A nurse is reviewing the culture results of a patient receiving an aminoglycoside. The report reveals an anaerobic organism as the cause of infection. What will the nurse do?
a. Contact the provider to discuss an in-creased risk of aminoglycoside toxicity.
b. Continue giving the aminoglycoside as ordered.
c. Request an order for a different class of antibiotic.
d. Suggest adding a penicillin to the patient's drug regimen.
C
Aminoglycosides are not effective against anaerobic microbes, so another class of antibiotics is indicated. There is no associated increase in aminoglycoside toxicity with anaerobic infection. The aminoglycoside will not be effective, so continuing to administer this drug is not indicated. Adding another antibiotic is not useful, because the aminoglycoside is not necessary.
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Which statement about drug therapy for heart failure is true?
a. The drugs work only directly on the heart muscle. b. Drug therapy improves heart function but does not cure heart failure. c. When heart function returns to normal, the drug therapy can be stopped. d. Drug therapy for heart failure does not work when the patient continues to smoke.
A patient prescribed subcutaneous heparin tells you that her menstrual bleeding is heavier than usual. What is your best response?
a. "I will hold the drug and notify your prescriber." b. "This is a fairly common and expected side effect of the drug." c. "Heavy bleeding is a concern because you might become anemic." d. "I will have to give you a shot of protamine sulfate to reverse the drug's action."
What are the six elements of accountability? Provide an example for each
What will be an ideal response?
The caregivers of a child with chickenpox telephone the nurse and ask what they can do about their child scratching the lesions. The best answer by the nurse would be:
a. "Offer the child a reward for not scratching, and keep a behavioral chart with stars for not scratching." b. "Wrap tape around the hands and tips of the fingernails, and paint the lesions with clear nail polish." c. "Put body lotion on the lesions during the day and night, cut the nails short, and use Epsom salts in the bathwater." d. "Cut the fingernails short, cover the hands at night, and use a drying solution such as calamine, oatmeal, or baking soda in bathwater."