A patient is preparing to travel to perform missionary work in a ...

[asmith134]

A patient is preparing to travel to perform missionary work in a region with poor drinking water. The provider gives the patient a prescription for ciprofloxacin (Cipro) to take on the trip. What will the nurse instruct this patient to do?
 
  a. Combine the antibiotic with an antidiarrheal medication, such as loperamide.
  b. Start taking the ciprofloxacin 1 week before traveling.
  c. Take 1 tablet of ciprofloxacin with each meal for best results.
  d. Use the drug if symptoms are severe or do not improve in a few days.

Question 2

A patient who experiences motion sickness is about to go on a cruise. The prescriber orders transdermal scopolamine (Transderm Scop). The patient asks the nurse why an oral agent is not ordered.
 
  The nurse will explain that the transdermal preparation:
  a. can be applied as needed at the first sign of nausea.
  b. has less intense anticholinergic effects than the oral form.
  c. is less sedating than the oral preparation.
  d. provides direct effects, because it is placed close to the vestibular apparatus of the ear.

[xiazhe]

Answer to Question 1

ANS: D
Traveler's diarrhea is generally caused by Escherichia coli; treatment is usually unnecessary, because the disease runs its course in a few days. If symptoms are severe or prolonged, an antibiotic, such as ciprofloxacin, may be helpful. Patients should be instructed to take it only if needed. Antidiarrheal medications may just slow the export of the organism and prolong the course of the disease, but they may be used when symptoms are mild for relief from discomfort. Prophylactic treatment with antibiotics is not recommended. Ciprofloxacin is given twice daily, not with meals.

Answer to Question 2

ANS: B
The transdermal system of scopolamine is preferred, because it may have less intense anticholinergic effects than oral or subcutaneous dosing. Antinausea medications for motion sickness are more effective if given prophylactically than after symptoms begin. Sedation side effects are similar with all forms. Placement near the ear does not cause the medication to absorb directly into the vestibular apparatus.

[asmith134]

Both answers were spot on, thank you once again

[xiazhe]

Great! Please up vote