Which patients should be given antibiotics prophylactically? (Select all that apply.)

a. Children who attend day care with other children who have strep throat
b. Children undergoing chemotherapy who have mild neutropenia
c. Patients with certain congenital heart de-fects at risk for bacterial endocarditis
d. Patients with compound fractures under-going surgical repair
e. Postoperative patients who have under-gone emergency cesarean sections


C, D
Antimicrobial prophylaxis is recommended for patients with congenital or other heart disease who have an increased risk for bacterial endocarditis and for patients undergoing certain surge-ries in which the risk for infection is very high, including those who have compound fractures. Children who are exposed to strep throat will need to have confirmed strep infection prior to re-ceiving antibiotics. Patients with milk neutropenia do not need antimicrobial prophylaxis. Patients undergoing emergency C-sections need antimicrobial prophylaxis prior to surgery, not after.

Nursing

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The nurse administers an intravenous medication with a half-life of 24 hours but recognizes what factors in this patient could extend the drug's half-life? (Select all that apply.)

A) Gastrointestinal disease B) Kidney disease C) Liver disease D) Cardiovascular disease E) Route of administration

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A student athlete presents at the clinic for his physical checkup. The athlete tells the nurse that he is using large doses of creatine to increase muscle size and strength

What should the nurse instruct the student to do while taking this medication? A) Take nonsteroidal anti-inflammatory drugs (NSAIDs) to stop pain from expanding muscles. B) Drink plenty of fluids while using this drug and watch for swelling. C) Stop eating red meat or other animal products. D) Take cimetidine (Tagamet) to relieve the stomach upset associated with the use of this therapy.

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The nurse is preparing to collect data for a health history with a client. Which statement is therapeutically most appropriate for the nurse to use?

1. "Tell me what brought you to the clinic today." 2. "Why didn't you come last week?" 3. "I think you should change your lifestyle." 4. "Everything will be fine now."

Nursing

When a cognitively impaired, wealthy, white client is noted to have burns on her upper back,

her son states that the patient burned herself when attempting to shower. Which statement by a member of the team reflects a need for further education on elder abuse? Select all that apply. a. "She is wealthy; abuse does not happen in people of financial means." b. "Even if we are not sure, we are legally bound to report our suspicions." c. "We need to consider that most abusers are either adult children or spouses." d. "Her cognitive deficiencies put her at risk for elder abuse." e. "The client is white and race places an important role in who is likely to be abused."

Nursing