A patient is diagnosed with a lung infection caused by P. aeruginosa. The culture and sensitivity report shows sensitivity to all aminoglycosides. The nurse knows that the rate of resistance to gentamicin is common in this hospital
The nurse will expect the provider to order which medi-cation? a. Amikacin [Amikin]
b. Gentamicin
c. Paromomycin
d. Tobramycin
A
When resistance to gentamicin and tobramycin is common, amikacin is the drug of choice for initial treatment of aminoglycoside-sensitive infections. Gentamicin would not be indicated, be-cause resistance is more likely to develop. Paromomycin is used only for local effects within the intestine and is given orally. Tobramycin is not indicated, because organisms can more readily develop resistance.
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An RN working the 11 to 7 shift on Saturday night receives the following phone call from a recently discharged client, "I had my baby last night after a very fast labor, and they let me go home from the hospital this morning
Now I have this real bad pain in my bottom and a lot of pressure in my vagina that is getting worse. I took one Darvocet pill and it doesn't help at all." What is the best response to this inquiry? a. "A hematoma may be forming; you should notify your physician about these symptoms tonight." b. "One day past delivery you should still take two pills to get adequate pain relief." c. "Place ice on the episiotomy site for at least 8 hours to see if the pain resolves." d. "You may have retained placental fragments, is your uterus firm?"
The nurse is working on parenting skills with a mother of three children. The nurse demonstrates a strategy that uses reward to increase positive behavior. This strategy is called which of the following?
1. Time out 2. Reasoning 3. Behavior modification 4. Experiencing consequences of misbehavior
A patient has been prescribed silver sulfadiazine (Silvadene) cream to treat burns on his leg. Normal adverse effects of silver sulfadiazine cream include:
1. Transient leukopenia on days 2 to 4 that should resolve 2. Worsening of burn symptoms briefly before resolution 3. A red, scaly rash that will resolve with continued use 4. Hypercalcemia
A female patient is scheduled for an oral glucose tolerance test. Which information from the patient's health history is most important for the nurse to communicate to the health care provider?
a. The patient uses oral contraceptives. b. The patient runs several days a week. c. The patient has been pregnant three times. d. The patient has a family history of diabetes.