Exam 4: NUR 210/ NUR210 (Latest 2024/
2025) Principles of Pharmacology Exam| Questions and Verified Answers| Grade A| Galen
Amoxicillin: class, MOA and use
- penicillin
- respiratory infections, otits media, H. pylori, E. coli
-inhibits bacterial cell wall synthesis
Amoxicillin side effects and adverse reactions
Side effects: rash, dermatitis, stomatitis, dizziness
Adverse reactions: thrombocytopenia, angioedema, anaphylaxis, SJS, superinfections Amoxicillin pt teaching and nursing interventions
Pt teaching:
-use alternate form of birth control -injest probiotics -avoid acidic -take w food
Nursing intervnetions:
-obtain culture and sensitivity -monitor renal and liver functions, urinary output, CBC, VS, bleeding -administer over 30mins
Ceftriaxone: class, MOA and use
-cephalosporin -prevents bacterial cell wall synthesis, bacteriocidal
- STIs, Otitis Media, Skin/Bone Infections, Surgical Prophylaxis
Ceftriaxone side effects and adverse reactions 1 / 3
Side effects: epitaxis(nose bleed), rash/dermatis, stomatits
Adverse reactions: bleeding/anemia, renal failure, hepatotoxicity, SJS
Ceftriaxone pt teaching and nursing interventions
Pt teaching:
-avoid loop diruectics and anatcids -report changes in skin -ingest probiotic -teach stomatitis managment
oral: take w food
Nursing interventions:
-Obtain Culture & Sensitivity -Assess for PCN allergy.-Monitor CBC, renal and liver function.-Monitor for bleeding.
Azithromycin: class, MOA and use
-macrolide -Blocks bacterial protein synthesis - bacteriostatic or bactericidal depending on dose.-Otitis Media, STIs, Skin Infections, Respiratory Infections Azithromycin side effects and adverse reactions
Side effects: tinnitus, blurred vision, photosensitivity, gi upset
Adverse reactions: hearing loss, hepatotoxicity, superinfections
Azithromycin pt teaching and nursing interventions
Pt teaching:
-Take on empty stomach - 1 hr. before or 2 hrs. after meals.-Take w/full glass of water.-Sun protection.-Report changes in skin.-s/s superinfection -ingest probiotic. 2 / 3
Nursing interventions:
-monitor liver function
Gentamicin: class, MOA and use
-aminoglycoside -Inhibits bacterial protein synthesis, bacteriocidal
- life threatening infections, gram-neg sepsis
Gentamicin side effects and adverse reactions Side effects: confusion, tremors, stomatitis, photosensitivity, tinnitus, vitamin B6/12 deficiency Adverse reactions: Ototoxicity, Nephrotoxicity, Peripheral Neuropathy, pancytopenia Gentamicin pt teaching and nursing interventions
Pt teaching:
-Increase fluid intake -Ingest a probiotic.-s/s of superinfections.-Report changes in hearing or dizziness.-Consider Vitamin B supplementation.-Monitor UOP - report any decreases.-Deactivates OCP -use alternate birth control.
Nursing interventions:
-Obtain C & S.-Monitor for Nephrotoxicity (BUN; CRT; UOP; Urine Changes) -Ototoxicity.-Monitor Vitals.-Monitor peak and trough serum levels.-Vit. B deficiency.-Limit to 10 days.
Doxycycline: class, MOA and use
- / 3