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The Nurse has been caring for a patient who has been taking antibiotics for 3 weeks. Upon assessing the patient, the nurse notices the individual has developed oral thrush. Which of the following describes the etiology of the thrush?
a. Suprainfection
b. Antibiotic resistance
c. Nosocmial infection
d. Community -aquired infection
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Ansonwer: A
Oral Thrush is a manifestation of a Suprainfecti
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The nurse is caring for a patient on a medical-surgical unit who has been experiencing fever of unknown origin. The prescriber has ordered a broad-spectrum antibiotic. Which intervention is the priority?
a.
Administer the antibiotic immediately.
b.
Administer antipyretics as soon as possible.
c.
Obtain all cultures before the antibiotic is administered.
d.
Delay administration of the antibiotic until the culture results are available.
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Answer: C
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A patient has just received a prescription for a 10-day course of penicillin for the treatment of strep throat. What patient education is essential for the nurse to provide?
a.
Family members who have the same symptoms should also receive treatment.
b.
The agent should be discontinued as soon as symptoms resolve to prevent allergic reactions.
c.
The entire course of the drug must be taken to prevent the recurrence of infection and potential resistance.
d.
The medication should be discontinued as soon as symptoms resolve to reduce the risk of resistance.
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Answer: C
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The nurse, who is teaching a group of nursing students, asks, "How can nurses reduce the incidence of nosocomial infections?" Which responses by the students best demonstrate understanding? (Select all that apply.)
a.
"Nurses can break the chain of transmission of infections."
b.
"Nurses can remove invasive devices as soon as possible."
c.
"Nurses can use broad-spectrum antibiotics for colonization."
d.
"Nurses can reserve antibiotics for only life-threatening infections."
e.
"Nurses can encourage patients to get vaccinations."
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Answer: a,b,e
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In which of the following scenarios would the nurse consider antibiotic therapy to be prophylactic? (Select all that apply.)
a.
Patient with neutropenia and cancer who experiences fever and cough
b.
Patient with a fever of unknown origin
c.
Patient undergoing an operation for a compound fracture
d.
Patient with an artificial heart valve who is scheduled for hernia repair
e.
Patient with a new diagnosis of endocarditis
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Answer: c,d
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