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Author Question: A patient who is taking doxycycline for a serious infection contacts the nurse to report anal ... (Read 73 times)

skymedlock

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on: Jul 23, 2018
A patient who is taking doxycycline for a serious infection contacts the nurse to report anal itching. The nurse will contact the provider to discuss:
 
  a. adding an antihistamine to the patient's drug regimen.
  b. ordering liver function tests to test for he-patotoxicity.
  c. prescribing an antifungal drug to treat a superinfection.
  d. testing the patient for a C. difficile sec-ondary infection.

Question 2

An otherwise healthy child receives a varicella virus vaccine. Three weeks later the parent calls to report that the child has a mild case of chickenpox and wonders how this could happen after the vaccination. What will the nurse tell the parent?
 
  a. A varicella-like rash can occur after the vaccine is given.
  b. The vaccine was probably ineffective.
  c. This represents a serious vaccine side effect.
  d. Give the child aspirin to treat any fever that may occur.


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wshriver

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Reply #1 on: Jul 23, 2018
Answer to Question 1

C
A superinfection occurs secondary to suppression of drug-sensitive organisms. Overgrowth with fungi, especially Candida albicans, is common and may occur in the mouth, pharynx, vagina, and bowel. Anal itching is a sign of such an infection, not a sign of hepatotoxicity. Antihistamines will not treat the cause. C. difficile is characterized by profuse, watery diarrhea.

Answer to Question 2

A
Children who receive the varicella vaccine may sometimes develop a mild, local varicella-like rash within a month of receiving the vaccine. This rash does not indicate that the vaccine was ineffective, and it is not a serious side effect. Because of the association with Reye's syndrome, children should not take aspirin or other salicylates for 6 weeks after receiving the vaccine.


skymedlock

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Reply #2 on: Jul 23, 2018
Both answers were spot on, thank you once again


wshriver

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Reply #3 on: Jul 23, 2018
Great! Please up vote :D


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