A nurse is teaching a group of nurses about the importance of prophylactic antimicrobial therapy. Which information should the primary nurse include in the teaching? (Select All That Apply).

Administer a prophylactic antimicrobial therapy to clients after being diagnosed with a respiratory infection.

Instruct clients who have a prosthetic heart valve about the need for prophylactic antimicrobial therapy before dental work.

Instruct clients to request prophylactic antimicrobial therapy when they have an upper respiratory infection.

Administer a prophylactic antimicrobial therapy to clients who are having an orthopedic surgery.

Answer and Explanation

Correct Answer : B,D

A. Incorrect: Prophylactic antibiotics are not given for a diagnosed respiratory infection. Instead, targeted treatment based on the pathogen is used.

B. Correct: Clients with prosthetic heart valves need prophylactic antibiotics before dental procedures to prevent infective endocarditis.

C. Incorrect: Upper respiratory infections are often viral, and antibiotics are not routinely needed.

D. Correct: Clients undergoing orthopedic surgery may require prophylactic antibiotics to prevent surgical site infections.

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Correct Answer is C

Explanation

A. Incorrect: Shortened QT interval is not associated with this type of medication.

B. Incorrect: Sedation is not a known side effect of antibiotics used for cervicitis.

C. Correct: Ototoxicity (manifesting as hearing loss, vertigo, and tinnitus) is a potential adverse effect of macrolide antibiotics like azithromycin, which is commonly prescribed for cervicitis.

D. Incorrect: Hepatotoxicity can occur with some medications but does not typically present with hearing loss, vertigo, and tinnitus.

A. 1130 B. 1100 C. 1000 D. 1030

Correct Answer is D

Explanation

A. Incorrect: 1130 is too late for an accurate peak level.

B. Incorrect: 1100 is later than necessary for a peak level.

C. Incorrect: 1000 is when the infusion ends, but the drug has not yet reached peak levels in the blood.

D. Correct: Gentamicin peak levels are typically measured 30 minutes after the infusion is completed. Since the infusion starts at 0900 and runs for 60 minutes (until 1000), the peak level should be drawn at 1030.

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A nurse is teaching a group of nurses about the importance of prophylactic antimicrobial therapy. Which information should the primary nurse include in the teaching? (Select All That Apply).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

Explanation

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?

Correct Answer is D

Explanation

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.)

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?

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A nurse is caring for a client with a new diagnosis of herpes zoster. Which of the following medications should the nurse anticipate providing to this client?

Which of the following medications are considered antibiotics to treat infections? (Select All that Apply)

A nurse is teaching a client about the manifestations of urinary tract infection. Which of the following tests is needed to determine which microorganism is causing the infection?

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