Podcast
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?
- Avoid eating high-protein foods.
- Avoid eating low-carbohydrate foods.
- Avoid the consumption of dairy products. (correct)
- Avoid eating high-calorie foods.
Which patients should the nurse monitor for atypical signs of infection?
Which patients should the nurse monitor for atypical signs of infection?
- 40-year-old patient with coronary artery disease
- 35-year-old patient who underwent a renal transplant (correct)
- 55-year-old patient who received radiation therapy for lung cancer (correct)
- 30-year-old patient with fractured tibia
- 78-year-old patient with urinary incontinence (correct)
Which antibiotics are safest for the nurse to administer to children?
Which antibiotics are safest for the nurse to administer to children?
- Macrolides (correct)
- Tetracyclines
- Sulfonamides
- Quinolones
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)?
What parameters need to be assessed in a patient prescribed azithromycin?
What parameters need to be assessed in a patient prescribed azithromycin?
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.
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