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Posted: June 10th, 2023
Which client would require the administration of prophylactic antibiotics?A client with inflammation at the infection siteA client with a viral infectionA client with a suppressed immune systemA client with pus at the infection site11. A pregnant client is seen in the emergency department for an infection. The nurse anticipates that antibiotics prescribed for this client would not include: Select all that apply.ampicillin.minocycline.neomycin.streptomycin.doxycycline.12. The client on penicillin who is complaining of an abnormal vaginal discharge has a superinfection secondary to:a nosocomial infection.an overdose of penicillin.the destruction by penicillin of normal flora in the vagina.the development of an organism resistant to penicillin.13. A client has been on an antibiotic for 2 weeks for treatment of an ulcer caused by Helicobacter pylori. The client asks the nurse if the antibiotic could be causing diarrhea. What is the nurseâs most accurate response?âThe infection has become severe.ââThis might be a secondary infection due to the antibiotic therapy.ââThe infection has a restricted group of microorganisms.ââThe organisms that caused the infection have developed immunity to the drug.â14. The community outreach nurse is teaching a group of older clients how bacterial organisms become resistant to antibiotics. Which statements by the clients demonstrate understanding of the instruction? Select all that apply.âI need to get the recommended immunizations so I donât get an infection and need an antibiotic.ââIf possible, my doctor will need to culture any infections I have to make sure I am taking the correct antibiotics.ââI need to take antibiotics only when my health care provider thinks I have an infection.ââAs soon as my infection is gone, I can stop the antibiotic. This way, Iâll avoid becoming resistant to the antibiotic.ââI should never take an antibiotic for more than 10 days. This is what causes resistance.â15. First-generation cephalosporins are the most effective of this class of antibiotics against:Protozoans.Gram-negative bacteria.Rickettsia.Gram-positive bacteria.16. Which generation of cephalosporin would be selected to treat complicated, drug-resistant meningitis?SecondThirdFourthFirst17. The nurse caring for a client with an allergy to cephalosporins would be cautious in implementing an order for an anti-infective agent from which class?AminoglycosidesFluoroquinolonesSulfonamidesPenicillins18. Which client should be most closely monitored for adverse effects directly related to receiving penicillin G?A client who has osteomyelitis and will need IV medication for several monthsA client who had a myocardial infarction 2 days ago and now has a fever of 102°FA client who is postop from corneal transplantA client who has diabetes and is on dialysis19. A client being discharged with a prescription for penicillin also takes probenecid. The nurse explains that probenecid:prevents diarrhea often associated with penicillin.will prevent an allergic response.is a secondary antibiotic.will allow the penicillin to stay in the body longer.20. Which instruction should take priority in client teaching for any antibiotic therapy?The full course of prescribed drug therapy must be completed.Maintain adequate food intakeMaintain an adequate fluid intakeReport symptoms of secondary infection, such as vaginal yeast infections
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