A female patient who is allergic to penicillin will begin taking an antibiotic to treat a lower respiratory tract infection
The patient tells the nurse that she almost always develops a vaginal yeast infection when she takes antibiotics and that she will take fluconazole (Diflucan) with the antibiotic being prescribed. Which macrolide order would the nurse question for this patient?
a. Azithromycin (Zithromax)
b. Clarithromycin (Biaxin)
c. Erythromycin (E-Mycin)
d. Fidaxomicin (Dificid)
ANS: C
When erythromycin is given concurrently with fluconazole, erythromycin blood concentration and the risk of sudden cardiac death increase.
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An older patient who sustained a fractured hip and femur in a motor vehicle accident is to be in Russell traction for several weeks. What should be the focus of care for the nurse?
a. Offering frequent distractions b. Encouraging nutrition c. Offering pain relief d. Preventing deep vein thrombosis (DVT)
The GCS is an invalid measure for the patient with
a. hemiplegia. b. Parkinson disease. c. mental retardation. d. intoxication.
You are examining a pregnant patient and have noted a vascular lesion. When you blanch over the vascular lesion, the site blanches and refills evenly from the center outward. The nurse doc-uments this lesion as a:
a. telangiectasia. b. spider angioma. c. petechiae. d. purpura.
In providing a history, the client describes, out of order, several events that occurred in different decades of his life. To understand the timeline of events, the nurse uses what technique?
a. Ordering the data to clarify the sequence of events b. Drawing conclusions from data given c. Asking the client to elaborate about his history d. Asking the client to repeat his history