Chapter 64: Aminoglycosides

Chapter 64: Aminoglycosides

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. A patient who was hospitalized for an infection was treated with an aminoglycoside antibiotic. The patient asks the primary care nurse practitioner (NP) why outpatient treatment wasn’t an option. The NP should tell the patient that aminoglycoside antibiotics:

ANS:  D

Aminoglycoside antibiotics must be given intramuscularly or intravenously when treating infection. Their side effects may be serious, which is an indication for hospitalization.

DIF:    Cognitive Level: Understanding (Comprehension)             REF:   697

2. A primary care NP sees a patient who was recently hospitalized for infection and treated with gentamicin for 10 days. The patient tells the NP that the drug was discontinued early because “my blood level was too high.” The NP should order:

ANS:  A

Aminoglycosides are associated with ototoxicity and nephrotoxicity. Recovery of renal function occurs if the drug is stopped at the first sign of renal impairment. The NP should evaluate the possibility of ototoxicity with a serial audiometric test.

DIF:    Cognitive Level: Applying (Application)                           REF:   699

3. A patient who was recently hospitalized and treated with gentamicin tells the primary care NP, “My kidney function test was abnormal and they stopped the medication.” The patient is worried about long-term effects. The NP should:

ANS:  B

Recovery of renal function occurs if the drug is stopped at the first sign of renal impairment. It is necessary to monitor blood values during therapy to ensure effectiveness and prevent toxicity.

DIF:    Cognitive Level: Understanding (Comprehension)             REF:   699