A patient is administered daptomycin (Cubicin) to treat a gram-negative infection caused by Staphylococcus aureus. Which of the following symptoms should be reported immediately to the physician based on the known adverse effects of daptomycin?

A) Weakness of the legs and arms
B) Decreased wound drainage
C) Hematuria
D) Shortness of breath


A
Feedback:
The nurse should report weakness of legs and arms due to increased serum creatine kinase levels. Decrease in wound drainage, hematuria, and shortness of breath are not adverse effects of daptomycin.

Nursing

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A client is receiving iron therapy for anemia. The prescriber has ordered tetracycline as treatment for the client's infection. Which of the following would be most appropriate for the nurse to do?

A) Give the drugs at the same time. B) Give the iron first, then follow with the tetracycline in 30 minutes. C) Separate administration times by 2 hours. D) Withhold the iron until the tetracycline therapy is completed.

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Which nutritional assessment tool(s) do(es) the nurse implement independently for a comprehen-sive nutritional assessment? (Select all that apply.)

1. Triceps skin fold 2. Ideal body weight 3. 24-hour food recall 4. Weight loss history 5. Midarm circumference 6. Serum prealbumin level

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A violent attack happened just outside the grounds of a middle school. The school nurse would like advice on what behavioral findings to watch for in the children who witnessed the attack. The most appropriate answer is:

A) Those are the children who get recruited in gangs. B) Those children will have more internalized behaviors. C) They will exhibit aggressive behaviors. D) Those children will display externalizing behaviors.

Nursing

The nurse is working with a woman who is undergoing chemotherapy for breast cancer. The client states, "First, the cancer seemed unreal. Now I feel like I can cope." The best response of the nurse would be, "Women with breast cancer often:

A. Go through several stages of adjustment." B. Cope better than their partners cope." C. Seek multiple opinions before starting treatment." D. Usually become angry after treatment begins."

Nursing