A client enters the emergency department with suspected exposure ...

[Mollykgkg]

A client enters the emergency department with suspected exposure to anthrax. The physician confirms this suspicion and orders the client an antibiotic. Which medication would the nurse expect the physician to order?
 
  1. Penicillin
  2. Ciprofloxacin (Cipro)
  3. Oxytetracycline (Terramycin)
  4. Doxycycline (Vibramycin)

Question 2

The nurse is preparing discharge instructions for a client who will be taking penicillin G. The client tells the nurse she is also taking birth control pills. What is the nurse's best response?
 
  1. You may continue taking the birth control pills as the only means of contraception.
  2. If you feel you do not need to take the antibiotic, you don't need to.
  3. You do not need to take your birth control pills while taking this medication.
  4. You will need to use another form of contraception while taking the antibiotic and for at least 1 month after you finish treatment.

[meganmoser117]

Answer to Question 1

2

Rationale 1: Penicillin is in the penicillin class. The most widely used drug in the fluoroquinolones, ciprofloxacin (Cipro), is the drug of choice for exposure to anthrax.
Rationale 2: The most widely used drug in the fluoroquinolones, ciprofloxacin (Cipro), is the drug of choice for exposure to anthrax.
Rationale 3: Oxytetracycline (Terramycin) is a tetracycline. The most widely used drug in the fluoroquinolones, ciprofloxacin (Cipro), is the drug of choice for exposure to anthrax.
Rationale 4: Doxycycline (Vibramycin) is a tetracycline. The most widely used drug in the fluoroquinolones, ciprofloxacin (Cipro), is the drug of choice for exposure to anthrax.

Global Rationale: The most widely used drug in the fluoroquinolone class, ciprofloxacin (Cipro), is the drug of choice for exposure to anthrax.Penicillin, oxytetracycline, and doxycycline are all incorrect.

Answer to Question 2

4

Rationale 1:Penicillin G may decrease the effectiveness of oral contraceptives.
Rationale 2:Penicillin G may decrease the effectiveness of oral contraceptives.
Rationale 3:Penicillin G can decrease the effectiveness of oral contraceptives.
Rationale 4:Penicillin G maydecrease the effectiveness of oral contraceptives.

Global Rationale: Penicillin G can decrease the effectiveness of oral contraceptives. The client should use a backup method of birth control; should take the antibiotic as prescribed and not stop when feeling better; and should continue to take their birth control while on the antibiotics.

[Mollykgkg]

Thanks

[meganmoser117]

Welcome