This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: The parent of an infant with otitis media asks the nurse why the prescriber has ordered amoxicillin ... (Read 43 times)

pragya sharda

  • Hero Member
  • *****
  • Posts: 566
on: Jul 23, 2018
The parent of an infant with otitis media asks the nurse why the prescriber has ordered amoxicillin (Amoxil) and not ampicillin (Unasyn). What will the nurse tell the parent?
 
  a. Amoxicillin is a broader spectrum antibiotic than ampicillin.
  b. Amoxicillin is not inactivated by beta-lactamases.
  c. Ampicillin is associated with more allergic reactions.
  d. Ampicillin is not as acid stable as amoxicillin.

Question 2

A patient has an infection caused by Streptococcus pyogenes. The prescriber has ordered dicloxacillin PO. What will the nurse do?
 
  a. Administer the medication as ordered.
  b. Contact the provider to suggest giving the drug IV.
  c. Question the need for a penicillinase-resistant penicillin.
  d. Suggest ordering vancomycin to treat this infection.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

b614102004

  • Sr. Member
  • ****
  • Posts: 320
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: D
Amoxicillin and ampicillin are similar in structure and actions but differ primarily in acid stability. Amoxicillin is more acid stable and, when administered orally, results in higher blood levels than can be obtained with equivalent doses of ampicillin. The two drugs have the same spectrum, both are inactivated by beta-lactamases, and both can cause allergic reactions.

Answer to Question 2

ANS: C
Penicillinase-resistant penicillins have been developed for use against penicillinase-producing strains of staphylococci. These drugs have a very narrow antimicrobial spectrum and should be used only for such infections. S. pyogenes can be treated with penicillin G. The nurse should question the order. It is incorrect to contact the provider to ask for IV dosing. This infection can be treated with penicillin G and not with vancomycin.


pragya sharda

  • Hero Member
  • *****
  • Posts: 566
Reply #2 on: Jul 23, 2018
Both answers were spot on, thank you once again


b614102004

  • Sr. Member
  • ****
  • Posts: 320
Reply #3 on: Jul 23, 2018
Great! Please up vote :D


« previous next »
 

Did you know?

The lipid bilayer is made of phospholipids. They are arranged in a double layer because one of their ends is attracted to water while the other is repelled by water.

Did you know?

The familiar sounds of your heart are made by the heart's valves as they open and close.

Did you know?

Hip fractures are the most serious consequences of osteoporosis. The incidence of hip fractures increases with each decade among patients in their 60s to patients in their 90s for both women and men of all populations. Men and women older than 80 years of age show the highest incidence of hip fractures.

Did you know?

Vaccines prevent between 2.5 and 4 million deaths every year.

Did you know?

Once thought to have neurofibromatosis, Joseph Merrick (also known as "the elephant man") is now, in retrospect, thought by clinical experts to have had Proteus syndrome. This endocrine disease causes continued and abnormal growth of the bones, muscles, skin, and so on and can become completely debilitating with severe deformities occurring anywhere on the body.

The nurse is using Standard Precautions to draw blood. The nurse is using Standard Precautions to draw blood.
An infant with spina bifida. An infant with spina bifida.
To search for the Native American family would be fruitless. There are rural, urban, single-parent, ... To search for the Native American family would be fruitless. There are rural, urban, single-parent, ...
Parent restraint of a young child during examination of the ear Parent restraint of a young child during examination of the ear
Topic Media Topic Media
Anatomic and Physiologic Considerations with Infant and Child Patients Anatomic and Physiologic Considerations with Infant and Child Patients
Video: What are Strong & Weak Acids and How they're different?

For a complete list of videos, visit our video library