The patient in the clinic receives a prescription for an anti-infective to treat a urinary tract infection
The patient asks the nurse, "Would you ask the doctor to give me refills on this prescription? I get a urinary tract infection almost once a year it seems and I'd like to have a refill I can store for the next time so I don't have to come back to the clinic." What is the nurse's priority response? A) "Sure, I'd be glad to ask. How many refills would you like to have?"
B) "Most medications, if not used, should be discarded after a year so it is better to get a new prescription next year when you need it."
C) "This antibiotic doesn't destroy every pathogen that could cause a urinary tract infection so it is better to get the right antibiotic next time."
D) "Saving antibiotics for another time and self-diagnosing when antibiotics are needed lead to resistant organisms that no longer respond to drugs."
D
Feedback:
Option A is incorrect because the patient should not be given refills to use indiscriminately. The remaining options are all important teaching points for this patient, but the priority is teaching this patient about drug-resistant organisms and how they can be prevented, as well as what happens if an infection results from a resistant organism.
You might also like to view...
A home health nurse has completed a scheduled home visit to a patient with a chronic sacral ulcer. The nurse is now evaluating and documenting the need for future visits and the frequency of those visits
What question can the nurse use when attempting to determine this need? A) "How does the patient describe his coping style?" B) "When was the patient first diagnosed with this wound?" C) "Is the patient's family willing to participate in care?" D) "Is the patient willing to create a plan of care?"
The nurse is learning how to reduce the stigma associated with substance abuse. Which of the following statements by the nurse would reflect that learning has taken place?
1. "We're admitting a coked-out, manic client." 2. "A 34-year-old is being admitted for suicidal threats as a result of cocaine use." 3. "They've added another druggie to my caseload." 4. "We're admitting a cocaine addict who threatened to kill herself."
Which intervention by the nurse helps to establish a trusting nurse–patient relationship?
1) Avoiding topics that may provoke emotional responses from the patient 2) Listening to the patient while performing care activities 3) Performing care interventions quietly without explanation 4) Greeting the patient by name whenever entering the patient's room
A nurse is discussing the process in which tuberculosis can infect a child. Place the following in the correct order
__ Sputum specimen is obtained __ Tubercles are dormant __ Bacillus triggers the immune response __ Bacilli spread to the lymphatic system __ Macrophages form tubercles around bacilli