NUR 3145 Exam 2 FSU Latest Questions And Answers Rated A+
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Course
NUR 3145
Institution
NUR 3145
NUR 3145 Exam 2 FSU Latest Questions And Answers Rated A+
Destroy growth of bacteria or fungi ANS Bactericidal
Inhibit growth of bacteria or fungi ANS Bacteriostatic
Primary goals of antimicrobial agents ANS -Destroy (or inhibit growth of) bacteria
-At the same time, not harm host tissue...
superinfection ANS Eradication or reduction of normal flora growth
Allows growth of other flora
Candida endogenous to body
Overgrowth
AKA yeast infection
Thrush
S/Sx: fever, perineal itching, cough, lethargy, or any unusual discharge
General Guidelines ANS Identify infecting organism
Follow agency guidelines
Collect specimens
Culture and sensitivity (C & S)
Obtain before giving first dose of antibiotic
Take specimen immediately to lab
Treatment begun
Based on tentative microorganism ID
Broad-spectrum antibiotics
Combinations
,C & S results return
Antibiotics changed to one that will fight infection best
Blood levels drawn for therapeutic levels
peak levels ANS Highest blood level
Drawn 30 minutes after dose is administered (completed)
trough levels ANS Lowest blood level
Drawn immediately before administering ordered dose
treatment considerations: patient defense mechanisms ANS Diminished defenses
Chronic disease
Severity of infection
Renal status
Liver function
type of microorganisms ANS Gram positive
Gram negative
Aerobic
Anaerobic
Treatment Considerations:Dosage/duration ANS Adequate dosage
Adequate length of therapy
Therapy failure
Too small a dose
Too short a time period
May cause remission or exacerbation
May cause development of resistance to therapy
, General nursing implications ANS Monitor for therapeutic effects
Improvement of signs and symptoms of infection
Return to normal vital signs
Negative culture and sensitivity tests
Disappearance of fever, lethargy, drainage, and redness
Monitor for adverse reactions
patient teaching ANS Take full course of medication
DON'T STOP because you feel better!
Take evenly spaced doses
Never share or save medication
Inform of adverse drug reactions
Inform of drug-drug interactions
Inform of food-drug interactions
common side effects: GI ANS Nausea
Vomiting
Diarrhea
Nursing implications ANS Assess drug allergies; renal, liver, and cardiac function; and other lab
studies
Obtain thorough patient health history, including immune status
Assess for conditions that may be contraindications to antibiotic use or that may indicate cautious use
Assess for potential drug interactions
safety first ANS Check the name of the medication carefully because there are many drugs that
sound alike or have similar spellings.
If giving an antibiotic as an injection (IM, IV) ALWAYS monitor 15 - 30 minutes after injection for
anaphylactic reactions
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