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Questions and Answers
What instruction does the nurse give to a patient prescribed demeclocycline for a respiratory infection?
What instruction does the nurse give to a patient prescribed demeclocycline for a respiratory infection?
Which patients should the nurse monitor for atypical signs of infection?
Which patients should the nurse monitor for atypical signs of infection?
Which antibiotics are safest for the nurse to administer to children?
Which antibiotics are safest for the nurse to administer to children?
Which findings should the nurse report to the primary health care provider for a patient treated with sulfamethoxazole/trimethoprim (SMZ-TMP)?
Which findings should the nurse report to the primary health care provider for a patient treated with sulfamethoxazole/trimethoprim (SMZ-TMP)?
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What parameters need to be assessed in a patient prescribed azithromycin?
What parameters need to be assessed in a patient prescribed azithromycin?
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Which further testing might be needed for a patient who developed watery diarrhea after antibiotic treatment?
Which further testing might be needed for a patient who developed watery diarrhea after antibiotic treatment?
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Study Notes
Demeclocycline Administration
- Instruct patients to avoid dairy products when taking demeclocycline to prevent decreased gastrointestinal absorption.
Monitoring for Atypical Signs of Infection
- Monitor older adults, particularly a 78-year-old with urinary incontinence for atypical infection signs due to potentially lowered immune function.
- Also watch 35-year-olds with renal transplants and 55-year-olds who received radiation therapy, as both may have compromised immune systems.
- Typical signs of infection (fever, chills, pain) may be absent in patients with weakened immune systems.
Safest Antibiotics for Children
- Macrolides are safe for children due to minimal severe side effects.
- Avoid quinolones (harmful to bone/cartilage growth), tetracyclines (affect teeth/bone development), and sulfonamides (risk of kernicterus).
Monitoring SMZ-TMP Treatment
- Report findings such as diarrhea, blood in urine, and shortness of breath when a patient is on sulfamethoxazole/trimethoprim (SMZ-TMP) to prevent complications.
- These symptoms may indicate adverse drug reactions or hepatotoxicity.
Assessments Before Azithromycin Administration
- Assess liver function, baseline hearing status, and baseline cardiac function before administering azithromycin due to risks associated with hepatotoxicity, hearing loss, and cardiac effects.
- Skin turgor and visual acuity are not necessary for assessment in this context.
Testing for Diarrhea Post-Antibiotic Treatment
- A patient with watery diarrhea following antibiotic treatment should be tested for Clostridium difficile to check for antibiotic-associated colitis.
Studying That Suits You
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Description
Test your knowledge with these flashcards on Chapter 38 about antibiotics. Focus on the safe administration practices for drugs such as demeclocycline in treating respiratory infections. This quiz will help reinforce important concepts regarding food-drug interactions.
