A client enters the emergency department with suspected exposure to anthrax. The physician confirms this suspicion and orders the client an antibiotic. Which medication would the nurse expect the physician to order?
Doxycycline
Penicillin
Oxytetracycline (Terramycin)
Ciprofloxacin
The Correct Answer is D
A. Doxycycline:
Doxycycline is a tetracycline antibiotic that is effective against anthrax. It is commonly used for post-exposure prophylaxis and treatment of anthrax infections.
B. Penicillin:
Penicillin is not typically the first-line antibiotic for treating anthrax. While some strains of Bacillus anthracis may be susceptible to penicillin, other antibiotics like doxycycline or ciprofloxacin are preferred due to their broader spectrum of activity and better penetration into tissues.
C. Oxytetracycline (Terramycin):
Oxytetracycline is another tetracycline antibiotic similar to doxycycline. Like doxycycline, oxytetracycline is effective against anthrax and can be used for post-exposure prophylaxis and treatment of anthrax infections.
D. Ciprofloxacin:
Ciprofloxacin is a fluoroquinolone antibiotic that is effective against anthrax. It is commonly used as an alternative to doxycycline for post-exposure prophylaxis and treatment of anthrax infections, particularly for individuals who cannot tolerate tetracyclines.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Immunocompromised patients:
Immunocompromised patients, whose immune systems are weakened or impaired, are indeed more vulnerable to drug toxicity. This vulnerability can be due to factors such as decreased ability to metabolize and eliminate drugs, increased susceptibility to infections and opportunistic pathogens, and impaired organ function, particularly in the liver and kidneys, which are involved in drug metabolism and excretion.
B. Immunocompetent patients:
Immunocompetent patients have normal immune function and are generally less vulnerable to drug toxicity compared to immunocompromised individuals. However, susceptibility to drug toxicity can still vary depending on factors such as age, underlying health conditions, renal and hepatic function, and concurrent use of other medications.
C. Infants and elderly patients:
Infants and elderly patients are more vulnerable to drug toxicity due to factors such as immature or declining organ function, altered drug metabolism and elimination, and differences in body composition. In infants, organ systems are still developing, while in elderly patients, age-related changes can affect drug pharmacokinetics and increase the risk of adverse reactions.
D. Patients who have allergic reactions:
Patients who have allergic reactions may experience adverse drug reactions if they are exposed to the offending medication again. However, this does not necessarily make them more vulnerable to drug toxicity in general. Allergic reactions are specific immune responses and differ from drug toxicity, which can occur due to various mechanisms unrelated to allergies.
Correct Answer is ["A","B","D"]
Explanation
A. Prayer:
Prayer is a spiritual practice that involves communicating with a higher power or deity. It has been used for centuries across various cultures and religions as a means of seeking guidance, comfort, and healing. While the direct physical effects of prayer on the body may not be well understood, many people find that prayer can provide emotional support, reduce stress, and promote a sense of well-being. Additionally, some research suggests that prayer may have positive effects on mental health and overall quality of life.
B. Meditation:
Meditation is a practice that involves focusing the mind and cultivating awareness, often through techniques such as mindfulness, breathing exercises, or guided imagery. It has been practiced for centuries in Eastern traditions such as Buddhism and Hinduism, as well as in other cultures around the world. Meditation is known for its ability to promote relaxation, reduce stress, and improve mental clarity. It has also been associated with numerous physical health benefits, including lower blood pressure, improved immune function, and better sleep.
C. Ointments with a steroid base:
Ointments with a steroid base are not typically considered CAM therapies. Instead, they are a form of conventional medical treatment commonly used to reduce inflammation and treat various skin conditions. These ointments contain corticosteroids, which are synthetic drugs that mimic the effects of hormones produced by the adrenal glands. They work by suppressing the body's immune response and reducing inflammation in the affected area. While steroid-based ointments can be effective for treating certain skin conditions, they are not part of traditional CAM practices.
D. Massage:
Massage therapy involves manipulating the body's soft tissues, including muscles, tendons, and ligaments, to promote relaxation, relieve muscle tension, and improve circulation. It has been practiced for centuries in cultures around the world and is commonly used to alleviate stress, reduce pain, and enhance overall well-being. Massage therapy encompasses various techniques, such as Swedish massage, deep tissue massage, and aromatherapy massage, each with its own benefits and applications. Research has shown that massage therapy can have numerous physical and mental health benefits, including reduced anxiety, improved mood, and enhanced immune function.
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