Question 1

An adult patient has cellulitis.The patient is a single parent with health insurance who works and is attending classes at a local university.To treat this infection,the primary care nurse practitioner (NP) should prescribe:

Accepted Answer

A)   cefdinir (Omnicef) .
B)   cephalexin (Keflex) .
C)   cefadroxil (Duricef) .
D)   ceftriaxone (Rocephin) .E) A) and D)
F) C) and D) C

Question 2

A primary care NP provides teaching to a patient who will begin taking cefadroxil (Duricef) .Which statement by the patient indicates a need for further teaching?

Accepted Answer

A)   "I should report any rash that occurs."
B)   "I will take this medication twice daily."
C)   "I should take this medication with food."
D)   "Gastrointestinal (GI)  symptoms are common but not worrisome."E) None of the above
F) B) and C)

Question 3

A primary care NP sees a patient who has dysuria,fever,and urinary frequency.The NP orders a urine dipstick,which is positive for nitrates and leukocyte esterase,and sends the urine to the laboratory for a culture.The patient is allergic to sulfa drugs.The NP should:

Accepted Answer

A)   order cefaclor (Ceclor) .
B)   prescribe cefixime (Suprax) .
C)   administer intramuscular ceftriaxone (Rocephin) .
D)   wait for culture results before ordering an antibiotic.E) None of the above
F) A) and B) B

Question 4

A patient is taking cefadroxil (Duricef) and comes to the clinic complaining of loose stools for several days.The primary care NP notes normal vital signs; warm,pink skin with elastic turgor; and moist mucous membranes.The NP should:

Accepted Answer

A)   order tests for Clostridium difficile-associated disease (CDA
D)  .
B)   discontinue the cefadroxil.
C)   reassure the patient that loose stools are common with antibiotics.
D)   recommend consuming lactobacillus-containing foods to minimize diarrhea.E) A) and B)
F) C) and D)

Question 5

A child with a febrile illness is taking a cephalosporin.While in the clinic for a follow-up visit,the child has a tonic-clonic seizure.The primary care NP should:

Accepted Answer

A)   administer acetaminophen because this is likely a febrile seizure.
B)   reassure the parent that seizures can occur while taking cephalosporins.
C)   ask the child's parent how much of the cephalosporin the child has taken.
D)   suspect the development of a secondary central nervous system infection.E) A) and B)
F) B) and C)

Question 6

A 70-year-old patient will begin taking cefdinir (Omnicef) for an acute exacerbation of COPD.Before initiating therapy,the primary care NP should order:

Accepted Answer

A)   liver function tests (LFTs) .
B)   coagulation studies.
C)   an electrocardiogram (ECG) .
D)   a creatinine clearance test.E) C) and D)
F) A) and B) D

Question 7

A patient is taking an aminoglycoside and a cephalosporin.The primary care NP should consider _____ the dose of _____.

Accepted Answer

A)   increasing; cephalosporin
B)   decreasing; cephalosporin
C)   increasing; aminoglycoside
D)   decreasing; aminoglycosideE) B) and D)
F) B) and C)

Exam 60: Cephalosporins

An adult patient has cellulitis.The patient is a single parent with health insurance who works and is attending classes at a local university.To treat this infection,the primary care nurse practitioner (NP) should prescribe:

Correct Answer
verified
C

A primary care NP provides teaching to a patient who will begin taking cefadroxil (Duricef) .Which statement by the patient indicates a need for further teaching?

Correct Answer
verified

A primary care NP sees a patient who has dysuria,fever,and urinary frequency.The NP orders a urine dipstick,which is positive for nitrates and leukocyte esterase,and sends the urine to the laboratory for a culture.The patient is allergic to sulfa drugs.The NP should:

Correct Answer
verified
B

A patient is taking cefadroxil (Duricef) and comes to the clinic complaining of loose stools for several days.The primary care NP notes normal vital signs; warm,pink skin with elastic turgor; and moist mucous membranes.The NP should:

Correct Answer
verified

A child with a febrile illness is taking a cephalosporin.While in the clinic for a follow-up visit,the child has a tonic-clonic seizure.The primary care NP should:

Correct Answer
verified

A 70-year-old patient will begin taking cefdinir (Omnicef) for an acute exacerbation of COPD.Before initiating therapy,the primary care NP should order:

Correct Answer
verified
D

A patient is taking an aminoglycoside and a cephalosporin.The primary care NP should consider _ the dose of _.

Correct Answer
verified

Exam 60: Cephalosporins

An adult patient has cellulitis.The patient is a single parent with health insurance who works and is attending classes at a local university.To treat this infection,the primary care nurse practitioner (NP) should prescribe:

Correct AnswerverifiedC

A primary care NP provides teaching to a patient who will begin taking cefadroxil (Duricef) .Which statement by the patient indicates a need for further teaching?

Correct AnswerverifiedShow Answer

A primary care NP sees a patient who has dysuria,fever,and urinary frequency.The NP orders a urine dipstick,which is positive for nitrates and leukocyte esterase,and sends the urine to the laboratory for a culture.The patient is allergic to sulfa drugs.The NP should:

Correct AnswerverifiedB

A patient is taking cefadroxil (Duricef) and comes to the clinic complaining of loose stools for several days.The primary care NP notes normal vital signs; warm,pink skin with elastic turgor; and moist mucous membranes.The NP should:

Correct AnswerverifiedShow Answer

A child with a febrile illness is taking a cephalosporin.While in the clinic for a follow-up visit,the child has a tonic-clonic seizure.The primary care NP should:

Correct AnswerverifiedShow Answer

A 70-year-old patient will begin taking cefdinir (Omnicef) for an acute exacerbation of COPD.Before initiating therapy,the primary care NP should order:

Correct AnswerverifiedD

A patient is taking an aminoglycoside and a cephalosporin.The primary care NP should consider _____ the dose of _____.

Correct AnswerverifiedShow Answer

Correct Answer
verified
C

Correct Answer
verified

Correct Answer
verified
B

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified
D

A patient is taking an aminoglycoside and a cephalosporin.The primary care NP should consider _ the dose of _.

Correct Answer
verified