Question 1
0 / 0 pts
I understand the value of doing my own work and learning the skills needed to support my future independent practice as a nurse practitioner. I understand that while there may be opportunities beyond my faculty’s control for me to collaborate or share answers with peers, that it would not benefit my own personal and professional growth to do so. I agree to do my own work and take personal responsibility for my learning.
I do
I do not
Thank you for acknowledging your personal responsibility for your learning and professional practice while acting with honesty and integrity.
Question 2
4 / 4 pts
Which patients being treated with a penicillin are at high risk for toxicity? (Select all that apply)
Ans:
renal impaired
acutely ill
very young
very old
active hepatitis
Question 3
4 / 4 pts
Using your textbook, match the antibiotic class to the patient care concern for pregnant persons.
Use each option only once by selecting the option that is most true.
All appear to be safe for use in pregnancy
Although there are no well-controlled studies in pregnant women, evidence we do have suggests there is no second or third trimester fetal risk.
Animal studies reveal that these drugs can cause fetal harm in pregnancy. Thus this class of drugs should be avoided in during pregnancy.
There is evidence that use of this drug class in pregnancy can harm the fetus so they should not be used.
Systemic drugs in this class may cause birth defects, especially if taken during the first semester. If taken near term, the infant may develop kernicterus.
Question 4
4 / 4 pts
Using your textbook, match the antibiotic class to the therapeutic goal.
Use each option only once by selecting the option that is most true.
Treatment of serious infections, including C. diff. infection, infection with methicillin-resistant S. aureus, and serious infections caused by susceptible organisms in patients allergic to penicillin.
Treatment of infections sensitive to this class, acne, and periodontal disease.
Treatment of respiratory infections, infections caused by H. pylori, disseminated Mycobacterium, and as alternatives to penicillin in patients with penicillin allergy.
Treatment of serious infections caused by gram-negative aerobic bacilli.
Question 5
4 / 4 pts
Match the recommended treatment for UTI according to the assigned textbook for this course.
Use each option only once by selecting the option that is most true.
Ampicillin and gentamycin
Methenamine Hippurate
Methenamine mandelate
Short-term Fluoroquinolones
Question 6
4 / 4 pts
Using your textbook, match the antibiotic class to the patient care concern for breastfeeding patients.
Use each option only once by selecting the option that is most true.
Ans
Generally not expected to cause adverse effects in breastfed infants
Safe for use in breastfeeding mothers.
Data are lacking regarding transmission of some drugs in this class from mother to infant through breast milk.
Should be avoided by breastfeeding women due to possible staining of teeth in breast fed infant.
Secreted in breast milk. Breastfeeding women on these drugs should be warned that breastfeeding an infant younger than 2 months can cause kernicterus.
Probably safe to use during lactation. There is limited information regarding its use in this way.
Question 7
4 / 4 pts
Using your book and other resources you have available, match the antibiotic class to the prototype drug provided here.
Ans:
Penicillin G
Cephalexin
Imipenem
Doxycycline
Erythromycin
Gentamicin
Bactrim
Question 8
4 / 4 pts
Match the drug or drug class that is contraindicated for UTI in the patient population group listed.
Use each option only once by selecting the option that is most true.
Ans
Trimethoprim/sulfamethoxazole
Nitrofurantoin
Fluoroquinolones
Question 9
4 / 4 pts
In patients with a creatinine clearance of 15-30 mL/min taking Bactrim, how should the dosing be adjusted?
Ans:
Reduced by 50%
Reduced by 25%
Increased by 50%
Increased by 25%
Question 10
4 / 4 pts
Match the penicillin drug to the penicillin class.
Use each option only once by selecting the option that is most true.
Ans:
Penicillin G
Penicillin V
Nafcillin
Oxacillin
Dicloxacillin
Ampicillin
Amoxicillin
Piperacillin
Question 11
4 / 4 pts
Trimethoprim should be avoided in patients with which deficiency?
Ans:
Vitamin C
Vitamin A
Folate
Iodine
Question 12
4 / 4 pts
Which patients should penicillins be used with extreme caution?
Patients with renal impairment, preexisting hearing impairment, and those receiving ototoxic and nephrotoxic drugs.
Patients with a history of severe allergic reactions to cephalosporins, or carbapenems.
Patients with QT prolongation.
Patients using valproate to control seizures.
Question 13
4 / 4 pts
Using your textbook, match the antibiotic class to the patient care concern for older adults.
Use each option only once by selecting the option that is most true.
Ans:
Doses should be adjusted in older adults with renal dysfunction.
Can interact with drugs, including digoxin. In the older adult who takes many medications, check for interactions.
Caution must be used regarding decreased renal function in the older adult.
Older patients are more likely to experience adverse effects, and when experienced, the effects are more likely to be severe. Life-threatening effects-including neutropenia, Stevens-Johnson syndrome, and toxic epidermal necrolysis-occur more frequently in older adults.
Question 14
4 / 4 pts
Using your textbook, match the antibiotic class to the patient care concern for infants.
Use each option only once by selecting the option that is most true.
Ans:
Third-generation drugs are used to treat bacterial infections in neonates as well as infants.
Used safely in infants with bacterial infections, including syphilis, meningitis, and group A streptococcus.
Approved to treat bacterial infections in infants younger than 8 days. Dosing is based on weight and length of gestation.
Used in infants younger than 2 months can cause kernicterus, a potentially fatal condition.
Question 15
4 / 4 pts
What is the likely causative agent for acute otitis media?
Ans:
Staphylococcus Aureus
Pseudomonas
Streptococcus pneumoniae
Streptococcus pyogenes
Question 16
4 / 4 pts
Match the drug class to the needed patient education.
Use each option only once by selecting the option that is most true.
Ans:
Instruct patients to report increase in stool frequency.
Advise patients to avoid prolonged exposure to sunlight
Patients should be instructed that GI disturbances can be reduced by administering with meals.
Patients must be instructed to report symptoms of ototoxicity.
Question 17
4 / 4 pts
If a patient is taking Bactrim and their creatinine clearance falls below 15 mL/min, what should the provider do?
Ans:
Have patient continue the medication until it is complete.
It depends on how many doses the patient has taken.
Stop the drug immediately.
List the drug as an allergy and instruct the patient to stop taking it immediately.
Question 18
4 / 4 pts
Match the antibiotic class to the associated high-risk patient.
Use each option only once by selecting the option that is most true.
Ans:
Patients using valproate to control seizures should not be placed on imipenem.
Use with caution in patients with renal impairment.
Contraindicated for patients with a history of allergic reactions to this drug class or severe reactions to penicillin.
Contraindicated in pregnant women and in children younger than 8 years.
Use with caution in patients with QT prolongation.
Used with caution in patients with renal impairment, preexisting hearing impairment, and those receiving ototoxic and nephrotoxic drugs.
Contraindicated for nursing mothers, pregnant women in the first trimester and also those near term, and infants younger than 2 months.
Question 19
4 / 4 pts
Using your textbook, match the antibiotic class to the patient care concern for children/adolescents.
Use each option only once by selecting the option that is most true.
Ans:
Commonly used to treat bacterial infections, including otitis media and gonococcal and pneumococcal infections.
Common drug used to treat bacterial infections.
Should not be used in children younger than 8 years because they may cause permanent discoloration of the teeth.
Safe for use against bacterial infections but not commonly used in outpatient settings.
Question 20
4 / 4 pts
Which antibiotic class is most likely to be given to someone with otitis media if there are no contraindications?
Ans:
Penicillin
Cephalosporin
Tetracycline
Macrolide
Question 21
4 / 4 pts
Match the antibiotic class to the needed monitoring associated with that class.
Use each option only once by selecting the option that is most true.
Ans:
Renal function in patients with renal disease
Drug levels should be monitored during IV administration.
Peaks and troughs as well as renal function
CBC in patients with symptoms of blood disorders, CD4+ counts in patients with HIV and potassium 4 days after starting treatment in patients with possible hyperkalemia
Question 22
4 / 4 pts
Locate the Prescribers’ Digital Reference website (pdr.net) to answer this question. A patient is prescribed Amoxicillin for an infection. They have a creatinine clearance of 24mL/min. What dose of amoxicillin should they be prescribed?
Ans:
no dosage adjustment needed
250-500mg PO every 12 hours
250-500 mg PO every 24 hours
875 mg Extended Release PO every 24 hours
Question 23
4 / 4 pts
Which antibiotic classes should have a culture and sensitivity prior to prescribing and which ones do not according to your textbook?
Ans:
Culture
Not indicated
Question 24
4 / 4 pts
Which antibiotic drug class listed is known for all drugs within the class promoting the developments of a Clostridioidies difficile infection?
Ans:
Tetracycline
Macrolide
Aminoglycoside
Cephalosporin
Question 25
4 / 4 pts
Acute otitis externa presents with what symptoms that differentiates it from otitis media to determine diagnosis and treatment?
Ans:
Rapid-onset ear pain that include pruritis.
Tenderness associated with manipulation of the external ear.
Edema or erythema of the external auditory canal.
No tenderness associated with manipulation of the external ear.
Question 26
4 / 4 pts
What baseline data is needed to prescribe trimethoprim/sulfamethoxazole? (Select all that apply)
Ans:
Establish an infection appropriate for this drug class exists
Complete blood count with white cell differential for prolonged therapy
Hepatic function if there is concern in may be compromised
Renal function if there is concern in may be compromised
Quiz Score: 100 out of 100
ANSWERS
Question 1
0 / 0 pts
I understand the value of doing my own work and learning the skills needed to support my future independent practice as a nurse practitioner. I understand that while there may be opportunities beyond my faculty’s control for me to collaborate or share answers with peers, that it would not benefit my own personal and professional growth to do so. I agree to do my own work and take personal responsibility for my learning.
Correct!
I do
I do not
Thank you for acknowledging your personal responsibility for your learning and professional practice while acting with honesty and integrity.
Question 2
4 / 4 pts
Which patients being treated with a penicillin are at high risk for toxicity? (Select all that apply)
Ans:
renal impaired
acutely ill
very young
very old
active hepatitis
Rationale: Renal impairment causes the half-life to increase dramatically and may necessitate a reduction in dosage. In patients at high risk for toxicity (those with renal impairment, the acutely ill, the very young, and older adults), kidney function should be monitored. p. 665
Question 3
4 / 4 pts
Using your textbook, match the antibiotic class to the patient care concern for pregnant persons.
Use each option only once by selecting the option that is most true.
All appear to be safe for use in pregnancy
Cephalosporins
Although there are no well-controlled studies in pregnant women, evidence we do have suggests there is no second or third trimester fetal risk.
Penicillins
Animal studies reveal that these drugs can cause fetal harm in pregnancy. Thus this class of drugs should be avoided in during pregnancy.
Tetracyclines
There is evidence that use of this drug class in pregnancy can harm the fetus so they should not be used.
Aminoglycosides
Systemic drugs in this class may cause birth defects, especially if taken during the first semester. If taken near term, the infant may develop kernicterus.
Sulfonamides
Rationale: This information can be found in the Summary of Key Prescribing Considerations in the chapter that covers this drug class………..please follow the link below to purchase the solution at $20
