Question

1) Classes of antibiotics that exert their antibacterial effect by interfering with the synthesis of the bacterial cell wall include:

a) cephalosporins.or b) cephalosporins.

2) A 13-year-old client has been diagnosed with meningitis caused by Haemophilus influenzae type B. What drug is commonly prescribed to prevent this disease from occurring in individuals who had close contact with the client prior to the illness?

a) Daptomycin (Cubicin) or b) Rifampin (Rifadin)

3) A 22-year-old female client has acute uncomplicated cystitis. The nurse knows that which antibacterial would not be an appropriate choice to treat this infection?

a) Fosfomycin (Monurol) or b) Metronidazole (Flagyl)

4) A female client has been provided with a 3-day course of therapy as prophylaxis against another urinary tract infection. Which statement indicates that the client understands when to use this medication?

a) "When I first have symptoms, I will drink cranberry juice. If that is not effective, I will take the medication." or b) "I will take this medication after my husband and I have sexual intercourse."

5) The healthcare provider has ordered trimethoprim-sulfamethoxazole (Septra) to be administered IV to several hospitalized clients who have developed urinary tract infections. For which client should the nurse question the order?

a) The client who has AIDS or b) The client with glaucoma

6) The nurse is caring for a client who has been diagnosed with tuberculosis (TB) of the kidneys. The nurse knows that treatment for this form of TB may last for ________ months.
Record your answer rounding to the nearest whole number.

7) The nurse is administering dapsone to a client hospitalized on a medical—surgical unit. The nurse knows that the most frequent adverse effects of dapsone are related to which system?

a) Hematologic or b) gastrointestinal

8) A pregnant client has been diagnosed with a urinary tract infection. The nurse anticipates that the client will require a follow-up culture within ________ weeks after the conclusion of antibiotic therapy.
Record your answer rounding to the nearest whole number.

Answer 1

ANSWERS :

1.Cephalosporins

Reason :

• Cephalosporins and pencillins interfere with the bacterial cell wall synthesis.
• Peptidoglycan is main for maintaining cell wall structural integrity.
• Peptidoglycan synthesised by the pencillin binding proteins.
• The beta lactam rings of cephalosporins bind to pencillin binding proteins and inhibits the synthesize the cell wall and the bacteria dies.

2.Option b - Rifampin

Explanation :

• Rifampin is used as prophylatic treatment for those who had close contacts with children who are infected with Haemophilus influenza b.
• A 4 day course of rifampin - 20mg/kg body weight per day , maximum single daily dose should not exceed 600mg.

3.Option b - Metronidazole(flagyl)

Reason :

• Fosfomycin is the choice of drug for acute uncomplicated cystitis- 3g single dose.
• Fosfomycin is safe and effective drug with good compliance because of single dose therapy.