Author Question: For which patient with a bacterial infection does the nurse question a prescription for tetracycline ... (Read 88 times)

dejastew · **on:** Jul 23, 2018

For which patient with a bacterial infection does the nurse question a prescription for tetracycline (Tetracon)?

a. 35-year-old patient with AIDS
b. 16-year-old patient with severe acne
c. 65-year-old patient with hypertension
d. 25-year-old patient taking oral contraceptives

Question 2

A patient who is prescribed oral terbutaline (Breathine) reports all of the following signs and symptoms. Which does the nurse report to the prescriber?

a. Difficulty sleeping
b. Taste changes
c. Chest pain
d. Dry mouth

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

Answer to Question 1

A
The tetracyclines are broad-spectrum drugs that are bacteriostatic against most of the organisms that are sensitive to penicillins. Because they are only bacteriostatic, tetracyclines should be given only to patients with healthy immune systems. The person with AIDS has a severely com-promised immune system that cannot fight the infection and needs a drug that is bactericidal ra-ther than bacteriostatic. Although these drugs can interfere with tooth development and are not given to children, the 16-year-old patient's teeth should be fully developed and therefore not susceptible to that effect of the drug.

Answer to Question 2

C
Terbutaline is a beta2 agonist that dilates airways and constricts blood vessels. Expected side ef-fects of this drug include dry mouth, feeling of nervousness, difficulty sleeping, bad taste in the mouth, rapid heart rate, and increased blood pressure. When a patient is extra sensitive to the drug or has other cardiac problems, constriction of the blood vessels may include the coronary arteries and lead to angina (chest pain) or a heart attack. Notify the prescriber immediately if a patient develops chest pain.