A client with an upper respiratory tract infection was prescribed roxithromycin, an antibiotic. To which of the following should the nurse tell the client that irregular administration of this medication could lead?
A) Decreased absorption of the drug
B) Development of drug resistance
C) Increased rate of elimination of the drug
D) Increased chances of serious adverse events
B
Feedback:
When there is irregular or indiscriminate use of antibiotics, certain pathogens may mutate or build a tolerance to the drug. The antibiotic then becomes ineffective against that organism. Irregular use does not affect the absorption or elimination of the drug or increase chances of serious adverse events of the antibiotic.
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An older female patient is scheduled to have a DEXA examination. What should the nurse consider as most likely the reason the test has been prescribed for this patient?
A. Check the degree of osteoporosis. B. Evaluate bone cancer. C. Check for fractures. D. Screen for osteomyelitis.
The nurse is measuring her patient's blood glucose levels after an acute myocardial infarction (MI). She knows the rationale for doing this is:
a. damaged muscle tissue releases glucose. b. corticosteroids increase glucose. c. myocardial infarctions are often seen in diabetics. d. all patients should have their blood glucose checked.
Which statement by the nurse manager is accurate regarding case management? The two tools that support case management are
a. "clinical pathways and patient classifica-tions.". b. "clinically oriented and business-oriented pathways.". c. "clinical pathways and disease manage-ment protocols.". d. "centralized and decentralized system models.".
A physician is choosing a chest drainage system for a patient who is ambulating daily. Which of the following systems would be the best choice for this patient?
A) Traditional water seal B) Wet suction C) Dry suction water seal D) Dry suction/one-way valve system