A child has been admitted to the hospital with osteomyelitis. The nurse would expect to administer which intravenous antibiotic for this child?

1. Ampicillin or penicillin
2. Vancomycin or clindamycin
3. Gentamycin or tobramycin
4. Rifadin or rifampin


2
Rationale:
1. Medical management of osteomyelitis begins with intravenous administration of a broad-spectrum antibiotic. Since there is a possibility of methicillin-resistant Staphylococcus aureus (MRSA), beginning antibiotics are typically vancomycin or clindamycin.
2. Medical management of osteomyelitis begins with intravenous administration of a broad-spectrum antibiotic. Treatment is influenced by the possibility of methicillin-resistant Staphylococcus aureus (MRSA), so beginning antibiotics are usually vancomycin or clindamycin.
3. Medical management of osteomyelitis begins with intravenous administration of a broad-spectrum antibiotic. Due to the possibility of methicillin-resistant Staphylococcus aureus (MRSA), the beginning drugs of choice are typically vancomycin or clindamycin. Gentamycin and tobramycin are aminoglycosides.
4. Rifampin is used to treat diseases such as tuberculosis, and would not likely be effective in treating osteomyelitis. The beginning drugs of choice are usually vancomycin or clindamycin.

Nursing

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As recently as 2005, the American Academy of Pediatrics revised safe sleep practices to assist in the prevention of sudden infant death syndrome

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The order is to infuse 94 mL in 20 minutes using a 60 gtt/mL set. Calculate the gtt/min to the nearest whole number

What will be an ideal response?

Nursing

The nurse is teaching a client from a culture that is "present oriented" about a dressing change that should be performed twice a day. How should the nurse address the cultural issue?

1. Allow the client to select the times the dressing will be changed. 2. Instruct the client to change the dressing after breakfast and before going to bed. 3. Explain that the client should complete the dressing change at 10 AM and 4 PM. 4. Suggest that the dressing change can be performed whenever the client chooses, as long as it gets done twice daily.

Nursing