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 98 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?

There are more bacteria in your mouth than there are people in the world.

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?

Prostaglandins were first isolated from human semen in Sweden in the 1930s. They were so named because the researcher thought that they came from the prostate gland. In fact, prostaglandins exist and are synthesized in almost every cell of the body.

Did you know?

Aspirin may benefit 11 different cancers, including those of the colon, pancreas, lungs, prostate, breasts, and leukemia.

Did you know?

For high blood pressure (hypertension), a new class of drug, called a vasopeptidase blocker (inhibitor), has been developed. It decreases blood pressure by simultaneously dilating the peripheral arteries and increasing the body's loss of salt.

NUrse :0 NUrse :0
The nurse needs to inform the patient with impaired vision when a touch is to occur and ask permissi The nurse needs to inform the patient with impaired vision when a touch is to occur and ask permissi
Many mothers pump their breast milk so that fathers can be involved in infant feedings Many mothers pump their breast milk so that fathers can be involved in infant feedings
The Decline of Two-Parent Families The Decline of Two-Parent Families
Topic Media Topic Media
Topic Media Topic Media
Video: Cavernous Sinus Larynx Middle Ear Orbit: Granulesm Animation

For a complete list of videos, visit our video library