A patient with mitral valve prolapse is admitted for a scheduled bronchoscopy to investigate recent hemoptysis. The physician has ordered gentamicin to be taken before the procedure. What is the rationale for this?
A) To prevent bacterial endocarditis
B) To prevent hospital-acquired pneumonia
C) To minimize the need for antibiotic use during the procedure
D) To decrease the need for surgical asepsis
Ans: A
Feedback:
Antibiotic prophylaxis is recommended for high-risk patients immediately before and sometimes after the following invasive procedures, such as bronchoscopy. Gentamicin would not be given to prevent pneumonia, to avoid antibiotic use during the procedure, or to decrease the need for surgical asepsis.
You might also like to view...
How do novice student nurses make ethical decisions?
1. Based on their intuition 2. Based on the class's consensus 3. Based on facts and instructor guidance 4. Based on what they think is right
The nurse is preparing to administer a prescribed dose of intravenous dexamethasone (Decadron) to a client after craniotomy. The pharmacy supplies dexamethasone 40 mcg in 20 mL normal sa-line to be administered over 15 minutes
The nurse sets the IV pump at a rate of _____ mL/hr. Fill in the blank(s) with correct word
Mr. W. is a 51-year-old auto mechanic who comes to the emergency room wanting to be checked out for the symptom of chest pain. As you listen to him describe his symptom in more detail, you say “Go on,” and later, “Mm-hmmm.” This is an example of which of the following skilled interviewing techniques?
A) Echoing B) Nonverbal communication C) Facilitation D) Empathic response
A mother brings her 17-year-old daughter to the emergency department. She states that the daughter took 40 extended-release acetaminophen tablets 8 hours ago. The nurse would anticipate an order for
a. activated charcoal. b. high doses of antacids. c. acetylcysteine (Mucomyst). d. hemodialysis.