The nurse administers cefuroxime to a patient at least 1 hour ...

[Capo]

The nurse administers cefuroxime to a patient at least 1 hour before meals, as prescribed. However, the patient experiences GI upset. Which of the following would be most appropriate for the nurse to do?
 
  A) Administer an antacid.
  B) Lower the dosage.
  C) Discontinue the drug.
  D) Administer the drug with food.

Question 2

A nursing instructor is preparing a class about cephalosporins for a group of nursing students. When describing progression from first-generation to fourth-generation cephalosporins, which of the following would the instructor include as the result?
 
  Select all that apply.
 
  A) An increase in the sensitivity of gram-negative microorganisms
  B) A decrease in the sensitivity of gram-negative microorganisms
  C) An increase in the sensitivity of gram-positive microorganisms
  D) A decrease in the sensitivity of gram-positive microorganisms
  E) An increase in the sensitivity of viral microorganisms

[owenfalvey]

Answer to Question 1

Ans: D
Feedback:
If the patient experiences GI upset, the nurse can administer cefuroxime with food. A decrease in the dosage is suggested in a patient with renal impairment. A change in dosage, discontinuation of the drug, or use of an antacid is recommended only if prescribed by the physician.

Answer to Question 2

Ans: A, D
Feedback:
In general, progression from first-generation to fourth-generation cephalosporins shows an increase in the sensitivity of gram-negative microorganisms and a decrease in the sensitivity of gram-positive microorganisms.

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