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

Author Question: A patient is taking oral ketoconazole (Nizoral) for a systemic fungal infection. The nurse reviews ... (Read 71 times)

genevieve1028

  • Hero Member
  • *****
  • Posts: 601
on: Jul 23, 2018
A patient is taking oral ketoconazole (Nizoral) for a systemic fungal infection. The nurse reviews the medication administration record and notes that the patient is also taking omeprazole (Prilosec) for reflux disease.
 
  What action should the nurse take?
  a. Administer the omeprazole 1 hour before the ketoconazole.
  b. Administer the omeprazole at least 2 hours after the ketoconazole.
  c. Confer with the prescriber about a potential hazardous interaction.
  d. The nurse should not administer omeprazole to a patient receiving ketoconazole.

Question 2

Metronidazole (Flagyl) is ordered for a patient being prepared for colorectal surgery. The nurse understands that the rationale for administration of metronidazole is that it
 
  a. inhibits the C. difficile toxin.
  b. can treat the fungal infection.
  c. serves as prophylaxis for infection.
  d. is a broad-spectrum antibiotic.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

alexanderhamilton

  • Sr. Member
  • ****
  • Posts: 334
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: B
The nurse should administer the omeprazole at least 2 hours after the ketoconazole to prevent a drug-drug interaction. Drugs that reduce gastric acidity should be administered no sooner than 2 hours after ingestion of ketoconazole because they reduce absorption of the drug.
Drugs that reduce gastric acidity should be administered no sooner than 2 hours after ingestion of ketoconazole because they reduce absorption of the drug.
There is no need to confer with prescriber or refuse to administer the drugs as this is an appropriate drug combination.

Answer to Question 2

ANS: C
Metronidazole is used for prophylaxis in surgical procedures associated with a high risk of infection by anaerobes (colorectal surgery, abdominal surgery, vaginal surgery).
In this scenario, metronidazole is not given to inhibit the C. difficile toxin.
Metronidazole is not indicated for treatment a fungal infection, and nothing indicates that the patient has such an infection.
Metronidazole is not a broad-spectrum antibiotic.


genevieve1028

  • Hero Member
  • *****
  • Posts: 601
Reply #2 on: Jul 23, 2018
Thank you!


alexanderhamilton

  • Sr. Member
  • ****
  • Posts: 334
Reply #3 on: Jul 23, 2018
Always glad to help...


« previous next »
 

Did you know?

Blood is approximately twice as thick as water because of the cells and other components found in it.

Did you know?

For pediatric patients, intravenous fluids are the most commonly cited products involved in medication errors that are reported to the USP.

Did you know?

Asthma occurs in one in 11 children and in one in 12 adults. African Americans and Latinos have a higher risk for developing asthma than other groups.

Did you know?

Approximately 25% of all reported medication errors result from some kind of name confusion.

Did you know?

More than 34,000 trademarked medication names and more than 10,000 generic medication names are in use in the United States.

Oral contraceptive. Oral contraceptive.
Nurses possess a wide variety of experiences which they take into each patient encounter. Nurses possess a wide variety of experiences which they take into each patient encounter.
Peptic ulcer. A peptic ulcer may occur in the stomach (gastric ulcer), as shown here, or in the duod Peptic ulcer. A peptic ulcer may occur in the stomach (gastric ulcer), as shown here, or in the duod
Nursing diagnositic process - risk for infection Nursing diagnositic process - risk for infection
A physical therapist helping the patient on parallel bars. A physical therapist helping the patient on parallel bars.
Amyloid plaques (stained blue) in the brain of a deceased patient who had Alzheimer’s disease. Amyloid plaques (stained blue) in the brain of a deceased patient who had Alzheimer’s disease.
Video: Olfaction. or the sense of smell

For a complete list of videos, visit our video library