The nurse is preparing to administer a broad-spectrum antibiotic ...

[jace]

The nurse is preparing to administer a broad-spectrum antibiotic medication to a client. An important nursing intervention prior to administration of the anti-infective is:
 
  1. performing a culture within 24 hours after starting the medication.
  2. obtaining the culture report, as when starting any medication.
  3. performing a culture prior to administering the first dose of the anti-infective.
  4. administering the medicine without performing cultures.

Question 2

The ability of an organism to become unresponsive over time to an anti-infective is termed:
 
  1. superinfection.
  2. sensitivity.
  3. mutation.
  4. acquired resistance.

[rachel]

Answer to Question 1

Correct Answer: 3
Rationale 1: The culture must be obtained prior to beginning antibiotic therapy, if possible.
Rationale 2: Laboratory tests should be performed prior to beginning the anti-infective therapy, but the organism does not have to be identified prior to starting medication.
Rationale 3: The culture should be obtained prior to administering the first dose of the anti-infective.
Rationale 4: Administering the medication without performing a culture could lead to increased symptoms of infection due to selection of the incorrect antibiotic.
Global Rationale: Ideally, the pathogen should be identified before anti-infective therapy is begun.

Answer to Question 2

Correct Answer: 4
Rationale 1: A superinfection is a secondary infection that occurs when antibiotic therapy kills normal flora.
Rationale 2: Sensitivity is the ability of an organism to be killed or of its growth to be halted by an antibiotic.
Rationale 3: Mutation is the ability of an organism to adapt and change. This leads to antibiotic resistance.
Rationale 4: Acquired resistance is the ability of an organism to become insensitive to the effects of an anti-infective.
Global Rationale: Acquired resistance is the ability of an organism to become unresponsive over time to the effects of an anti-infective. Resistance can occur in bacteria, fungi, viruses, and protozoans. It is a major clinical problem that is growing in importance.

[jace]

Thank you!

[rachel]

Always glad to help...