A patient allergic to penicillin is being evaluated for a gram-negative infection. Which antimicrobial drug class would the health care provider be cautious in prescribing because of a possible cross sensitivity and/or allergic reaction?
a. Cephalosporins
b. Aminoglycosides
c. Sulfonamides
d. Quinolones
ANS: A
Cephalosporins may be used with caution as alternatives when patients are allergic to the penicillins, but cephalosporins are chemically similar in structure to penicillins and may produce a cross sensitivity and/or allergic reaction. Aminoglycosides, sulfonamides, and quinolones do not tend to produce cross sensitivities.
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Which of the following statements is true about knowledge discovery and the role of the nurse?
1. Point-of-care nurses do not have the education to translate knowledge into best practice models. 2. Nurses have the ability to translate knowledge into improved practice patterns. 3. Nurses cannot act upon data unless in collaboration with other health care professionals. 4. Attending physicians rather than nurses are in the best position to deliver high-quality and cost-effective care that is dependent upon their ability to translate knowledge (evidence) into practice.
According to Peters (2002), which of the following are considered stages of policy development? Select all that apply
1. Recognition of a problem or issue 2. Agenda setting 3. Policy formation 4. Brain storming 5. Budgeting
When teaching a woman how to use a diaphragm, the nurse should advise her that:
a. A different size diaphragm may be needed if her weight changes by more than 4.5 kg (10 lbs). b. It is important to leave the diaphragm in place for 48 hours after intercourse. c. The diaphragm can be used during a menstrual period. d. Spermicides will cause the latex to deteriorate.
A large community clinic provides health education, illness prevention, acute care, screening, and rehabilitation and health promotion services for the chronically ill. What should the community health nurse identify this approach to health care as being?
1. Community-based setting 2. Integrated health care system 3. Wellness center 4. Community outreach center