NSG 318 Final Exam Test With Verified Answers Acquired resistance - ANSWER type of resistance that is caused by prior exposure to an antibiotic. this can cause an antibiotic to not be effective as it once was for a certain bacteria Acyclovir (Zovarix) - ANSWER antiviral drug used for the treatment of herpes simplex virus and varicella important to increase fluids phlebitis (check site before and throughout therapy), increased bleeding time nephrotoxic Amoxicillin - ANSWER penicillin that is commonly used for otitis media, tonsilitis, and urinary tract infections broad-spectrum monitor urinary output (if less than 30mL/hr, decrease the dose) tongue/tooth discoloration superinfection - vaginitis anaphylactic reaction - ANSWER a reaction to a drug that may begin with shortness of breath and can lead to vascular collapse, laryngeal edema, bronchospasms, and cardiac arrest. antacids - ANSWER OTC drugs that should not be taken at the same time as azithromycin (Zithromax) or levofloxacin (Levaquin) Azithromycin (Zithromax) - ANSWER antibiotic that inhibits the steps of protein synthesis and is used for bacterial conjuctivitis, STIs, and skin infections, NOT UTIs works well for those who are allergic to penicillin/cephalosporin 1 hr before/2 hr after meals and with water C diff, tinnitus, photosensitivity broad spectrum antibiotic - ANSWER effective against gram-positive and gram-negative bacteria BUN, CR, liver enzymes - ANSWER labs needed before giving antibiotics to determine the ability to metabolize and excrete the drug Ceftriaxone (Rocephin) - ANSWER broad spectrum antibiotic that is used for OM, meningitis, and surgical infection prophylaxis that have a disulfiram-like reaction Cephalosporins - ANSWER if a client is allergic to penicillin they can also be allergic to this classification of drug disulfiram like reaction superinfection: stomatitis hepatotoxic clostridium difficile - ANSWER superinfection multiple episodes of watery, diarrhea that may be bloody, abdominal cramping, and a possible increased temperature disulfiram-like reaction - ANSWER a reaction that a client may have with metronidazide (Flagyl) or ceftriaxone and drinking alcohol doxycycline - ANSWER antibiotic that is used to treat acne, E. coli, MRSA, STIs and anthrax that should not be taken with milk, penicillins, and oral contraceptives teratogenic effects, avoid if <8yrs (permanent discoloration) photosensitivity fluconazole (Difulcan) - ANSWER azole antifungal used for candida infections and prophylactically for those undergoing bone marrow transplant. drinks w caffeine are contraindicated when taking this drug. gentamicin sulfate - ANSWER antibiotic that is administered via IM or IV and used for endocardiits, septicemia, bone/joint infection, and meningitis, NOT OM. may cause alopecia, photosensitivity, tinnitus (especially with furosemide), nephrotoxic invermectin (stromectol) - ANSWER an anthelmic medication used to treat clients with parasitic worms such as roundworm injection site redness - ANSWER expected side effect of isoniazid and ceftriaxone that the nurse should monitor but does not require discontinuation of medication levofloxacin (Levaquin) - ANSWER antibiotic that interferes with enzyme DNA gyrase and is used to treat cellulitis, impetigo and skin infections. may cause abdominal cramps, restlessness, depression, photosensitivity, tinnitus and injection site reaction. obtain specimen and cultures, increase fluids metronidazide (Flagyl) - ANSWER peptide medication that is used for anaerobic infections including rosacea
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