NR 568 CHAMBERLAIN COLLEGE OF NURSING MIDTERM
REVIEWER QUESTIONS AND ANSWERS!!
Penicillin Monitoring
Answers:Renal impairment because it can accumulate if the kidney is not working
that could cause toxic levels.
Penicillin high risk patients
Answers:history of severe allergic reactions to penicillin, cephalosporin or
carbapenems
Penicillin evalutation of therapeutic effects
Answers:reduction of symptoms like fever, edema, pain and inflammation
Cephalosporin therapeutic goal
Answers:treatment of infection that is caused by susceptible organism
Cephalosporin baseline data
Answers:Take samples for culture to identify the infecting organism
Ceph Monitoring
Answers:None . No routine lab monitroing is suggested.
Ceph high risk patients
Answers:history of allergic reactions to ceph, pcn and carbapenem
Ceph evaluation of therapy
,Answers:reduction of symptoms like fever, pain, edema and inflammation
Ceph miniminize adverse effects
Answers:Because it can promote C-diff instruct patients to report increase in stool
frequency.
Carbapenems baseline
Answers:take sample for culture to determine infecting organism
Carbapenems monitoing
Answers:None. Nothing is recommended.
Carbapenems high risk patients
Answers:history of allergic reaction
patient using valprotate to control seizure should never be given imipenem
Carbapenems evaluation
Answers:decrease on symptoms like fever, pain, edema and inflammation
Carbapenems minimize adverse effects
Answers:dosage should be reduced for patients with renal impairment to prevent
toxicity
Vancomycin therapeutic goal
Answers:Treatment of serious infections, including C-diff, MRSA, and infections
that are caused by susceptible organisms in patients allergic to PCN.
, Vanco baseline
Answers:culture and sensitivity
Vanco monitoring
Answers:Vanco drug levels should be monitored during IV treatment
Vanco high risk patients
Answers:patients with renal impairment
Vanco evaluating therapeutic effects
Answers:monitor for indeication of antimicrobial effects, including reduction in
fever, pain, edema and inflammation.
What do you not administer with Tetracycline?
Answers:Calcium supplements
MIlk products
Iron supplements
Magnesium-containing laxatives
most antacids (bec of content of magnesium or aluminum)
What do you teach a patient taking Tetracycline?
Answers:To apply sunscree, protective clothing and avoid exposure to sunlight
because this medication can cause severe sunburn.
Can you give Tetracycline to children?
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