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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Incorrect – Blood creatinine: Measures kidney function but does not diagnose UTIs or identify the causative organism.

B. Incorrect – Blood culture: Used to detect bacteria in the bloodstream (e.g., sepsis) but does not identify a UTI-causing pathogen.

C. Correct – Urine culture and sensitivity: This test identifies the specific bacteria causing the UTI and determines which antibiotics will be most effective for treatment.

D. Incorrect – Complete Blood Count (CBC): Can show elevated WBCs, indicating infection, but does not determine the pathogen.

A. “I will take the medication with 8 ounces of milk.” B. “I can take this medication only needed schedule.” C. “I will let my doctor know if I start developing a yeast infection." D. “I can Stop this medication when I feel better."

Correct Answer is C

Explanation

A. Incorrect: Taking antibiotics with milk can decrease absorption and effectiveness.

B. Incorrect: Antibiotics for H. pylori should be taken on a fixed schedule, not as needed.

C. Correct: Antibiotics can disrupt normal flora, increasing the risk of yeast infections. Clients should report signs of candidiasis (e.g., white patches in the mouth, vaginal itching).

D. Incorrect: Stopping antibiotics early can lead to incomplete eradication of H. pylori and antibiotic resistance.

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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).

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Naxlex Comprehensive Predictor Exams

A nurse is teaching a client about the manifestations of urinary tract infection. Which of the following tests is needed to determine which microorganism is causing the infection?

Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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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).