The parent of an infant with otitis media asks the nurse why the prescriber has ordered amoxicillin (Amoxil) and not ampicillin (Unasyn). What will the nurse tell the parent?
a. Amoxicillin is a broader spectrum antibiotic than ampicillin.
b. Amoxicillin is not inactivated by beta-lactamases.
c. Ampicillin is associated with more allergic reactions.
d. Ampicillin is not as acid stable as amoxicillin.
ANS: D
Amoxicillin and ampicillin are similar in structure and actions but differ primarily in acid stability. Amoxicillin is more acid stable and, when administered orally, results in higher blood levels than can be obtained with equivalent doses of ampicillin. The two drugs have the same spectrum, both are inactivated by beta-lactamases, and both can cause allergic reactions.
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The nurse is caring for a patient who is not responding to medical treatment. The intensivist holds a conference with the family, and a decision is made to withdraw life support. The nurse's religious beliefs are not in agreement with withdrawal
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For a 40-year-old client who wants to be more active the first 24 hours after an MI, the nurse could safely suggest that the client
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The nurse educator is presenting a lecture about risks to developmental progression. Which items will the educator include in the lecture?
1. Family support 2. Access to the Internet 3. Recent loss of employment 4. Terminal illness of a family member 5. Hazards within the home environment