The patient taking digoxin (Lanoxin) has developed an infection. ...

[ishan]

The patient taking digoxin (Lanoxin) has developed an infection. What antibiotic can the nurse safely administer to this patient?
 
  A) Zithromax
  B) Erythromycin
  C) Tetracycline
  D) Cyclosporine

Question 2

A new mother calls the clinic and tells the nurse her toddler has a temperature of 102F. How does the nurse explain why the mother should not be alarmed?
 
  A) A fever is the body's way of fighting an infection and supporting the body's immune system.
  B) Neutrophils release pyrogen, a fever-causing substance, which helps act as a catalyst for the body's inflammatory and immune responses.
  C) Leukotrienes activated by arachidonic acid attract neutrophils to start the process of fighting inflammation.
  D) Inflammation causes the activation of a chemical called Hageman factor that initiates a process to bring more blood to the injured area and allows white blood cells to escape into the tissues.

[mariahkathleeen]

Answer to Question 1

A
Feedback:
Zithromax may be given without impacting the effects of digoxin. There is a risk of increased therapeutic effects and toxic effects of digoxin if it is taken with verapamil, amiodarone, quinidine, quinine, erythromycin, tetracycline, or cyclosporine. If digoxin is combined with any of these drugs, it may be necessary to decrease the digoxin dose to prevent toxicity. If one of these drugs has been part of a medical regimen with digoxin and is discontinued, the digoxin dose may need to be increased.

Answer to Question 2

A
Feedback:
The best response by the nurse would be that a fever actually increases the efficiency of the immune and inflammatory responses, helping the body to fight the infection. While the other three statements are correct, they are more technical and include terminology that a new mother may not understand or even care about. If the appropriate response does not suffice and the mother still has questions, the nurse would then go into more detail and use the rationale from the other options to explain in greater detail.

[ishan]

TY

[mariahkathleeen]

You're welcome