: Because the absorption of azithromycin capsules is decreased in the presence of food, azithromycin capsules should be taken on an empty stomach rather than after a meal. Unlike azithromycin capsules, azithromycin tablets have an increased absorption when given with a meal with high fat content and may be given with or without food. Question 25 0 out of 1 points An immunocompromised cancer patient has developed cryptococcal meningitis and been admitted to the intensive care unit for treatment with amphotericin B. How should the nurse most safely administer this drug? Response Feedback: Amphotericin B should be administered in a central line, if possible, using an in-line filter. The solution should be placed on an infusion pump and delivered over 2 to 4 hours. Amphotericin B is not hung with lactated Ringer's, given by IV direct (IV push) or provided as a constant infusion.
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- Summer '15
- Pharmacology, Week 8 Quiz, Therapeutic effect, Adverse Effect, ciprofloxacin