A nurse is caring for a client who is prescribed via intravenous (IV) route to treat a bacterial infection. The nurse understands that cefepime is a cephalosporin. and each generation of this medication class is more likely to reach the cerebrospinal fluid and is more effective against gram-negative organisms and anaerobes. What generation of cephalosporin is cefepime?

Second

Fourth

First

Third

Answer and Explanation

The Correct Answer is B

A. Incorrect: Second-generation cephalosporins (e.g., cefuroxime) have moderate gram-negative coverage but do not penetrate the cerebrospinal fluid (CSF) as effectively.

B. Correct: Cefepime is a fourth-generation cephalosporin with broad-spectrum activity, better gram-negative coverage, and improved CSF penetration.

C. Incorrect: First-generation cephalosporins (e.g., cephalexin) mainly target gram-positive bacteria.

D. Incorrect: Third-generation cephalosporins (e.g., ceftriaxone) have better gram-negative coverage but less resistance to β-lactamases compared to fourth-generation cephalosporins.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

A. Correct: Cefepime is a fourth-generation cephalosporin that is highly effective against gram-negative bacteria and can penetrate the blood-brain barrier to treat meningitis and other CNS infections.

B. Incorrect: Isoniazid is used for tuberculosis, not for gram-negative bacterial infections.

C. Incorrect: Acyclovir is an antiviral, not an antibiotic.

D. Incorrect: Metoprolol is a beta-blocker used for hypertension and cardiac conditions, not for infections.

A. Incorrect: Hemorrhage is not associated with isoniazid. B. Correct: Isoniazid can cause peripheral neuropathy due to vitamin B6 (pyridoxine) deficiency. Clients experiencing numbness and tingling should be assessed for neuropathy and may need pyridoxine supplementation. C. Incorrect: Achilles tendon rupture is a complication of fluoroquinolones, not isoniazid

Correct Answer is D

Explanation

A. Incorrect: Achilles tendon rupture is not a complication of trimethoprim-sulfamethoxazole.

B. Incorrect: Abstinence syndrome (withdrawal symptoms) occurs with opioid dependence, not antibiotics.

C. Incorrect: Hypokalemia is not associated with this medication.

D. Correct: Trimethoprim can cause hyperkalemia by decreasing potassium excretion, especially in older adults or those with kidney disease.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a cerebrospinal fluid infection with gram-negative bacteria. Which of the following cephalosporins should the nurse expect to administer via the intravenous (IV) route to treat this infection?

Correct Answer is A

Explanation

A. Incorrect: Deep vein thrombosis (DVT) is not a known complication of isoniazid.

Correct Answer is D

Explanation

A nurse is caring for a client who is prescribed with azithromycin for pertussis. Which of the following is a complication of this medication that can cause cardiac dysrhythmias?

A nurse is teaching a client who is beginning a course of metronidazole to treat a sexually transmitted infection (STI). Which of the following responses by the nurse should be included in the client education of this medication?

A nurse is caring for a client who has been prescribed isoniazid for tuberculosis for three weeks. The client reports a numbness and tingling sensation in the lower extremities. Based on the client’s presenting symptoms, which of the following is a complication of this medication?

A nurse is caring for a client who is prescribed with for cervicitis. The client has been taking this medication for one week and noted hearing loss, vertigo, and tinnitus. Based on the client's signs and symptoms, which of the following is a complication of this medication?

A nurse is administering gentamicin by intravenous (IV) route at 0900. The medication will take 60 minutes to infuse. When should the nurse obtain a blood sample for a peak blood level of gentamicin?

A nurse is caring for a client who is starting a course of gentamicin IV for a bacterial infection. Which of the following is the correct expected pharmacological action for this medication?

A nurse is implementing a plan of care for a client who has a cough with sputum. The nurse suspects that the client has a respiratory infection. What is the nurse's priority?

The nurse is caring for a client who is prescribed to treat acne vulgaris. Which Of the following Options are complications of this medication? (Select All That Apply.)