This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A prescriber has ordered cefoxitin for a patient who has an infection caused by a gram-negative ... (Read 131 times)

Destiiny22

  • Hero Member
  • *****
  • Posts: 557
on: Jul 23, 2018
A prescriber has ordered cefoxitin for a patient who has an infection caused by a gram-negative bacteria.
 
  The nurse taking the medication history learns that the patient experienced a maculopapular rash when taking amoxicillin (Amoxil) several years earlier. What will the nurse do?
  a. Administer the cefoxitin and observe for any side effects.
  b. Give the cefoxitin and have epinephrine and respiratory support available.
  c. Request an order for a different, nonpenicillin, noncephalosporin antibiotic.
  d. Request an order to administer a skin test before giving the cefoxitin.

Question 2

A provider has ordered ceftriaxone 4 gm once daily for a patient with renal impairment. What will the nurse do?
 
  a. Administer the medication as prescribed.
  b. Contact the provider to ask about giving the drug in divided doses.
  c. Discuss increasing the interval between doses with the provider.
  d. Discuss reducing the dose with the provider.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

Carissamariew

  • Sr. Member
  • ****
  • Posts: 359
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: A
Because of structural similarities between penicillins (PCNs) and cephalosporins, a few patients allergic to one drug type will be allergic to the other drug type, although this is rare. For patients with mild PCN allergy, such as rash, cephalosporins can be used with minimal concern, so it is correct to administer the drug and monitor for side effects. It is unnecessary to prepare for anaphylaxis, to give another class of drug, or to administer a skin test.

Answer to Question 2

ANS: A
Unlike other cephalosporins, ceftriaxone is eliminated largely by the liver, so dosage reduction is unnecessary in patients with renal impairment. Giving the drug in divided doses, increasing the interval between doses, and reducing the dose are not necessary.


Destiiny22

  • Hero Member
  • *****
  • Posts: 557
Reply #2 on: Jul 23, 2018
Thanks


Carissamariew

  • Sr. Member
  • ****
  • Posts: 359
Reply #3 on: Jul 23, 2018
Welcome :)


« previous next »
 

Did you know?

Approximately one in three babies in the United States is now delivered by cesarean section. The number of cesarean sections in the United States has risen 46% since 1996.

Did you know?

The immune system needs 9.5 hours of sleep in total darkness to recharge completely.

Did you know?

The toxic levels for lithium carbonate are close to the therapeutic levels. Signs of toxicity include fine hand tremor, polyuria, mild thirst, nausea, general discomfort, diarrhea, vomiting, drowsiness, muscular weakness, lack of coordination, ataxia, giddiness, tinnitus, and blurred vision.

Did you know?

Lower drug doses for elderly patients should be used first, with titrations of the dose as tolerated to prevent unwanted drug-related pharmacodynamic effects.

Did you know?

The word drug comes from the Dutch word droog (meaning "dry"). For centuries, most drugs came from dried plants, hence the name.

Fundus of white pateint and black patient Fundus of white pateint and black patient
Meditation Reduces Negative Emotions Meditation Reduces Negative Emotions
A goniometer is used to measure range of motion of the patient’s arm. A goniometer is used to measure range of motion of the patient’s arm.
Patient with osteoarthritis. Patient with osteoarthritis.
Gingival enlargement in a patient taking nifedipine. Gingival enlargement in a patient taking nifedipine.
In the drawing of acetaldehyde, CH3CHO, the largest partial negative charge (-) occurs on In the drawing of acetaldehyde, CH3CHO, the largest partial negative charge (-) occurs on
Video: Blood Test Basics

For a complete list of videos, visit our video library