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

Author Question: The nurse is preparing to administer clarithromycin to a patient. When performing a medication ... (Read 76 times)

EY67

  • Hero Member
  • *****
  • Posts: 531
on: Jul 23, 2018
The nurse is preparing to administer clarithromycin to a patient. When performing a medication history, the nurse learns that the patient takes warfarin to treat atrial fibrillation. The nurse will perform which action?
 
  a. Ask the provider if azithromycin may be used instead of clarithromycin.
  b. Obtain an order for continuous cardiovascular monitoring.
  c. Request an order for periodic serum warfarin levels.
  d. Withhold the clarithromycin and notify the provider.

Question 2

A female patient who is allergic to penicillin will begin taking an antibiotic to treat a lower respiratory tract infection.
 
  The patient tells the nurse that she almost always develops a vaginal yeast infection when she takes antibiotics and that she will take fluconazole (Diflucan) with the antibiotic being prescribed. Which macrolide order would the nurse question for this patient?
  a. Azithromycin (Zithromax)
  b. Clarithromycin (Biaxin)
  c. Erythromycin (E-Mycin)
  d. Fidaxomicin (Dificid)


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

ttt030911

  • Sr. Member
  • ****
  • Posts: 315
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: C
Macrolides can increase serum levels of other drugs such as warfarin. If these drugs are used with macrolides, serum drug levels should be monitored. All macrolides have this drug interaction. Cardiovascular monitoring is not indicated. The drug may be given as long as serum drug levels are monitored.

Answer to Question 2

ANS: C
When erythromycin is given concurrently with fluconazole, erythromycin blood concentration and the risk of sudden cardiac death increase.


EY67

  • Hero Member
  • *****
  • Posts: 531
Reply #2 on: Jul 23, 2018
Both answers were spot on, thank you once again


ttt030911

  • Sr. Member
  • ****
  • Posts: 315
Reply #3 on: Jul 23, 2018
Great! Please up vote :D


« previous next »
 

Did you know?

As many as 28% of hospitalized patients requiring mechanical ventilators to help them breathe (for more than 48 hours) will develop ventilator-associated pneumonia. Current therapy involves intravenous antibiotics, but new antibiotics that can be inhaled (and more directly treat the infection) are being developed.

Did you know?

Asthma is the most common chronic childhood disease in the world. Most children who develop asthma have symptoms before they are 5 years old.

Did you know?

Excessive alcohol use costs the country approximately $235 billion every year.

Did you know?

The oldest recorded age was 122. Madame Jeanne Calment was born in France in 1875 and died in 1997. She was a vegetarian and loved olive oil, port wine, and chocolate.

Did you know?

Hypertension is a silent killer because it is deadly and has no significant early symptoms. The danger from hypertension is the extra load on the heart, which can lead to hypertensive heart disease and kidney damage. This occurs without any major symptoms until the high blood pressure becomes extreme. Regular blood pressure checks are an important method of catching hypertension before it can kill you.

Measuring Patient Height Measuring Patient Height
Positioning the Patient in the Fowler’s Position Positioning the Patient in the Fowler’s Position
The correct beginning position for the patient’s feet and crutches (tripod position). The correct beginning position for the patient’s feet and crutches (tripod position).
Performing Venipuncture Using the Vacutainer Method Performing Venipuncture Using the Vacutainer Method
Pneumonia patient’s chest x-ray. Note the irregular areas of density. Pneumonia patient’s chest x-ray. Note the irregular areas of density.
Correct wrist position while performing compression. A. Correct wrist position for compression ... Correct wrist position while performing compression. A. Correct wrist position for compression ...
Video: Component of feedback systems & Communication and regulation of body systems

For a complete list of videos, visit our video library