Author Question: During a routine screening, an asymptomatic, pregnant patient at 37 weeks' gestation learns that she ... (Read 54 times)

piesebel · **on:** Jul 23, 2018

During a routine screening, an asymptomatic, pregnant patient at 37 weeks' gestation learns that she has an infection caused by Chlamydia trachomatis. The nurse will expect the provider to order which drug?

a. Azithromycin
b. Doxycycline
c. Erythromycin ethylsuccinate
d. Sulfisoxazole

Question 2

The nurse is preparing to discharge a patient with HIV who will be continuing to take enfuvirtide (Fuzeon) at home. The nurse is providing patient education about the medication.

What information about the administration of enfuvirtide is most appropriate for the patient?
a. The importance of injecting the drug into two alternating sites daily
b. How to reconstitute and self-administer a subcutaneous injection
c. The importance of taking the drug with high doses of vitamin E
d. Likely drug interactions between enfuvirtide and other antiretroviral drugs

DylanD1323 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: A
The preferred treatment for C. trachomatis during pregnancy is either azithromycin or amoxicillin. Doxycycline can be used for nonpregnant patients. Erythromycin is used for infants. Sulfisoxazole is not recommended for pregnant woman near term, because it can cause kernicterus in the infant.

Answer to Question 2

ANS: B
The most appropriate information about the administration of enfuvirtide is how to reconstitute and self-administer a subcutaneous injection. The medication should never be injected into the same site or just between two sites. Vitamin E is not indicated for this medication. Enfuvirtide does not appear to cause significant drug interactions.