Numerous residents of a long-term care facility have developed Clostridium difficile–associated diarrhea over the past week. The nurses at this facility would anticipate that many residents would require which of the following drugs?
A) Linezolid (Zyvox)
B) Daptomycin (Cubicin)
C) Metronidazole (Flagyl)
D) Chloramphenicol (Chloromycetin)
C
Feedback:
Clinical indications for metronidazole include prevention or treatment of anaerobic bacterial infections (e.g., in colorectal surgery, intra-abdominal infections) and treatment of C. difficile infections associated with pseudomembranous colitis. The other listed antibiotics are not used for the treatment of Clostridium difficile–associated diarrhea.
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A patient asks about the effectiveness of various birth control methods. The nurse should inform her that the most effective methods are what? (Select all that apply.)
a. Intrauterine devices (IUDs) b. Spermicides c. Intramuscular medroxyprogesterone ace-tate d. Etonogestrel subdermal implants e. Male or female sterilization
The 60-year-old client tells you that she smoked three packs of cigarettes per day since she was 15 years old, until she was 40, and then smoked two packs per day. How many pack-years should you record in the client's history?
A. 45 B. 80 C. 90 D. 115
The nurse establishes the nursing diagnosis of ineffective health maintenance related to lack of knowledge regarding long-term management of rheumatic fever when a 30-year-old recovering from rheumatic fever without carditis says which of the following?
a. "I will need prophylactic antibiotic therapy for 5 years." b. "I will need to take aspirin or ibuprofen (Motrin) to relieve my joint pain." c. "I will call the doctor if I develop excessive fatigue or difficulty breathing." d. "I will be immune to further episodes of rheumatic fever after this infection."
Which concept is important for the nurse to know when taking a child's temperature?
a. The method used should be consistent. b. Rectal temperatures should always be taken on infants. c. Oral temperatures can be taken on all children older than 5 years of age. d. Axillary temperatures should be taken at night.