The nurse is preparing to administer the first dose of an antibiotic to a patient admitted for pneumonia. What is the most important action to take prior to administering the antibiotic?

Collect a urine sample.

Ensure the patient is on a cardiac monitor.

Collect a blood culture sample.

Check baseline vital signs, including temperature.

Answer and Explanation

The Correct Answer is C

Choice A rationale
While collecting a urine sample can be important in diagnosing certain conditions, it is not the most important action to take prior to administering an antibiotic for pneumonia.
Choice B rationale
Ensuring the patient is on a cardiac monitor is not the most crucial action prior to administering an antibiotic for pneumonia. While it’s important to monitor the patient’s vital signs, it’s not specifically related to the administration of antibiotics.
Choice C rationale
Collecting a blood culture sample is the most important action to take prior to administering an antibiotic for pneumonia. This is to identify the specific bacteria causing the infection, which can help in selecting the most effective antibiotic.
Choice D rationale
Checking baseline vital signs, including temperature, is important but not the most crucial action prior to administering an antibiotic for pneumonia. It’s part of the overall assessment but does not directly impact the choice or effectiveness of the antibiotic.

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Correct Answer is A

Explanation

Choice A rationale
This choice is correct. Calcium carbonate, which is used to treat GERD, can lead to hypercalcemia, or high levels of calcium in the blood, if taken in excess or if the client has impaired kidney function. Hypercalcemia can cause various symptoms, including nausea, vomiting, constipation, and abdominal pain. It can also affect the nervous system, leading to confusion, lethargy, and fatigue. In severe cases, it can cause cardiac arrhythmias.
Choice B rationale
Metabolic alkalosis is a condition characterized by a high level of bicarbonate in the blood, leading to an increase in blood pH. While antacids like calcium carbonate can potentially cause metabolic alkalosis if taken in large amounts, it is less likely to occur in patients taking the medication for GERD, as the medication is used to neutralize stomach acid. Therefore, while it’s a potential risk, it’s less likely than hypercalcemia.
Choice C rationale
Hepatotoxicity, or liver damage, is not typically associated with the use of calcium carbonate. This medication does not have a direct effect on the liver, so it’s unlikely to cause hepatotoxicity unless the client has an underlying liver condition or is taking other medications that can cause liver damage.
Choice D rationale
Hyperphosphatemia, or high levels of phosphate in the blood, is not typically a risk associated with the use of calcium carbonate. In fact, calcium carbonate can bind to phosphate in the gut and reduce phosphate absorption, which can help manage high phosphate levels in certain conditions. Therefore, this choice is not the most likely risk for the client.

A. You can take antacids with levofloxacin to reduce gastrointestinal discomfort. B. Levofloxacin should be taken on an empty stomach to enhance absorption. C. You can take nonsteroidal anti-inflammatory drugs (NSAIDs) for arthritis pain. D. You should monitor your blood glucose levels more frequently while on levofloxacin.

Correct Answer is D

Explanation

Choice A rationale
While antacids can help reduce gastrointestinal discomfort, they do not interact specifically with levofloxacin or affect blood glucose levels.
Choice B rationale
Taking levofloxacin on an empty stomach can enhance absorption, but it does not affect blood glucose levels.
Choice C rationale
Nonsteroidal anti-inflammatory drugs (NSAIDs) can be taken for arthritis pain, but they do not interact specifically with levofloxacin or affect blood glucose levels.
Choice D rationale
Levofloxacin can cause changes in blood glucose levels, so patients with diabetes who are on oral hypoglycemic medication should monitor their blood glucose levels more frequently while on levofloxacin.

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The nurse is preparing to administer the first dose of an antibiotic to a patient admitted for pneumonia. What is the most important action to take prior to administering the antibiotic?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is prescribed calcium carbonate for GERD. After reviewing the client’s chart, which potential risk does the nurse identify for the client?

Correct Answer is A

Explanation

A patient with diabetes who is on oral hypoglycemic medication has been prescribed levofloxacin. What should the nurse include in the patient’s education?

Correct Answer is D

Explanation

The nurse is administering a vancomycin infusion. What measure should the nurse implement to reduce complications that may occur with this drug’s administration?

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