This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: The parent of an infant with otitis media asks the nurse why the prescriber has ordered amoxicillin ... (Read 62 times)

pragya sharda

  • Hero Member
  • *****
  • Posts: 566
on: Jul 23, 2018
The parent of an infant with otitis media asks the nurse why the prescriber has ordered amoxicillin (Amoxil) and not ampicillin (Unasyn). What will the nurse tell the parent?
 
  a. Amoxicillin is a broader spectrum antibiotic than ampicillin.
  b. Amoxicillin is not inactivated by beta-lactamases.
  c. Ampicillin is associated with more allergic reactions.
  d. Ampicillin is not as acid stable as amoxicillin.

Question 2

A patient has an infection caused by Streptococcus pyogenes. The prescriber has ordered dicloxacillin PO. What will the nurse do?
 
  a. Administer the medication as ordered.
  b. Contact the provider to suggest giving the drug IV.
  c. Question the need for a penicillinase-resistant penicillin.
  d. Suggest ordering vancomycin to treat this infection.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

b614102004

  • Sr. Member
  • ****
  • Posts: 320
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: D
Amoxicillin and ampicillin are similar in structure and actions but differ primarily in acid stability. Amoxicillin is more acid stable and, when administered orally, results in higher blood levels than can be obtained with equivalent doses of ampicillin. The two drugs have the same spectrum, both are inactivated by beta-lactamases, and both can cause allergic reactions.

Answer to Question 2

ANS: C
Penicillinase-resistant penicillins have been developed for use against penicillinase-producing strains of staphylococci. These drugs have a very narrow antimicrobial spectrum and should be used only for such infections. S. pyogenes can be treated with penicillin G. The nurse should question the order. It is incorrect to contact the provider to ask for IV dosing. This infection can be treated with penicillin G and not with vancomycin.


pragya sharda

  • Hero Member
  • *****
  • Posts: 566
Reply #2 on: Jul 23, 2018
Both answers were spot on, thank you once again


b614102004

  • Sr. Member
  • ****
  • Posts: 320
Reply #3 on: Jul 23, 2018
Great! Please up vote :D


« previous next »
 

Did you know?

The Babylonians wrote numbers in a system that used 60 as the base value rather than the number 10. They did not have a symbol for "zero."

Did you know?

Hip fractures are the most serious consequences of osteoporosis. The incidence of hip fractures increases with each decade among patients in their 60s to patients in their 90s for both women and men of all populations. Men and women older than 80 years of age show the highest incidence of hip fractures.

Did you know?

Disorders that may affect pharmacodynamics include genetic mutations, malnutrition, thyrotoxicosis, myasthenia gravis, Parkinson's disease, and certain forms of insulin-resistant diabetes mellitus.

Did you know?

Addicts to opiates often avoid treatment because they are afraid of withdrawal. Though unpleasant, with proper management, withdrawal is rarely fatal and passes relatively quickly.

Did you know?

The human body produces and destroys 15 million blood cells every second.

The grey nurse shark is critically endangered on the Australian east coast. The grey nurse shark is critically endangered on the Australian east coast.
C, A nurse can also administer the medication by setting the dose and rate with an electronic infusi C, A nurse can also administer the medication by setting the dose and rate with an electronic infusi
B, The nurse teaches the postoperative client to use an incentive spirometer to expand the lungs. B, The nurse teaches the postoperative client to use an incentive spirometer to expand the lungs.
In 2013, Americans learned that the federal government massively surveys their phone calls and e-mai In 2013, Americans learned that the federal government massively surveys their phone calls and e-mai
To search for the Native American family would be fruitless. There are rural, urban, single-parent, ... To search for the Native American family would be fruitless. There are rural, urban, single-parent, ...
Topic Media Topic Media
Video: Chromosome structural organization/ Mechanisms for chromosome movement Animation

For a complete list of videos, visit our video library