A patient with severe community-acquired pneumonia has been prescribed telithromycin [Ketek]. Which aspect of the patient's medical history is of concern to the nurse?
a. Anemia
b. Myasthenia gravis
c. Renal disease
d. Strep. pneumoniae infection
B
Telithromycin is a macrolide antibiotic used only for CAP. Patients with myasthenia gravis may experience rapid muscle weakness after taking the drug, and some have died from respiratory failure, so patients with MG should not take this drug. This drug does not have significant mye-losuppression, so anemia is not a concern. The drug causes liver injury, so liver disease, and not renal disease, is a concern. Telithromycin is indicated for treatment of S. pneumonia.
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The nurse executive of a health care organization is working with the chief financial officer to develop a method of charging for nursing services. Why is this a difficult undertaking?
1. The historical method of recouping the cost of nursing salaries has been to bundle those costs in with ancillary services salaries. 2. The actual cost of providing nursing services is difficult to determine. 3. The number of patients on a given unit varies from day to day. 4. Nurses do not like to think about charging for their services.
A newborn assessment shows a separated sagittal suture, oblique palpebral fissures, a depressed nasal bridge, a protruding tongue, and transverse palmar creases. These findings are most suggestive of which condition?
a. Microcephaly b. Cerebral palsy c. Down syndrome d. Fragile X syndrome
Which type of question would be most effective in obtaining a patient's perception of his or her problem?
A) Open-ended question B) Closed-ended question C) Leading question D) Probing question
Nurses attain increased autonomy through:
a. high levels of education. b. clinical competence. c. practising in diverse settings. d. all of the above.