A nurse is administering tetracycline, a broad-spectrum antibiotic, to a patient who has acne vulgaris.
The nurse should monitor the patient for which of the following adverse effects of this medication? (Select all that apply.)

Photosensitivity

Tooth discoloration

Hepatic impairment

Superinfection

Bone marrow suppression.

Answer and Explanation

Correct Answer : A,D

Tetracycline can cause photosensitivity, which means increased sensitivity to sunlight and risk of sunburn. It can also cause superinfection, which means overgrowth of resistant bacteria or fungi in the mouth, intestines, or vagina.

Choice B is wrong because tetracycline can cause tooth discoloration in children under 8 years old, not in adults.

Choice C is wrong because tetracycline can cause hepatic impairment only in patients with preexisting liver disease or who take high doses for a long time.

Choice E is wrong because tetracycline can cause bone marrow suppression only in patients with preexisting blood disorders or who take high doses for a long time.

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Correct Answer is B

Explanation

Inappropriate antibiotic use leads to the emergence of resistance.This is a well-established fact that is supported by the CDC and other organizations.Resistance can occur when antibiotics are used unnecessarily, excessively, or incorrectly, and can lead to infections that are harder to treat and more costly.

Choice A is wrong because antibiotic guidelines in critical care do not necessarily reduce the hospital length of stay.Although some studies have suggested that adherence to pneumonia guidelines may improve outcomes in severe pneumonia, other studies have found no significant effect of antibiotic stewardship on hospital length of stay or mortality in critically ill patients.

Therefore, this statement is not universally true.

Choice C is wrong because antibiotic dosing has a significant effect on antimicrobial resistance.Optimal dosing of antibiotics can help eradicate infections, prevent relapse, and minimize the selection of resistant bacteria.Conversely, suboptimal dosing can lead to treatment failure, prolonged infection, and increased resistance.

Therefore, antibiotic dosing should be carefully adjusted according to the pharmacokinetic and pharmacodynamic properties of the drug and the patient.

Choice D is wrong because an antibiotic stewardship programme leads to a decrease in antimicrobial resistance, not an increase.An antibiotic stewardship programme is a coordinated effort to improve and measure the appropriate use of antibiotics by promoting the selection of the optimal drug regimen, dose, duration, and route of administration.Such programmes have been shown to reduce antibiotic consumption, resistance rates, adverse events, and costs in various settings.

Therefore, this statement is false.

A. Take the medication with or without food B. Report any signs of jaundice or dark urine C. Avoid drinking grapefruit juice while taking this medication D. Complete the full course of therapy as prescribed E. Store the medication in a cool and dry place.

Correct Answer is ["B","C","D"]

Explanation

Choice A is wrong because azithromycin (Zithromax) should be takenwith foodto prevent stomach upset.

Choice B is correct because azithromycin can causeliver damageand the client should report any signs ofjaundiceordark urineas they may indicate liver problems.

Choice C is correct because azithromycin can interact withgrapefruit juiceand increase the risk ofside effectssuch as nausea, vomiting, diarrhea, headache and QT interval prolongation.

Choice D is correct because the client shouldcomplete the full course of therapyas prescribed to prevent bacterial resistance and recurrence of infection.

Choice E is wrong because azithromycin should be stored in arefrigeratorand discarded after 10 days if it is in a liquid form.

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A nurse is administering tetracycline, a broad-spectrum antibiotic, to a patient who has acne vulgaris. The nurse should monitor the patient for which of the following adverse effects of this medication? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which statement is true regarding antimicrobial stewardship?

Correct Answer is B

Explanation

A nurse is educating a client who has a respiratory infection and a new prescription for azithromycin (Zithromax). Which of the following instructions should the nurse include? (Select all that apply).

Correct Answer is ["B","C","D"]

Explanation

A nurse is teaching a client who has been prescribed tetracycline, a tetracycline antibiotic, for acne vulgaris. Which of these instructions should the nurse include in the teaching? (Select all that apply.)

The nurse is caring for a patient receiving vancomycin (Vancocin) for treatment of an infection caused by methicillin-resistant Staphylococcus aureus (MRSA). Which assessment finding would indicate a potentially serious adverse reaction to this drug?

Which statement is true regarding narrow spectrum antibiotics?

A nurse is caring for a patient who is receiving gentamicin IV for treatment of endocarditis caused by gram-negative bacteria. Which laboratory value should be monitored closely during gentamicin therapy?

A nurse is caring for a client who is receiving gentamicin, an aminoglycoside antibiotic, for a severe infection. The nurse should monitor the client for which adverse effects of this drug? (Select all that apply.)

A nurse is educating a group of travelers who are going to a region where malaria is endemic. Which of the following antimalarial drugs should the nurse recommend for prophylaxis? (Select all that apply.).

A nurse is caring for a client who has tuberculosis and is prescribed rifampin, an antitubercular drug. The nurse should instruct the client about which potential side effect of rifampin?

A patient has been prescribed azithromycin, a macrolide antibiotic, for a respiratory infection. The nurse should instruct the patient to report which of the following signs or symptoms of a potential adverse effect?

A nurse is administering tetracycline, a broad-spectrum antibiotic, to a patient who has acne vulgaris.
The nurse should monitor the patient for which of the following adverse effects of this medication? (Select all that apply.)