Author Question: The prescriber has ordered an antibiotic for a patient with a bacterial infection. The nurse ... (Read 138 times)

lidoalex · **on:** Jul 23, 2018

The prescriber has ordered an antibiotic for a patient with a bacterial infection. The nurse provides patient education at discharge and instructs the patient to take the drug on an empty stomach.

This means that the patient should take the drug (Select all that apply.) a. 1 hour or more before a meal.
b. only after an 8-hour fast.
c. only after the patient has missed a meal.
d. at least 2 hours after a meal.
e. with liquids but not solids within 12 hours.

Question 2

A patient taking an antipsychotic agent begins to drool and displays tremors, rigidity, and a shuffling gait.

The nurse is correct to suspect that the patient is experiencing extrapyramidal symptoms that are consistent with assessment findings for which of the following disorders? a. Akathisia
b. Tourette's syndrome
c. Parkinsonism
d. Tardive dyskinesia

mcomstock09 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

A, D
The absorption of some drugs can be significantly reduced by food; these drugs should be taken on an empty stomach, which is 1 hour or more before a meal or at least 2 hours after a meal.
An 8-hour fast is not necessary, the patient does not need to miss a meal to take the medication, and it is not reasonable to have the patient on thin liquids for 12 hours.

Answer to Question 2

C
Extrapyramidal symptoms are movement disorders resulting from the effects of antipsychotic drugs on the extrapyramidal motor system. The patient's symptoms are consistent with parkin-sonism, because they mirror the symptoms that patients with Parkinson's disease exhibit, such as tremors, rigidity, shuffling gait, and a masklike face.
Akathisia is characterized by pacing and squirming.
Tourette's syndrome is manifested by uncontrollable motor tics, barking cries, grunts, and out-bursts of obscene language.
Tardive dyskinesia is characterized by involuntary twisting, writhing, and wormlike movements.