The drug of choice for methicillin-resistant staphylococcus aureus (MRSA) is:

Gentamicin

Nafcillin

Vancomycin

Penicillin

Answer and Explanation

The Correct Answer is C

A. Gentamicin: Gentamicin is an aminoglycoside antibiotic effective against many bacteria, but it's not the first choice for MRSA. Vancomycin or other alternatives are preferred due to the rising resistance of MRSA to gentamicin.

B. Nafcillin: Nafcillin is a penicillin antibiotic, often used for penicillin-sensitive staphylococcal infections. However, it is not effective against MRSA, which is resistant to many penicillin-based antibiotics.

C. Vancomycin: Vancomycin is a glycopeptide antibiotic used to treat a variety of bacterial infections, including MRSA. It works by inhibiting cell wall synthesis in bacteria, making it effective against Gram-positive bacteria that have developed resistance to other antibiotics like methicillin (which MRSA has).

D. Penicillin: Penicillin is a group of antibiotics that includes drugs like amoxicillin and ampicillin. MRSA is resistant to penicillin-based antibiotics, so they are not effective against MRSA infections.

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Correct Answer is C

Explanation

A. 8:00 AM: This time is too early to draw a trough level for a medication administered at 10:00 AM. The trough level should be drawn just before the next dose is given to get the lowest concentration in the bloodstream.

B. 11:00 AM: This time is after the scheduled dose of vancomycin at 10:00 AM. Waiting until 11:00 AM would not provide an accurate trough level because the patient has already received the medication.

C. 9:00 AM: This is the correct time to obtain the patient's blood sample. It is one hour before the scheduled dose of vancomycin at 10:00 AM. Drawing the trough level at this time ensures it reflects the lowest concentration of the drug in the bloodstream.

D. 12:00 noon: This time is after the scheduled dose of vancomycin at 10:00 AM. Waiting until noon would not provide an accurate trough level because the patient has already received the medication.

A. "The antibiotic I have been taking doesn't work as well as it used to." B. "The bacteria in my body have become resilient." C. "Over time, an organism that had once been highly sensitive to an antibiotic may become less susceptible, or it may lose drug sensitivity entirely." D. "My body has become resistant to the antibiotic."

Correct Answer is D

Explanation

A. "The antibiotic I have been taking doesn't work as well as it used to."
This statement shows awareness of decreased effectiveness, which can occur due to drug resistance. Bacteria can become resistant to antibiotics, leading to reduced efficacy of the medication over time.

B. "The bacteria in my body have become resilient."
This statement correctly attributes resistance to the bacteria. Resilience in this context means that bacteria have developed mechanisms to survive the effects of antibiotics, making the treatment less effective.

C. "Over time, an organism that had once been highly sensitive to an antibiotic may become less susceptible, or it may lose drug sensitivity entirely."
This statement accurately describes the concept of drug resistance. Bacteria can lose sensitivity to antibiotics, rendering the drugs ineffective against them.

D. "My body has become resistant to the antibiotic."
This statement is incorrect. It's the bacteria that develop resistance, not the patient's body. Patients don't become resistant to antibiotics; instead, bacteria evolve and adapt, making the drugs less effective against them.

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The drug of choice for methicillin-resistant staphylococcus aureus (MRSA) is:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is administering a daily dose of vancomycin at 10:00 AM. At which time should the nurse obtain the patient's blood sample to determine the trough level?

Correct Answer is C

Explanation

Which statement by a patient makes the nurse aware of a need for further education about drug resistance in antimicrobial therapy?

Correct Answer is D

Explanation

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