The patient in the clinic receives a prescription for an ...

[sarasara]

The patient in the clinic receives a prescription for an anti-infective to treat a urinary tract infection.
 
  The patient asks the nurse, Would you ask the doctor to give me refills on this prescription? I get a urinary tract infection almost once a year it seems and I'd like to have a refill I can store for the next time so I don't have to come back to the clinic. What is the nurse's priority response? A) Sure, I'd be glad to ask. How many refills would you like to have?
  B) Most medications, if not used, should be discarded after a year so it is better to get a new prescription next year when you need it.
  C) This antibiotic doesn't destroy every pathogen that could cause a urinary tract infection so it is better to get the right antibiotic next time.
  D) Saving antibiotics for another time and self-diagnosing when antibiotics are needed lead to resistant organisms that no longer respond to drugs.

Question 2

The nurse admits to the clinic a 7-month-old infant whose mother reports that the baby has not had a bowel movement in 6 days. What drug would be appropriate to treat this patient?
 
  A) Cascara (generic)
  B) Magnesium hydroxide (Milk of Magnesia)
  C) Polyethylene glycol-electrolyte solution (GoLYTELY)
  D) Glycerin (Sani-Supp)

[juiceman1987]

Answer to Question 1

D
Feedback:
Option A is incorrect because the patient should not be given refills to use indiscriminately. The remaining options are all important teaching points for this patient, but the priority is teaching this patient about drug-resistant organisms and how they can be prevented, as well as what happens if an infection results from a resistant organism.

Answer to Question 2

D
Feedback:
Glycerin suppositories are the best choice for infants and young children when constipation is a problem. The other choices are not recommended for infants or children.

[sarasara]

Excellent

[Dnite]

TYSM