A medical nurse on a night shift is reviewing a patient's ...

[Capo]

A medical nurse on a night shift is reviewing a patient's medication administration record for the following day. The nurse notes that a combination antimicrobial drug is ordered.
 
  What is implied by the fact that the patient has been ordered a combination drug? A) The patient's infection likely has a fungal or protozoal etiology.
  B) The patient likely has a history of recurrent, multisystemic infections.
  C) The patient may be unable to tolerate treatment with a single antimicrobial.
  D) The patient may have an infection caused by multiple microorganisms.

Question 2

An older adult has told the nurse practitioner that she has regularly drunk mineral oil to treat occasional episodes of constipation.
 
  The nurse should encourage the patient to explore other treatments because the use of oral mineral oil can result in A) edema from changes in intestinal solute content.
  B) paralytic ileus.
  C) rebound constipation.
  D) decreased absorption of drugs and vitamins.

[Jbrasil]

Answer to Question 1

D
Feedback:
Indications for combination therapy may include infections caused by multiple microorganisms. A fungal or protozoal infection is not implied, and the patient may or may not have a history of recurrent infections. Intolerance of single antibiotics is not normally an indication for combination therapy.

Answer to Question 2

D
Feedback:
Oral use of mineral oil may cause potentially serious adverse effects, including decreased absorption of fat-soluble vitamins and some drugs and lipid pneumonia if aspirated into the lungs. Thus, mineral oil is not an oral laxative of choice in any condition. It is not noted to cause rebound constipation, paralytic ileus, or edema.

[Capo]

Gracias!

[scottmt]

TYSM