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Exam 10: Antimicrobial Treatment

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Question 31

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Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format. A 12-year-old male is admitted to the pediatric unit due to persistent upper respiratory symptoms and respiratory distress. The patient has a history of developmental delay, chronic lung disease, and frequent respiratory infections. Upon assessment, as the RN, you note the patient to have a fever, moderate respiratory rate, productive cough, and large amount of nasal secretions. Upon report from the patient’s mother, the patient has been on a 3-week course of antibiotics with no improvement in symptoms. Upon further workup, the patient is diagnosed with bacterial pneumonia and methicillin-resistant Staphylococcus aureus (MRSA) superinfection. -The use of which of the following drugs results in the highest risk of superinfection in a treated patient?

A) broad-spectrum antibiotics
B) narrow-spectrum antibiotics
C) topical antibiotics
D) antivirals

E) None of the above
F) B) and D)

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Question 32

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The MIC is the smallest concentration of an antimicrobial required to inhibit the growth of the microbe.

A) True
B) False

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Question 33

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Drugs that are hepatotoxic cause damage to a patient's kidneys.

Which of the following block HIV binding to host cell receptors?

Antibiotics are derived from all of the following except

The use of a drug to prevent a person at risk of an imminent infection is called

When a patient's immune system reacts adversely to a drug,this serious side effect is called a superinfection.

Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format. A 12-year-old male is admitted to the pediatric unit due to persistent upper respiratory symptoms and respiratory distress. The patient has a history of developmental delay, chronic lung disease, and frequent respiratory infections. Upon assessment, as the RN, you note the patient to have a fever, moderate respiratory rate, productive cough, and large amount of nasal secretions. Upon report from the patient’s mother, the patient has been on a 3-week course of antibiotics with no improvement in symptoms. Upon further workup, the patient is diagnosed with bacterial pneumonia and methicillin-resistant Staphylococcus aureus (MRSA) superinfection. -Treatment of urinary tract infections often leads to a superinfection caused by which microbe?

Side effects that occur in patient's tissues while on antimicrobial drugs include all the following except

The _____ are drugs that deposit in developing teeth and cause a permanent brown discoloration.

Acyclovir is used to treat

Each of the following contributes to emerging drug resistance except

Primaquine and chloroquine are drugs used in the treatment of

A ratio of the dose of a drug that is toxic to humans versus the minimum effective dose for that pathogen is assessed to predict the potential for toxic drug reactions.This is called the

Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format. A 76-year-old male visits his primary care physician with complaints of burning with urination and a frequent urge to void. As the RN, you aid the patient in collecting a urine specimen to be sent for analysis. While awaiting the final results of drug susceptibility testing in the lab, the patient is prescribed oral sulfasoxazole. -The in vivo susceptibility of the pathogen is established,and the patient is maintained on sulfasoxazole.If no in vivo effect of the drug is observed by the patient following the first 7 days of antibiotics,what is the most appropriate action by the medical team?

Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format. As an RN in a medical intensive care unit, you are participating in a research study regarding administration of probiotics to critically ill patients receiving antibiotic therapy. You provide education as part of the consent process to patients, families, and other staff members. -Which of the following is an example of a probiotic?

It is better to use a broad-spectrum drug instead of a more specific narrow-spectrum drug.

Each of the following result in drug resistance except

Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format. As an RN in a medical intensive care unit, you are participating in a research study regarding administration of probiotics to critically ill patients receiving antibiotic therapy. You provide education as part of the consent process to patients, families, and other staff members. -You indicate to the patient that research has demonstrated that probiotics may also be useful in the management of allergies caused by

Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format. As an RN in a medical intensive care unit, you are participating in a research study regarding administration of probiotics to critically ill patients receiving antibiotic therapy. You provide education as part of the consent process to patients, families, and other staff members. -Following the teaching to patients and families,you assess understanding of the teaching prior to obtaining consent.All of the following are accurate statements by a patient regarding probiotics,except probiotics