Author Question: A nurse is preparing a patient's scheduled dose of oral vancomycin. This patient's current illness ... (Read 40 times)

pragya sharda · **on:** Jul 23, 2018

A nurse is preparing a patient's scheduled dose of oral vancomycin. This patient's current illness was most likely manifested by what sign or symptom?

A) Vomiting
B) Inflamed, swollen skin
C) Shortness of breath
D) Diarrhea

Question 2

A 74-year-old woman states that many of her peers underwent hormone replacement therapy (HRT) in years past. The woman asks the nurse why her primary care provider has not yet proposed this treatment for her.

What fact should underlie the nurse's response to the woman? A) The risks of stroke and breast cancer are unacceptably high in women taking HRT.
B) HRT was found to cause mood disturbances in many of the women who used it long term.
C) HRT was found to be a significant risk factor for bone fractures and osteoporosis.
D) The risks of chronic obstructive pulmonary disease were found to be significantly higher in women taking HRT.

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

Answer to Question 1

D
Feedback:
Oral vancomycin is useful only to treat staphylococcal enterocolitis and pseudomembranous colitis caused by C. difficile. These illnesses are always characterized by diarrhea, not vomiting, skin inflammation, or shortness of breath.

Answer to Question 2

A
Feedback:
Studies have demonstrated no evidence for HRT in secondary prevention of heart disease and showed increased rates of CHD, thromboembolic stroke, venous thromboembolism, dementia, and breast cancer, which outweigh the benefits of decreased risk of fracture and colon cancer. Mood disturbances and COPD were not significant factors.