A nurse is caring for a client who has meningitis caused by Streptococcus pneumoniae. The provider orders penicillin G IV for this client.
Before administering the medication, which of the following actions should the nurse take?
Check the client’s temperature
Assess the client’s level of consciousness
Ask the client about any history of allergies
Obtain a blood sample for culture and sensitivity.
The Correct Answer is C
This is because penicillin G is a beta-lactam antibiotic that can cause severe allergic reactions in some people, such as anaphylaxis, rash, or angioedema. Therefore, the nurse should always check for any history of allergies before administering penicillin G or any other beta-lactam antibiotic.
Choice A is wrong because checking the client’s temperature is not a priority action before giving penicillin G. Although fever is a common sign of meningitis, it does not affect the administration of penicillin
Choice B is wrong because assessing the client’s level of consciousness is not a priority action before giving penicillin G. Although altered mental status is a common sign of meningitis, it does not affect the administration of penicillin
Choice D is wrong because obtaining a blood sample for culture and sensitivity is not a priority action before giving penicillin G. Although culture and sensitivity tests are important to identify the causative organism and the appropriate antibiotic, they should not delay the initiation of empiric therapy for meningitis. Penicillin G is effective against Streptococcus pneumoniae, which is the most common cause of bacterial meningitis in adults.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Amoxicillin-clavulanate is an antibiotic that belongs to the penicillin group and is effective against Escherichia coli, the most common cause of urinary tract infections (UTIs).It works by inhibiting the bacterial cell wall synthesis and preventing the bacteria from producing an enzyme that makes them resistant to penicillin.
Choice B is wrong becauseVancomycin is wrong because it is an antibiotic that is used to treat serious infections caused by gram-positive bacteria, such as methicillin-resistant Staphylococcus aureus (MRSA).It is not effective against gram-negative bacteria, such as Escherichia coli.
Choice C is wrong becausePenicillin G is wrong because it is an antibiotic that is effective against some gram-positive bacteria, such as Streptococcus and Neisseria.However, many strains of Escherichia coli are resistant to penicillin G and can produce an enzyme called beta-lactamase that breaks down the antibiotic.
Choice D is wrong becauseAcyclovir is wrong because it is an antiviral drug that is used to treat infections caused by herpes simplex virus (HSV) and varicella-zoster virus (VZV).It has no activity against bacteria, such as Escherichia coli.
Correct Answer is ["A","C","D"]
Explanation
Ciprofloxacin is an antibiotic that can cause various side effects, some of which are serious and may be permanent.
The nurse should monitor the following laboratory tests for adverse effects of this medication:
• Liver function tests: Ciprofloxacin can cause hepatotoxicity, which is damage to the liver cells.Liver function tests can detect abnormal levels of enzymes or bilirubin that indicate liver injury.
• Serum creatinine levels: Ciprofloxacin can cause nephrotoxicity, which is damage to the kidney cells.
Serum creatinine levels can measure how well the kidneys are filtering waste products from the blood.Elevated serum creatinine levels indicate impaired kidney function.
• Complete blood count: Ciprofloxacin can cause hematologic disorders, such as anemia, leukopenia, thrombocytopenia, or pancytopenia.
A complete blood count can evaluate the number and quality of red blood cells, white blood cells, and platelets in the blood.Abnormal blood counts can increase the risk of bleeding, infection, or fatigue.
Choice B is wrong because ciprofloxacin does not affect blood glucose levels directly.
However, ciprofloxacin can interact with some oral antidiabetic drugs and increase the risk of hypoglycemia or hyperglycemia.Therefore, the nurse should monitor the blood glucose levels of diabetic patients who are taking ciprofloxacin and other antidiabetic drugs.
Choice E is wrong because ciprofloxacin does not affect thyroid function tests directly.
However, ciprofloxacin can interact with some thyroid hormone replacement drugs and decrease their absorption or efficacy.Therefore, the nurse should monitor the thyroid function tests of patients who are taking ciprofloxacin and thyroid hormone replacement drugs.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.