Medication Case Studies: Antibiotics & Anti-infectives

Patient: 29-year-old female with a sinus infection, prescribed azithromycin 500 mg PO on day 1, then 250 mg PO daily for 4 days.

Q1. Highlight assessment findings most concerning for Zithromax:
Q2. Which order should the nurse question?

Q3. Select all teaching points for Zithromax:

Q4. Order of priority if patient develops palpitations and rash:

Q5. Matrix: Common vs Serious Side Effects:
Q6. Which finding requires immediate provider notification?

Patient: 45-year-old female with a UTI, prescribed Bactrim DS 1 tablet PO twice daily.

Q7. Highlight assessment findings most concerning for Bactrim DS:
Q8. Which order should the nurse question?

Q9. Select all teaching points for Bactrim DS:

Q10. Order of priority if patient develops new rash and oral ulcers:

Q11. Matrix: Common vs Serious Side Effects:
Q12. Which finding requires immediate provider notification?

Patient: 35-year-old male with TB, prescribed isoniazid 300 mg PO daily.

Q13. Highlight assessment findings most concerning for INH:
Q14. Which order should the nurse question?

Q15. Select all teaching points for INH:

Q16. Order of priority if patient develops yellow skin and severe fatigue:

Q17. Matrix: Common vs Serious Side Effects:
Q18. Which finding requires immediate provider notification?

Patient: 22-year-old male with Rocky Mountain Spotted Fever, prescribed doxycycline 100 mg IV every 12 hours.

Q19. Highlight assessment findings most concerning for doxycycline:
Q20. Which order should the nurse question?

Q21. Select all teaching points for doxycycline:

Q22. Order of priority if patient develops difficulty swallowing:

Q23. Matrix: Common vs Serious Side Effects:
Q24. Which finding requires immediate provider notification?

Patient: 60-year-old male with Streptococcus pneumonia, prescribed vancomycin 1g IV every 12 hours.

Q25. Highlight assessment findings most concerning for vancomycin:
Q26. Which order should the nurse question?

Q27. Select all teaching points for vancomycin:

Q28. Order of priority if patient develops red rash and decreased urine output:

Q29. Matrix: Common vs Serious Side Effects:
Q30. Which finding requires immediate provider notification?

Patient: 40-year-old female with MRSA skin infection, prescribed clindamycin 600 mg IV every 8 hours.

Q31. Highlight assessment findings most concerning for clindamycin:
Q32. Which order should the nurse question?

Q33. Select all teaching points for clindamycin:

Q34. Order of priority if patient develops watery diarrhea and fever:

Q35. Matrix: Common vs Serious Side Effects:
Q36. Which finding requires immediate provider notification?