Author Question: Before administering a macrolide antibiotic the nurse would question the order for what patient? ... (Read 18 times)

Mr.Thesaxman · **on:** Jul 23, 2018

Before administering a macrolide antibiotic the nurse would question the order for what patient?

A) An 82-year-old woman with hypertension
B) A 12-year-old boy with hearing loss
C) A 30-year-old pregnant patient
D) A 51-year-old man after myocardial infarction

Question 2

A woman has just given birth to a premature infant. The mother asks why the infant is having such a hard time breathing. The nurse explains that the infant's alveoli are unable to stay open.

What is the infant lacking that is necessary for correct functioning of the alveoli? A) Adenosine triphosphate (ATP)
B) Histamine
C) Serotonin
D) Surfactant

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

Answer to Question 1

B
Feedback:
Macrolide antibiotics can cause severe auditory nerve damage so the nurse would question administration of this drug to the child with hearing loss because another antibiotic may be indicated to preserve remaining hearing. This drug is not contraindicated in older adults, although a lower dosage may be indicated. It may safely be given in pregnancy and after myocardial infarction.

Answer to Question 2

D
Feedback:
Surfactant is a lipoprotein that decreases the surface tension in the sac and prevents alveolar collapse. ATP, histamine, and serotonin are released from mast cells throughout the airway to ensure a quick and intense inflammatory reaction to any cell injury, which may lead to a respiratory infection.