Pharmacological Aspects of Nursing Care 8Th Edition By Broyles Reiss Evans
Pharmacological Aspects of Nursing Care 8Th Edition By Broyles Reiss Evans
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CHAPTER 7: ANTIMICROBIAL AGENTS
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | always uses normal saline. |
| b. | uses as small a gauge needle as is available. |
| c. | changes the needle used to reconstitute the medication before administering the drug to the client. |
| d. | always administers the medication intramuscularly. |
ANS: C
| Feedback | |
| A | Incorrect: Most often the diluent is sterile water, but you must follow the manufacturer’s instructions or those in the current nursing reference. |
| B | Incorrect: An 18-gauge needle is best. |
| C | Correct: The nurse should change the needle, because there may be medication on the outside of the needle. Plus, the needle may have dulled while being inserted through the rubber stopper. |
| D | Incorrect: Not all reconstituted medication is administered IM; most is administered IV. |
PTS: 1 REF: p. 199 Box 7-2
OBJ: Cognitive Level: Application
| a. | every 12 hours, with breakfast and with dinner. |
| b. | at bedtime, because it works better on an empty stomach. |
| c. | with meals to decrease the risk of GI manifestations. |
| d. | one-to-two hours before meals or two-to-three hours after meals. |
ANS: D
| Feedback | |
| A | Incorrect: Penicillin usually is administered every six hours, but this is determined by the health care provider. |
| B | Incorrect: This is not a nursing action. The time is determined by the prescriber. |
| C | Incorrect: Food may interfere with the absorption of oral penicillin. |
| D | Correct: Oral penicillin should be administered on an empty stomach, because food may interfere with the absorption of oral penicillin. |
PTS: 1 REF: p. 200, Safe Nursing Practice 7-2
OBJ: Cognitive Level: Application
| a. | replaces the needle that was used to withdraw medication from the vial. |
| b. | places pressure on the site following injection. |
| c. | uses a large-gauge needle for administration. |
| d. | uses a small-gauge needle for administration. |
ANS: A
| Feedback | |
| A | Correct: If the needle is not changed, some medication adheres on the outside of the needle after withdrawal from the vial. This can cause local tissue reactions. |
| B | Incorrect: This will help prevent the medication from seeping out the injection hole. |
| C | Incorrect: This has no impact on preventing local tissue reactions. |
| D | Incorrect: This has no impact on preventing local tissue reactions. |
PTS: 1 REF: p. 201 OBJ: Cognitive Level: Application
A nurse working in a physician’s office has frequent contact with persons taking antibiotics. In order to be prepared to instruct clients in the proper use of antibiotics and to alert them to potential problems, the nurse reviews the following information about antibiotic therapy.
| a. | aminoglycosides. | c. | penicillins. |
| b. | macrolides. | d. | tetracyclines. |
ANS: C
| Feedback | |
| A | Incorrect: There is no cross-hypersensitivity between penicillins and aminoglycosides. |
| B | Incorrect: There is no cross-hypersensitivity between penicillins and macrolides. |
| C | Correct: Because cephalosporins were developed as offshoots of penicillins, there may be cross-sensitivities between penicillins and cephalosporins. |
| D | Incorrect: There is no cross-hypersensitivity between penicillins and tetracyclines. |
PTS: 1 REF: p. 201, Safe Nursing Practice 7-3
OBJ: Cognitive Level: Comprehension
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