Author Question: A client is unable to give a urine sample for a culture and sensitivity (C&S) and asks the nurse ... (Read 75 times)

eruditmonkey@yahoo.com · **on:** Jul 23, 2018

A client is unable to give a urine sample for a culture and sensitivity (C&S) and asks the nurse why the health care provider does not just prescribe a really strong antibiotic.

The nurse responds that careful selection of the correct antibiotic is important because prescribing the wrong antibiotic:
Standard Text: Select all that apply.
1. will delay effective treatment.
2. will give the bacteria more time to grow.
3. can contribute to the development of drug-resistant bacteria.
4. could result in a lawsuit.
5. could result in an allergic response.

Question 2

The clinic nurse is calling back clients with various symptoms. Which symptoms would suggest a superinfection?

Standard Text: Select all that apply.
1. Diarrhea
2. Painful urination
3. Abnormal vaginal discharge
4. Cough
5. Joint pain

cam1229 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1,2,3
Rationale 1: Prescribing the wrong antibiotic will delay effective treatment.
Rationale 2: Prescribing the wrong antibiotic will give the bacteria time to multiply.
Rationale 3: Prescribing the wrong antibiotic can contribute to the development of drug-resistant strains of bacteria.
Rationale 4: Prescribing the wrong antibiotic should not result in a lawsuit unless negligence is determined.
Rationale 5: Prescribing the wrong antibiotic would not result in an allergic response unless the client is allergic to that particular antibiotic and this was not disclosed or known by the health care provider.
Global Rationale: When the wrong antibiotic is prescribed correct treatment is delayed and bacteria have time to multiply. This action also contributes to the development of drug-resistant bacteria.

Answer to Question 2

Correct Answer: 1,2,3
Rationale 1: Antibiotics can kill normal flora in the intestinal tract, resulting in a superinfection and diarrhea.
Rationale 2: Antibiotics can kill normal flora in the genitourinary tract, resulting in a superinfection and painful urination.
Rationale 3: Antibiotics can kill normal flora in the vagina, resulting in a superinfection and abnormal vaginal discharge.
Rationale 4: Cough is not a symptom of a superinfection.
Rationale 5: Joint pain is not a symptom of a superinfection.
Global Rationale: Signs and symptoms of superinfection commonly include diarrhea, bladder pain, painful urination, or abnormal vaginal discharges.