• Question 1
1 out of 1 points
A 30-year-old woman who is in the first trimester of pregnancy has presented to her primary care provider with a
... [Show More] 4-day history of a reddened, itchy left eye that is crusted with purulent exudate. The clinician suspects a bacterial, rather than viral, etiology. How will the patient's pregnancy affect the potential use of ciprofloxacin to treat her conjunctivitis?
Selected Answer: A.
The use of ciprofloxacin is contraindicated in pregnancy.
Correct Answer: A.
The use of ciprofloxacin is contraindicated in pregnancy.
Response Feedback: Ciprofloxacin is contraindicated in patients who are pregnant or lactating. Alternative routes and dosages do not mitigate the risks during pregnancy.
• Question 2
1 out of 1 points
An immunocompromised cancer patient has developed cryptococcal meningitis and been admitted to the intensive care unit for treatment with amphotericin B. How should the nurse most safely administer this drug?
Selected Answer: C.
Infuse the drug over 2 to 4 hours into a central line using an infusion pump
Correct Answer: C.
Infuse the drug over 2 to 4 hours into a central line using an infusion pump
Response Feedback: Amphotericin B should be administered in a central line, if possible, using an in-line filter. The solution should be placed on an infusion pump and delivered over 2 to 4 hours. Amphotericin B is not hung with lactated Ringer's, given by IV direct (IV push) or provided as a constant infusion.
• Question 3
1 out of 1 points
A nurse is explaining the use of acyclovir therapy to a 72-year-old man. Nephrotoxicity is discussed as a major adverse effect in older patients. To minimize the risk of the patient developing this adverse effect, the nurse will advise him to
Selected Answer: D.
stay well hydrated by drinking at least eight 8-oz glasses of water daily.
Correct Answer: D.
stay well hydrated by drinking at least eight 8-oz glasses of water daily.
Response Feedback: To minimize the risk of developing nephrotoxicity, the patient should stay well hydrated by drinking at least eight 8-oz glasses of water daily. Eating light meals or taking the drug on an empty stomach would not decrease the risk of developing nephrotoxicity. A nurse should never alter the drug dosage without consulting the prescriber. [Show Less]