A child has received amoxicillin [Amoxil] for three previous ear infections, but a current otitis media episode is not responding to treatment
The nurse caring for this child suspects that resis-tance to the bacterial agent has occurred by which microbial mechanism? a. Alteration of drug target molecules
b. Antagonist production
c. Drug inactivation
d. Reduction of drug concentration at the site of action
C
Drug inactivation can occur when microbes produce drug-metabolizing enzymes. Penicil-lin-resistant organisms, including many that cause otitis media, produce penicillinase. Alteration of drug target molecules, drug inactivation, and reduction of the drug concentration occur with other antimicrobials.
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Which action would the nurse teach to help the client prevent vulvovaginitis?
a. Wipe back to front after urination. b. Cleanse the inner labial mucosa with soap and water. c. Use feminine hygiene sprays to avoid odor. d. Wear loose cotton underwear.
The nurse is caring for a group of clients in a long term care facility. Which of the following clients are at risk for sensory deprivation?(Select all that apply) Standard Text: Select all that apply
1. The alert and oriented client who has no family in the area 2. The confused client who has no family in the area 3. The alert and oriented client who has several children, grandchildren, and great-grand children who are all involved in the client's care 4. The alert and oriented client who is unable to move independently 5. The confused client whose hearing aids work intermittently
Which of the following nursing practices commonly performed in the geriatric medical unit of a hospital is most in need of modification or correction?
A) Patients are regularly prompted to practice deep-breathing and coughing exercises in order to mobilize secretions and prevent atelectasis. B) Patients at risk for urinary incontinence are catheterized in order to reduce the risk of urinary tract infections. C) Reality orientation is provided to patients who exhibit cognitive deficits. D) The discharge planning process is begun immediately following admission.
A client has just lost her second baby to preterm complications. Which statement demonstrates the best therapeutic response for the nurse to make?
1. "Don't be so sad. You can always try again." 2. "Didn't your doctor advise you about genetic counseling?" 3. "I know how you feel. I have children of my own." 4. "I am so sad for you. I'll stay with you for a while if you need to talk."