A 4-year-old boy was diagnosed with acute otitis media and began ...

[Beheh]

A 4-year-old boy was diagnosed with acute otitis media and began a course of oral amoxicillin.
 
  The boy's mother has contacted the clinic and states that there has been no significant improvement in her son's ear infection since beginning the antibiotics 3 days ago. The nurse should consider which of the following explanations for this phenomenon? A) The boy has not been receiving the medication consistently.
  B) The boy's ear infection has a viral etiology.
  C) The boy's ear infection is caused by an antibiotic-resistant microorganism.
  D) The medication should have been prescribed parenterally.

Question 2

A patient is to be administered glipizide (Glucotrol). Which of the following factors would contraindicate the administration of glipizide (Glucotrol) to this patient?
 
  A) A diagnosis of hypertension
  B) The ingestion of carbohydrates
  C) Allergy to sulfonamides
  D) Increase in alkaline phosphatase

[brittrenee]

Answer to Question 1

B
Feedback:
Many people with acute otitis media do not benefit from antibiotics because the cause of their illness is viral, not bacterial. This possibility is more likely than incorrect administration or antibiotic resistance. Parenteral administration would be no more effective in this case.

Answer to Question 2

C
Feedback:
Sulfonylureas are contraindicated in patients with hypersensitivity to them, with severe renal or hepatic impairment, and who are pregnant. A diagnosis of hypertension does not cause contraindication of sulfonylureas. The patient should consume carbohydrates in association with the oral hypoglycemic agent. An increase in alkaline phosphatase does not result in the contraindication of glipizide (Glucotrol).

[Beheh]

Thanks for the timely response, appreciate it

[ktidd]

Gracias!