The nurse is admitting a client to the acute care floor with methicillin-resistant S. aureus. The nurse would expect the physician to order which medication for this client?

1. Penicillin
2. Streptomycin
3. Kanamycin (Kantrex)
4. Vancomycin (Vancocin)


Correct Answer: 4

Rationale 1: Vancomycin is the most effective drug for treating methicillin-resistant S. aureus.
Rationale 2: Vancomycin is the most effective drug for treating methicillin-resistant S. aureus.
Rationale 3: Vancomycin is the most effective drug for treating methicillin-resistant S. aureus.
Rationale 4: Vancomycin is the most effective drug for treating methicillin-resistant S. aureus.

Global Rationale: Vancomycin is the most effective drug for treating methicillin-resistant S. aureus. Penicillin, streptomycin, and kanamycin (Kantrex) would not be effective in treating a methicillin-resistant S. aureus.

Nursing

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Milo, a 19-year-old, lives in an inner-city apartment complex. One late night he was walking home after hanging out with his friends

Before he knew what was happening, someone jumped Milo from behind and tried to get his wallet. A fight broke out, and the thief stabbed Milo in the abdomen before taking off. When the paramedics arrived, Milo was pale, sweating, and rolling restlessly on the ground. His pulse was 94 beats/minute and his blood pressure 115/82 mm Hg. He was rushed to the hospital where his treatment began immediately. Why is Milo presenting with pallor, diaphoresis, and restlessness? In spite of his blood loss, Milo's blood pressure was only slightly affected when the paramedics first found him. Describe how cardiovascular compensatory mechanisms serve to maintain homeostasis as long as possible in the early stages of shock. How does ADH contribute to compensation? What are the disadvantages of prolonged vasoconstriction in hypovolemic shock? If Milo's respirations were to become progressively deeper and more rapid, what physiological changes in the body would that indicate?

Nursing

Antiinflammatory analgesics should be used with caution by patients with which of the following conditions? (Select all that apply.)

a. Liver disease b. Transient ischemic attacks (TIAs) c. Headaches d. Weight loss e. Heart disease

Nursing

Side effects of Viagra reported by an older person that would require immediate attention include:

a. headache b. nasal congestion c. visual problems d. flushing

Nursing

The school nurse follows up with a third grader who was recently diagnosed with attention-deficit/hyperactivity disorder (ADHD) to make sure that he takes his prescribed medication

What type of medication would the nurse most suspect this client is taking? A) First-generation antipsychotic B) Second-generation antipsychotic C) Mood stabilizer D) Stimulant

Nursing