A 72-year-old patient is being treated for an infected right great toe. In reviewing this patient's history, the nurse has discovered the patient has decreased renal function
Which is correct concerning whether this patient should be started on aminoglycosides?
a.
An aminoglycoside should be started, because this antibiotic can be taken with many other drugs.
b.
An aminoglycoside should not be started, because this antibiotic is not broad spectrum.
c.
An aminoglycoside should be started, because there is less sensitivity with this drug.
d.
An aminoglycoside should not be started, because a specific tissue reaction has been identified.
ANS: D
It is important to carefully identify patients who may already have damage to organs before medication is started. Aminoglycosides may cause significant damage to the kidneys.
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An older patient dying from a terminal illness reports that the last dose of pain medication provided barely reduced the level of pain. What should the nurse do to help this patient?
1. Give the patient pain medication every hour. 2. Contact the physician for an adjustment in pain medication. 3. Provide the pain medication at the next scheduled dose time. 4. Give the patient another dose of the medication even though it is before the scheduled time.
Which antiviral drug is commonly used to relieve symptoms of herpes simplex virus (HSV)?
a. Tetracycline (Achromycin) b. Acyclovir (Zovirax) c. Erythromycin (E-Mycin) d. Metronidazole (Flagyl)
Ventricular fibrillation should initially be treated by which of the following? (Select all that apply.)
a. Administration of amiodarone, followed by defibrillation at 360 J b. Atropine 1 mg, followed by defibrillation at 200 J c. Defibrillation at 200 J with biphasic defibrillation d. Defibrillation at 360 J with monophasic defibrillation
You overhear one of the more experienced nurses say to Mary, who is a new nurse, "Sorry you won't be able to join us for our weekly get-together at the local yogurt shop. I see you are going to be here charting for a while yet
" What is this an example of? A) Rude behavior B) An application of a sanction regarding group norms C) Constructive feedback about expected group norms D) Role modeling desired behavior