Author Question: A patient presents at the clinic complaining of vaginal itching and a clear discharge. The patient ... (Read 31 times)

tiara099 · **on:** Jul 23, 2018

A patient presents at the clinic complaining of vaginal itching and a clear discharge. The patient reports to the nurse that she has been taking an oral antibiotic for 10 days. The nurse is aware that the patient is experiencing what?

A) An adverse reaction from the antibiotic
B) A drug toxicity effect of the antibiotic
C) An overdose of the drug that is damaging to more than one body system
D) A superinfection caused by the antibiotic, which has destroyed normal flora

Question 2

The nurse admits a patient newly diagnosed with schizophrenia to the inpatient mental health unit. What is the priority reason for why the nurse includes the family when collecting the nursing history?

A) The patient may not be able to provide a coherent history.
B) The patient may not be able to speak due to reduced level of consciousness.
C) The family will feel better if they are included in the process.
D) The patient will be less anxious if the family listens while he answers questions.

jharrington11 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

D
Feedback:
Superinfections often occur with antibiotic use because the drug kills normal bacterial flora. This is not a result of toxic levels of the antibiotic, but rather an effect of the medication that has killed normal flora, which it is designed to do. Vaginal itching and a clear discharge are not considered adverse effects of an antibiotic. An overdose of a drug that damages more than one body systems is considered drug poisoning.

Answer to Question 2

A
Feedback:
Schizophrenia, the most common psychosis, is characterized by delusions, hallucinations, and inappropriate responses to stimuli. As a result, the patient may be unable to provide a coherent history and may be unaware of his behaviors considered dysfunctional. There is no reason to suspect the patient cannot speak and reducing anxiety is not the priority rationale for including family. While family is included in treatment, the goal is to treat the patient and not make the family feel better if actions were not in the patient's best interests.