A nursing student is caring for a patient with community-acquired pneumonia (CAP) who also has a methicillin-resistant Staphylococcus aureus (MRSA) skin infection. The prescriber has or-dered daptomycin [Cubicin]
The nurse encourages the student to approach the provider to re-quest a different antibiotic because of which facts about daptomycin? (Select all that apply.) a. It causes significant renal impairment.
b. It is approved only for bloodstream and skin infections.
c. It increases the risk of serious cardiores-piratory events.
d. It is more likely to produce resistant strains of bacteria.
e. It is not effective against MRSA infec-tions.
B, C
Daptomycin has been approved only for bloodstream and skin infections caused by S. aureus, including MRSA infections, and would not be indicated for a CAP infection. In patients with CAP, daptomycin poses a higher risk of serious cardiorespiratory side effects. Daptomycin does not cause renal impairment and is no more likely to produce bacterial resistance than other anti-biotics. Daptomycin can be used to treat MRSA infections.
You might also like to view...
A 41-year-old male presents to the emergency room complaining of frequent urination, increased hunger, "always being thirsty," and fatigue. He is diagnosed with type 2 diabetes mellitus
a. In explaining to him the physiological reason for his symptoms, what cellular functions do you think would help him understand his disease? b. How might you explain his fatigue on a cellular level?
A middle-aged patient is seen in the clinic for a continuing cough after recovering from the flu "a few weeks ago." What should the nurse suspect is occurring with this patient?
1. viral pneumonia 2. sinus infection 3. otitis media 4. tracheobronchitis
A developing country has been in contact with the World Bank. What is this country accomplishing by connecting with this intergovernmental organization?
a. Ensuring that the economy is based on the U.S. dollar b. Supporting specific projects, especially to establish new businesses c. Requesting a loan to improve the infrastructure d. Helping to establish a national banking system
The nurse assesses a stage I pressure ulcer on an older adult's coccyx by the appearance of a:
a. clear blister. b. nonblanchable area of erythema. c. scaly abraded area. d. painful reddened area.