A nurse reviews the culture report of a patient being treated with an aminoglycoside for a serious infection. Which organism identified in the report would prompt the nurse to contact the prescriber about changing the antibiotic?
a. Staphylococcus aureus
b. E. coli
c. Proteus mirabilis
d. Pseudomonas aeruginosa
ANS: A
Staphylococcus aureus (S. aureus) is resistant to aminoglycosides, and the nurse should report this finding to the prescriber to seek a change in the prescribed antibiotic.
This medication is effective against the enterobacteriaceae, which include Escherichia coli (E. coli) and Proteus mirabilis.
The principal use for parenteral aminoglycosides is treatment of serious infection caused by aerobic gram-negative bacilli; a primary target is the organism Pseudomonas aeruginosa.
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Nurses need to become more knowledgeable about CAM therapies because: Standard Text: Select all that apply
1. There is an increase in clients use a variety of CAM therapies. 2. All boards of nursing recognize CAM therapies and include provisions for the safe practice of these modalities by nurses. 3. Clients might want to continue using therapies while in the healthcare facility. 4. CAM practices are harmless. 5. Communicating with clients will be more effective.
A patient states that he or she is experiencing pain in the lower back. What is the best way for the nurse to document this subjective information?
a. "Seems back is hurting." b. "States ‘My lower back hurts.'" c. "Grimaces when moving; I believe patient has lower back pain." d. "Appears to be uncomfortable with lower back pain."
A 42-year-old client has a rectal temperature reading of 39.2°C (102.6°F). Her blood pressure has decreased from 124/76 to 118/70 since taken 4 hours earlier. Her pulse rate has increased from 68 to 78. The nurse's initial best action is to:
a. Document the vital signs and continue with her assessment b. Contact the provider immediately due to the alarming changes in the vital signs c. Obtain a pulmonary artery temperature reading before initiating any type of treatment d. Ask the NAP to obtain another set of vital signs in 4 hours
When lomefloxacin is used in patients with renal impairment, the dose is:
1. unchanged. 2. reduced. 3. divided. 4. increased.