The nurse assesses the health actions of a group of clients. Which of the following practices best demonstrates appropriate use of antibiotics?

A) An 80-year-old client takes a low dose of a broad-spectrum antibiotic once daily to prevent infection.
B) A 77-year-old client makes sure to stop taking the antibiotics once signs and symptoms of infection are no longer present.
C) An 81-year client does not take synthetic antibiotics but rather limits self to natural substitutes.
D) A 72-year-old client discards leftover antibiotics once the prescribed course is complete.


D
Feedback:
It is important to discard leftover antibiotics. Taking an antibiotic indefinitely is not a sound practice and a course of antibiotics should be taken for the prescribed length of time, not ceased when signs and symptoms disappear. Categorical rejection of antibiotics in favor of natural substitutes is an individual's right, but does not reflect the fact that antibiotics are appropriate and even invaluable in certain situations.

Nursing

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The client receiving propylthiouracil should be taught to report signs and symptoms of infection immediately because of which of the following?

a. Depression of thyroid function increases risk of infection. b. Hyperthyroidism predisposes the client to immune system breakdown. c. Iodine preparations inhibit blood clotting. d. Propylthiouracil can cause agranulocytosis.

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Which of the following theorists described major psychosocial stages during development of the personality?

1. Havighurst 2. Piaget 3. Freud 4. Erikson

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To prevent rupturing an elderly patient's vessel when performing venipuncture, the nurse will

1. Use the Vacutainer collection method. 2. Use a blood pressure cuff to occlude venous return. 3. Collect the patient's blood with an 18-gauge needle. 4. Apply warm compresses to the arm for 20 minutes before venipuncture.

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Which of the following situations should the nurse explore for possible emotional abuse of the child by the caregiver?

A) The caregiver of a 13-year-old reports, "Amy is really frustrating me. I've been late for work every day this week because she hasn't been ready to leave for school on time." B) The caregiver of a 16-year-old reports, "I couldn't believe when I got home from work last night, dinner wasn't ready. Jack knew it was his turn to cook." C) The caregiver of a 12-year-old reports, "I'm sorry we missed Jamal's appointment last week but he was supposed to remind me to come." D) The caregiver of a 15-year-old reports, "Laia promised to earn the money to care for the dog if we got him, but she keeps turning down baby-sitting jobs to go out with her friends, and I have to add dog food to my already impossible budget."

Nursing