A nursing student asks the pharmacology instructor for ways to ...

[ap345]

A nursing student asks the pharmacology instructor for ways to minimize the emergence of drug-resistant microbial agents. What would be an appropriate response by the instructor? (Select all that apply.)
 
  A) Avoid the use of broad-spectrum antibacterial drugs when treating trivial or viral infections.
  B) Use narrow-spectrum agents if they are thought to be effective.
  C) Do not use vancomycin unnecessarily.
  D) Prescribe antibiotics when the patient believes they are warranted.
  E) Start the antibiotics, do culture and sensitivity tests, and provide patient education.

Question 2

What antidiarrheal would the nurse administer to reduce the volume of discharge from the patient's ileostomy?
 
  A) Diphenoxylate (Lomotil)
  B) Octreotide (Sandostatin)
  C) Psyllium (Metamucil)
  D) Loperamide (Imodium)

[isabelt_18]

Answer to Question 1

A, B, C
Feedback:
To prevent or contain the growing threat of drug-resistant strains of bacteria, it is very important to use antibiotics cautiously, to complete the full course of an antibiotic prescription, and to avoid saving antibiotics for self-medication in the future. You would not give antibiotics every time the patient wants them, nor would you do a culture and sensitivity test after starting antibiotics. Therefore, Options D and E are incorrect.

Answer to Question 2

D
Feedback:
Loperamide (Imodium), bismuth subsalicylate (Pepto-Bismol), and opium derivatives (paregoric) are indicated for the reduction of volume of discharge from ileostomies. The other options would not serve this purpose.

[ap345]

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[isabelt_18]

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