Author Question: A nurse is teaching a nursing student about dalfopristin/quinupristin (Synercid). Which statement by ... (Read 28 times)

robinn137 · **on:** Jul 23, 2018

A nurse is teaching a nursing student about dalfopristin/quinupristin (Synercid). Which statement by the student indicates an understanding of the teaching?

a. Patients should stop taking the drug if they experience joint and muscle pain.
b. Patients taking this drug should have blood tests performed frequently.
c. Patients who are allergic to penicillin should not take this drug.
d. This drug will be administered intravenously over a 30- to 60-minute period.

Question 2

Tetracyclines are considered first-line drugs for which disorder(s)? (Select all that apply.)

a. Chlamydia trachomatis cervicitis
b. Clostridium difficile diarrhea
c. Lyme disease
d. Methicillin-resistant Staphylococcal aureus skin infections
e. Typhus fever

vickybb89 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: B
Patients taking dalfopristin/quinupristin should have blood levels measured twice the first week and then weekly thereafter to assess for hepatotoxicity. Joint and muscle pain are not an indication for withdrawing the drug. There is no cross-sensitivity to penicillin. The drug is given intravenously over a period of at least 1 hour.

Answer to Question 2

ANS: A, C, E
Tetracyclines are drugs of first choice for rickettsial diseases, infections caused by C. trachomatis, brucellosis, cholera, Mycoplasma pneumonia, Lyme disease, anthrax, and gastric infections caused by H. pylori. They are not first-line drugs for CDAD or MRSA skin infections.