The nurse is admitting a client to the floor with a protozoan infection. Which medication would the nurse expect the physician to order?

1. Quinupristin–dalfopristin (Synercid)
2. Penicillin
3. Metronidazole (Flagyl)
4. Ciprofloxacin (Cipro)


3

Rationale 1:Quinupristin–dalfopristin (Synercid) is a streptogamins and used for serious infections resistant to vancomycin.
Rationale 2: Penicillinsare considered broad-spectrum antibiotics.
Rationale 3: Flagyl is used for serious infections from anaerobic bacteria and for protozoan infections.
Rationale 4:Ciprofloxacin (Cipro) is a fluoroquinolone and used for a variety of infections but not protozoa.

Global Rationale: Flagyl is used for serious infections from anaerobic bacteria and for protozoan infections. Quinupristin–dalfopristin (Synercid), penicillin, and ciprofloxacin (Cipro) are not appropriate choices for treating protozoan infections.

Nursing

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What should the nurse keep in mind when teaching an older client about smoking cessation?

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The nurse has educated a client on Paget's disease. Which statement by the client indicates good understanding of causative factors?

a. "It is caused by lack of calcium in my di-et." b. "I probably had a fracture that caused it." c. "This disease occurs because of lack of exercise." d. "I may have a genetic predisposition."

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