Choose the best answer (1 point each) 1. The black box warning applied to telith
ID: 96012 • Letter: C
Question
Choose the best answer (1 point each)
1. The black box warning applied to telithromycin (Ketek) warns against the drug’s use in patients with Myasthenia Gravis because related which of the following potential outcomes?
a. Respiratory failure
b. Renal failure
c. Liver failure
d. Myocardial infarction
2. A 5 y/o child present to the clinic with his father. He has had an intermittent cough for 12 hours. He is afebrile. The child’s father does not want any lab work done and insists that he should have an antibiotic “just in case”. What is the best response by the provider?
a. “Yes, we should jump on that cough – I’ll write an order for oral vancomycin.”
b. “It is not advisable to give an antibiotic without evidence that the cough is r/t a bacterial infection.”
c. “I probably have some sample amoxicillin – it outdates soon so we need to get rid of it.”
d. “I’m going to start him on Rifampin, empirically.”
3. Acyclovir is given for genital herpes. What important information should the client understand about the effect of the medication?
a. The drug effects will last for about 3 days after discontinuation
b. The drug is used to eliminate the virus from the body
c. The drug is used to decrease the duration of skin lesions and pain
d. The drug will eliminate pain, but the duration of lesions will not be lessened
4. Which of the following represents the typical duration of treatment with amphotericin B?
a. 1-2 weeks
b. 7-10 days
c. 6-12 weeks
d. 1 tab prior to any dental procedure
5. Permethrin is the drug of choice for which of the following?
a. Rabies
b. Lyme disease
c. Ringworm
d. Scabies
Short answer question (2 points each)
6. Compare the activity of the beta-lactam antibiotics and the aminoglycosides
7. Nephrotoxicity and ototoxicity are serious side effects of the aminoglycosides. Describe these conditions. Describe two nursing interventions that will reduce the incidence of these conditions.
8. What foods and drugs interfere with absorption of oral tetracycline? How can interference be prevented or minimized?
9. Describe “red man syndrome”. What is the primary nursing consideration in preventing this effect of Vancomycin administration?
10. Increased drug resistance has complicated the use and usefulness of antibiotics. List 3 guidelines to decrease the chance of resistance.
Antimicrobial scenarios (5 points each)
11. Mrs. Laura Quinn has telephoned the pediatric physician’s office stating that she has received word from her daughter’s school that she has head lice. Mrs. Quinn states that she is “totally embarrassed,” that “we are clean people,” and that she does not understand how such a thing could happen to her daughter. She has been instructed to obtain a topical solution of permethrin to treat the condition.
a. How should the nurse respond to Mrs. Quinn’s embarrassment and to her statement that “we are clean people”?
b. Discuss the instructions that the nurse should give Mrs. Quinn regarding the use of permethrin (include possible cross-sensitivities, dosage, frequency). What additional steps should Mrs. Quinn take in order to eliminate the head lice?
12. Frances Yin is a 78-year-old patient who has a history of chronic obstructive pulmonary disease. She has come to the medical clinic for a routine visit to monitor her respiratory status. Her medical history also includes rheumatoid arthritis. Her drug therapy for the arthritis includes disease-modifying antirheumatic drugs (DMARDs), which inhibit her immune system. Currently, an epidemic of influenza A is occurring in her geographic area. Mrs. Yin’s age, chronic pulmonary disease, and immunodeficiency place her in the high-risk category. Her primary care provider has recommended that she take the influenza A vaccine and a prophylactic course of amantadine.
a. Mrs. Yin asks why she needs the influenza vaccine. She states, “I took one last year. Won’t that be enough? Why do I need one every year? Those things aren’t 100% effective anyway.” How should the nurse respond?
b. Describe the potential adverse effects and nursing considerations related to the amantadine that has been prescribed for Mrs. Yin.
Explanation / Answer
1. Option C is the right answer.
This black box warning Indicates that the drug should be used only for the serious illness like pneumonia and not the less severe illnesses for which it has been prescribed in the earlier times. As this drug was found to be causing liver problems which can lead to the liver failure.