Author Question: An older adult patient has just been diagnosed with community-acquired pneumonia and aztreonam ... (Read 45 times)

Bernana · **on:** Jul 23, 2018

An older adult patient has just been diagnosed with community-acquired pneumonia and aztreonam (Azactam) has been ordered. What action should the nurse perform before administering the first dose?

A) Administer a 500 mL bolus of normal saline.
B) Confirm the patient's allergy status.
C) Swab the patient's nares for the presence of MRSA.
D) Teach the patient to expect discolored urine during treatment.

Question 2

When providing dietary instruction on a low-sodium diet, which dietary choice is most appropriate for a patient with hypertension?

A) Hot dog, baked beans, and coleslaw
B) Grilled hamburger, french fries, and cola
C) Grilled chicken, green salad, and apple
D) Ham sandwich, potato chips, and cookie

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

Answer to Question 1

B
Feedback:
As with all antibiotics, it is important to assess the patient's allergy status prior to drug administration. This is especially important before the initial dose. An IV bolus is unnecessary, and discoloration of urine is not expected. MRSA testing is not relevant to aztreonam administration.

Answer to Question 2

C
Feedback:
Therapeutic regimes include sodium restriction. The grilled chicken, green salad, and apple represent low-sodium dietary choices. Hot dog, baked beans, and coleslaw are high in sodium. Grilled hamburger, french fries, and cola are high in sodium. Ham sandwich, potato chips, and cookie are high in sodium.