A child with otitis media had a myringotomy with insertion of tubes. The nurse provides discharge instructions to the parents regarding the administration of antibiotics. Which statement indicates understanding of the instructions?

"Begin to taper the antibiotics after 3 days of administration"

"Administer the antibiotics if the child has a fever"

"Administer the antibiotics until they are gone."

"Administer the antibiotics until the child feels better"

Answer and Explanation

The Correct Answer is C

A.   Antibiotics should not be tapered unless specifically directed by a healthcare provider. It is essential to complete the full course of antibiotics as prescribed, even if the child begins to feel better, to ensure the infection is fully treated.
B.   Antibiotics should be administered as prescribed regardless of whether the child has a fever. Fever can be a sign of infection, but it is not the sole criterion for administering antibiotics.
C.   Parents should complete the entire course of antibiotics as prescribed, even if the child appears to be improving. This helps to prevent the development of antibiotic-resistant bacteria and ensures that the infection is fully treated.
D.   While it is common for parents to want to stop medications when their child feels better, it is crucial to complete the full course of antibiotics. Stopping early can lead to a recurrence of the infection and contribute to antibiotic resistance.

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Correct Answer is C

Explanation

A. Cephalosporins are a class of antibiotics that can, in some cases, cause liver enzyme elevations and hepatotoxicity. While not all cephalosporins are associated with significant liver toxicity, there have been reports of liver dysfunction with some members of this class.
B. Sulfonamides can also cause hepatotoxicity, particularly in certain individuals. They are known to occasionally lead to liver enzyme elevations and even more severe liver damage in susceptible patients.
C. Penicillins are generally considered safe regarding hepatotoxicity; however, there can be rare instances of liver enzyme elevation associated with some penicillin derivatives, particularly in cases of prolonged use or in patients with existing liver disease. Nonetheless, they are not commonly associated with significant hepatotoxicity.
D. Fluoroquinolones can cause liver toxicity, although it is relatively rare. Some fluoroquinolones have been associated with elevated liver enzymes and other hepatic issues.

A. Herpes Simplex B. Consumption of spicy foods C. Reflux Disease D. Daily NSAID use

Correct Answer is C

Explanation

A. Herpes simplex virus (HSV) is not directly linked to an increased risk of esophageal cancer. While it can cause infections in the esophagus, especially in immunocompromised individuals, it is not recognized as a significant risk factor for esophageal cancer itself.
B. While some individuals may experience discomfort from spicy foods, there is no substantial evidence linking the consumption of spicy foods directly to the development of esophageal cancer. Dietary factors are more complex, and spicy foods are not typically identified as a primary risk factor.
C. Gastroesophageal reflux disease (GERD) is a significant risk factor for esophageal cancer, particularly adenocarcinoma. Chronic reflux can lead to changes in the esophageal lining (Barrett's esophagus), which is a precancerous condition. Therefore, this is a well-established risk factor.
D. The use of non-steroidal anti-inflammatory drugs (NSAIDs) is not considered a direct risk factor for esophageal cancer. In some contexts, NSAIDs may even have a protective effect against certain types of cancer due to their anti-inflammatory properties. However, chronic use can lead to gastrointestinal complications, including ulcers, but does not have a clear link to the development of esophageal cancer.

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A child with otitis media had a myringotomy with insertion of tubes. The nurse provides discharge instructions to the parents regarding the administration of antibiotics. Which statement indicates understanding of the instructions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which class of antimicrobials does not cause hepatotoxicity?

Correct Answer is C

Explanation

The nurse is assessing a patient prior to surgery for esophageal cancer. Which of the following would be considered a risk factor for the development of this disease?

Correct Answer is C

Explanation

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