Vaccines and Antibiotics Overview

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Questions and Answers

What does the nurse inform the patient about the bacille Calmette-Guérin (BCG) vaccine? (Select all that apply)

  • It prevents an individual from acquiring tuberculosis infection.
  • It contains live but weakened tubercular bacteria. (correct)
  • It prevents the onset of the severe form of tuberculosis infection. (correct)
  • It is administered to all United States citizens over 20 years of age.
  • It should be taken by individuals who are traveling to a foreign country.

Which clinical findings may be observed in a patient prescribed chloroquine HCl (Aralen HCl)? (Select all that apply)

  • Decreased serum potassium
  • Decreased urine output
  • Elevated liver enzymes (correct)
  • Increased bleeding time
  • Decreased blood cells (correct)

Which antibiotic does the nurse expect to be prescribed to a patient with diabetic foot infection and recurrent urinary tract infection?

Ertapenem (Invanz)

What are the classifications of peptides used to kill a broad spectrum of parasites and viruses? (Select all that apply)

<p>Antimicrobial (A), Antiparasitic (B), Antiviral (D), Antifungal (E)</p> Signup and view all the answers

What statement made by the nurse is most appropriate to include in the patient teaching for someone prescribed methenamine?

<p>Your urine may appear cloudy while you are on this medication.</p> Signup and view all the answers

What government health agency has launched an initiative to prevent drug-resistant infection?

<p>Center for Communicable Disease (B)</p> Signup and view all the answers

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Study Notes

BCG Vaccine

  • Contains live but weakened tubercular bacteria.
  • Prevents the onset of severe tuberculosis complications, including meningitis and bone tuberculosis.
  • Does not prevent tuberculosis infection itself.
  • Not routinely administered to all U.S. citizens over 20 years of age.
  • Not required for all travelers to foreign countries given low prevalence of tuberculosis in the U.S.

Chloroquine HCl Effects

  • Effective for treating malaria.
  • May cause decreased blood cells leading to aplastic anemia.
  • Can elevate liver enzyme levels.
  • Decreased urine output and serum potassium not typically associated with chloroquine use.
  • Increased bleeding time linked with acyclovir, not chloroquine.

Ertapenem (Invanz) Use

  • Broad-spectrum antibiotic for treating diabetic foot infections and recurrent urinary tract infections.
  • Effective against a wide range of microorganisms involved in these infections.
  • Trimethoprim, nitrofurantoin, and methenamine hippurate are more specific and not suitable for diabetic foot infections.

Peptide Classifications

  • Antiviral, antifungal, antiparasitic, and antimicrobial classifications are applicable to peptides.
  • Peptides provide bactericidal properties against various parasites and viruses.
  • Not classified as anthelmintic.

Methenamine Patient Teaching

  • Most suitable teaching statement: "Your urine may appear cloudy while you are on this medication," due to possible crystalluria.
  • Photosensitivity is a concern with fluoroquinolones, while nitrofurantoin may cause decreased appetite, diarrhea, and vomiting.

Government Health Initiative

  • The Center for Communicable Disease launched an initiative aimed at preventing drug-resistant infections among health care providers and patients.

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