A nursing student is caring for a patient with community-acquired ...

[viki]

A nursing student is caring for a patient with community-acquired pneumonia (CAP) who also has a methicillin-resistant Staphylococcus aureus (MRSA) skin infection. The prescriber has ordered daptomycin (Cubicin).
 
  The nurse encourages the student to approach the provider to request a different antibiotic because of which fact(s) about daptomycin? (Select all that apply.)
  a. It causes significant renal impairment.
  b. It is approved only for bloodstream and skin infections.
  c. It increases the risk of serious cardiorespiratory events.
  d. It is more likely to produce resistant strains of bacteria.
  e. It is not effective against MRSA infections.

Question 2

Which antibiotic(s) may be administered topically? (Select all that apply.)
 
  a. Bacitracin
  b. Daptomycin
  c. Ofloxacin
  d. Polymyxin B
  e. Rifampin

[ttt030911]

Answer to Question 1

ANS: B, C
Daptomycin has been approved only for bloodstream and skin infections caused by S. aureus, including MRSA infections, and would not be indicated for a CAP infection. In patients with CAP, daptomycin poses a higher risk of serious cardiorespiratory side effects. Daptomycin does not cause renal impairment and is no more likely to produce bacterial resistance than other antibiotics. Daptomycin can be used to treat MRSA infections.

Answer to Question 2

ANS: A, D
Bacitracin and Polymyxin B are both topical antibiotics. Daptomycin, ofloxacin, and rifampin are not formulated to be administered topically.

[viki]

Thanks for the timely response, appreciate it

[shailee]

Excellent