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NCLEX-RN Respiratory & Anti-Infectives Flashcards

Master 36 respiratory & anti-infectives concepts for the NCLEX-RN.

Question

A client with a documented history of anaphylaxis to Penicillin is prescribed Cephalexin. What is the nurse's priority action?


Question

What is the primary cause of Red Man Syndrome during Vancomycin administration, and how is it prevented?


Question

Select the correct standards for monitoring Vancomycin therapy:


Trough levels should be drawn . The therapeutic range is typically .

Question

Why are Tetracyclines contraindicated in pregnant women and children under 8 years old?


Question

Which instruction is priority for a client prescribed Doxycycline (Tetracycline) regarding skin care?


Question

What specific cardiac adverse effect requires monitoring in clients taking high doses of Macrolides (e.g., Azithromycin, Erythromycin)?


Question

Aminoglycosides (e.g., Gentamicin) carry a Black Box Warning for nephrotoxicity. Complete the monitoring profile:


The nurse monitors for nephrotoxicity by trending . This condition is potentially.

Question

A client on Gentamicin reports ringing in the ears. What is this sign called, and what does it indicate?


Question

A client taking Ciprofloxacin reports sudden onset of heel pain. What is the nurse's priority action?


Question

Why must a client taking Sulfonamides (e.g., Trimethoprim/Sulfamethoxazole) increase fluid intake to 2-3 liters/day?


Question

What is the consequence of consuming alcohol while taking Metronidazole (Flagyl)?


Question

What expected, harmless side effect of Rifampin should the nurse include in patient teaching regarding body fluids?


Question

Isoniazid (INH) interferes with the action of a specific vitamin. Complete the prescription strategy:


Administer (Pyridoxine) alongside INH to prevent .

Question

Name one class of medication used to pre-medicate a client before receiving IV Amphotericin B to reduce infusion reactions.


Think of drugs that treat fever, allergies, or inflammation.

Question

Order the steps for administering Nystatin liquid suspension for oral candidiasis.


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Question

Why is aggressive hydration required during and after IV Acyclovir administration?


Question

Which teaching point is the absolute priority for a client starting HAART (Highly Active Antiretroviral Therapy)?


Question

Select the appropriate route for antibiotics treating Clostridium difficile (C. diff) colitis:


Use Vancomycin or Fidaxomicin. Do NOT use Vancomycin for C. diff.

Question

Which concurrent medication would raise the highest concern for a client receiving Gentamicin?


Question

A client with asthma reports acute shortness of breath and wheezing. Which medication should the nurse administer first?


Question

What is the most common cardiac side effect of albuterol?


Question

Complete the statement regarding salmeterol indications:


Salmeterol is abeta-agonist used for control of asthma.

Question

What is the therapeutic serum level range for theophylline?


Question

Which assessment finding indicates potential theophylline toxicity?


Question

What action must the client take after each dose of an inhaled corticosteroid to prevent oral candidiasis?


Question

A client is prescribed montelukast for asthma maintenance. When should the nurse instruct the client to take this medication?


Question

Ipratropium is contraindicated in clients with which eye condition?


Question

Identify the primary indication for acetylcysteine in different clinical scenarios:


Acetylcysteine acts as a in cystic fibrosis and as an antidote for overdose.

Question

What is the mechanism of action of guaifenesin?


Question

The nurse should question a prescription for dextromethorphan for which client?


Question

Pseudoephedrine is contraindicated in clients with which uncontrolled cardiovascular condition?


Question

A client receives diphenhydramine for an allergic reaction. Which safety instruction is the priority?


Question

What is the primary clinical advantage of loratadine over diphenhydramine?


Question

What is the priority nursing assessment for a client receiving codeine for cough suppression?


Question

Arrange the steps for using a Metered-Dose Inhaler (MDI) with a spacer in the correct order.


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Question

Complete the rule for oxygen therapy in COPD clients:


In clients with severe COPD, target a low flow rate of L/min because high oxygen levels may eliminate the .