The nurse is caring for a patient with a Pseudomonas infection and has just administered amikacin (Amikin). What is the advantage of this aminoglycoside over the other aminoglyco-sides?
a. It poses less risk of thrombophlebitis.
b. It is the most resistant to bacteria.
c. It is active against gram-positive bacteria.
d. It is eliminated quicker than the others.
B
Of the aminoglycosides, amikacin is the most resistant to bacteria.
The aminoglycosides pose no apparent risk of thrombophlebitis.
Amikacin is the preferred agent for initial treatment of infections caused by aerobic gram-negative bacilli, not gram-positive bacteria.
Amikacin is not eliminated any faster through the kidneys than the other aminoglycosides.
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Hospitals in recent years have become more motivated to focus their marketing strategies on patient care excellence. What are some of the drivers of this focus (select all that apply)?
a. Heightened patient scrutiny b. Heightened media scrutiny c. Organizational transparency about error reporting d. Frequent media accounts of medical errors e. Increased litigation
You observe clubbing of the fingers in an older man. What is your interpretation of the significance of this finding?
A. You should ask the client if this condition has been present since birth. B. This finding is most commonly associated with chronic disorders of impaired gas exchange. C. You should ask the client about his occupation and hobbies and any other activi-ties involving exposure of the hands to harsh chemicals. D. Clubbing of the fingers is a common age-related change and is considered a nor-mal finding among older adults, especially men.
A public health nurse, along with a student, is visiting the home of an elderly woman who is widowed and lives alone
Her 40-year-old son is her caregiver, and the public health nurses visit about once a week to follow up on her high blood pressure, recent surgery for a hip fracture, and diabetes. The nurse and student find the home unkept, sink full of dirty dishes, and the patient in clothes that are extremely soiled. She cannot reach her walker to get up, and she has been incontinent. This type of abuse is called: 1. Neglect. 2. Abandonment. 3. Physical abuse. 4. Financial abuse.
Case management for persons who are demented and live alone is one of the roles of which type of psychiatric nurse?
a. day-care center director b. psychiatric unit nurse c. home health psychiatric nurse d. advanced practice nurse