A nurse is teaching a group of nurses about the importance of prophylactic antimicrobial therapy. Which information should the primary nurse include in the teaching? (Select All That Apply).
Administer a prophylactic antimicrobial therapy to clients after being diagnosed with a respiratory infection.
Instruct clients who have a prosthetic heart valve about the need for prophylactic antimicrobial therapy before dental work.
Instruct clients to request prophylactic antimicrobial therapy when they have an upper respiratory infection.
Administer a prophylactic antimicrobial therapy to clients who are having an orthopedic surgery.
Correct Answer : B,D
A. Incorrect: Prophylactic antibiotics are not given for a diagnosed respiratory infection. Instead, targeted treatment based on the pathogen is used.
B. Correct: Clients with prosthetic heart valves need prophylactic antibiotics before dental procedures to prevent infective endocarditis.
C. Incorrect: Upper respiratory infections are often viral, and antibiotics are not routinely needed.
D. Correct: Clients undergoing orthopedic surgery may require prophylactic antibiotics to prevent surgical site infections.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Correct: Acyclovir is an antiviral medication used to treat herpes zoster (shingles) by reducing the severity and duration of symptoms.
B. Incorrect: Metronidazole is an antibacterial and antiprotozoal drug, not used for viral infections.
C. Incorrect: Isoniazid is used for tuberculosis, not herpes zoster.
D. Incorrect: Cefepime is a cephalosporin antibiotic used for bacterial infections, not viral infections.
Correct Answer is C
Explanation
A. Incorrect: Administering a concentrated solution can increase the risk of phlebitis and irritation. IV antibiotics are usually diluted before administration.
B. Incorrect: Choosing a small peripheral vein is not ideal for IV antibiotics, as they may cause irritation and phlebitis. A larger vein should be selected.
C. Correct: Most IV antibiotics, including those for cystitis, should be infused over 30-60 minutes to minimize the risk of adverse reactions.
D. Incorrect: Infusing through primary IV tubing is not always appropriate, as some antibiotics are incompatible with primary IV fluids. A separate IV line or secondary tubing is recommended.
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