The client asks the nurse why the health care provider did not prescribe the same antibiotic that the client always receives for an infection. The best response by the nurse would be:
1. "It doesn't matter which antibiotic you take."
2. "You don't want to take the same antibiotic all the time."
3. "Try this medicine, and if you're not better in 10 days, return to the office."
4. "These bacteria have developed resistance and will respond better to this antibiotic."
Correct Answer: 4
Rationale 1: Antibiotics are prescribed specifically for the type of pathogen causing the infection, and the selection of the correct antibiotic is important.
Rationale 2: This is a true statement but does not answer the client's question.
Rationale 3: This response does not provide the client with accurate information, and the client might need to return sooner than 10 days.
Rationale 4: Continuous use of the same type of antibiotic could lead to bacterial mutations that are insensitive to the effects of the antibiotic.
Global Rationale: Acquired resistance is the ability of an organism to become unresponsive over time to the effects of an anti-infective. Resistance can occur in bacteria, fungi, viruses, and protozoans. It is a major clinical problem that is growing in importance.
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