The nurse caring for a client who has been diagnosed with Mycobacterium avium complex anticipates that the client could be treated with which medications?
Standard Text: Select all that apply.
1. Clarithromycin (Biaxin)
2. Azithromycin (Zithromax)
3. Ethambutol (Myambutol)
4. Isoniazid (INH)
5. Rifabutin (Mycobutin).
Correct Answer: 1,2,3,5
Rationale 1: Clarithromycin (Biaxin) is relatively safe and effective against MAC and is included in most regimens. High doses of clarithromycin (1,000 mg bid) are associated with increased mortality rates.
Rationale 2: Azithromycin (Zithromax) is relatively safe and effective against MAC and is included in most regimens.
Rationale 3: Although ethambutol is usually used for TB, this drug may be combined with clarithromycin in the pharmacotherapy of MAC.
Rationale 4: Isoniazid is one of the medications used in the treatment of tuberculosis.
Rationale 5: If a third drug is needed in the treatment of mycobacterium avium complex, rifabutin is often effective.
Global Rationale: Clarithromycin (Biaxin) is relatively safe and effective against MAC and is included in most regimens. High doses of clarithromycin (1,000 mg bid) are associated with increased mortality rates. Azithromycin (Zithromax) is relatively safe and effective against MAC and is included in most regimens. Although ethambutol is usually used for TB, this drug may be combined with clarithromycin in the pharmacotherapy of MAC. If a third drug is needed in the treatment of mycobacterium avium complex, rifabutin is often effective. Isoniazid is one of the medications used in the treatment of tuberculosis.
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Which option reflects assignment in nursing?
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In the Iowa model, what is the focus of intervention?
a. The patient level b. The family level c. The institutional level d. The conceptual level
An adolescent in labor plans to relinquish the baby via a closed adoption. The nurse anticipates which of the following events when caring for this client?
A) The adoptive parents might be in the delivery room. B) The mother will not see the baby after delivery. C) The mother will not meet the adoptive parents. D) The baby will be kept in the nursery, while the mother will be placed on a medical/surgical unit after delivery.