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Nursing implications and patient education
Nursing implications and patient education ( 5 Questions)
A nurse is preparing to administer an antimicrobial agent to a patient who has a urinary tract infection. The nurse reviews the culture and sensitivity results and notes that the microorganism is resistant to the prescribed antimicrobial agent.
What is the most appropriate action by the nurse?
Choice A is wrong because administering the antimicrobial agent as ordered and monitoring for therapeutic effects will not treat the urinary tract infection (UTI) and may allow the infection to spread or worsen.
Hold the antimicrobial agent and notify the prescriber of the resistance. This is because administering an antimicrobial agent that the microorganism is resistant to will not be effective and may increase the risk of medication toxicity. The prescriber should be informed so that they can order a different antimicrobial agent that is sensitive to the microorganism.
Choice C is wrong because administering a different antimicrobial agent that is sensitive to the microorganism without consulting the prescriber is outside the nurse’s scope of practice and may cause adverse effects or interactions.
Choice D is wrong because administering the antimicrobial agent with another medication to enhance its activity without consulting the prescriber is also outside the nurse’s scope of practice and may not be appropriate for the type of microorganism causing the UTI.
Hold the antimicrobial agent and notify the prescriber of the resistance. This is because administering an antimicrobial agent that the microorganism is resistant to will not be effective and may increase the risk of medication toxicity. The prescriber should be informed so that they can order a different antimicrobial agent that is sensitive to the microorganism.
Choice A is wrong because administering the antimicrobial agent as ordered and monitoring for therapeutic effects will not treat the urinary tract infection (UTI) and may allow the infection to spread or worsen.
Choice C is wrong because administering a different antimicrobial agent that is sensitive to the microorganism without consulting the prescriber is outside the nurse’s scope of practice and may cause adverse effects or interactions.
Choice D is wrong because administering the antimicrobial agent with another medication to enhance its activity without consulting the prescriber is also outside the nurse’s scope of practice and may not be appropriate for the type of microorganism causing the UTI.