Author Question: A 72-year-old patient is being treated for an infected right great toe. In reviewing this patient's ... (Read 52 times)

viki · **on:** Jul 23, 2018

A 72-year-old patient is being treated for an infected right great toe. In reviewing this patient's history, the nurse has discovered the patient has decreased renal function.

Which is correct concerning whether this patient should be started on aminoglycosides?
a.
An aminoglycoside should be started, because this antibiotic can be taken with many other drugs.
b.
An aminoglycoside should not be started, because this antibiotic is not broad spectrum.
c.
An aminoglycoside should be started, because there is less sensitivity with this drug.
d.
An aminoglycoside should not be started, because a specific tissue reaction has been identified.

Question 2

A patient infected with HIV comes into the clinic for a regular appointment and seems less depressed and more talkative. She has been on an antiretroviral drug for a few months. The patient tells the nurse she feels like she is cured

because she is taking the medication and feeling better. Which represents what the nurse will say to this patient? (Select all that apply.)
a.
You started the medication early enough to be cured.
b.
HIV is not currently curable, but medication slows the advance of the disease.
c.
Over-the-counter medications such as aspirin will help the cure.
d.
Taking the medication prevents more virus from being produced.
e.
You are not cured of HIV; however, you will not be able to spread the virus.

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

Answer to Question 1

ANS: D
It is important to carefully identify patients who may already have damage to organs before medication is started. Aminoglycosides may cause significant damage to the kidneys.

Answer to Question 2

ANS: B, D
Antiretrovirals do not cure HIV infection, but taking the medication as scheduled prevents resistant strains of HIV and slows the progression of the disease.