A patient is suspected of having severe sepsis. What should the nurse anticipate concerning antibiotic therapy for this patient? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Several antibiotics will be started on the same day.
2. The antibiotic prescribed will be one commonly used in the hospital.
3. The initial antibiotic will be broad-spectrum.
4. The antibiotic therapy will be reevaluated in 2 or 3 days and is likely to be changed.
5. Before choosing an antibiotic, the prescriber will ask questions about where the patient lives and has traveled.
2,3,4,5
Rationale 1: Monotherapy is recommended.
Rationale 2: The choice of antibiotic is based on the epidemiology of sepsis in the area, so it is likely to be a drug often used in the hospital.
Rationale 3: The use of a broad-spectrum antibiotic is recommended as it increases the chances that the responsible organism will be sensitive to the drug.
Rationale 4: After cultures reports are available and after the patient has received several doses of the antibiotic, therapy will be reevaluated. This generally occurs in 2 to 3 days.
Rationale 5: The choice of antibiotic is based on the most likely causative agent. The epidemiology of the area in which the patient lives or has traveled is a clue to the organism involved.
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