A nurse is reinforcing teaching with a client about treatment of methicillin-resistant Staphylococcus aureus (MRSA). Which of the following information should the nurse include in the teaching?

Antibiotic dosages below the minimum concentration are prescribed.

Broad-spectrum antibiotics are used whenever possible.

Antibiotics are prescribed only when a viral infection is present.

Infections become resistant to high doses of antibiotics

Answer and Explanation

The Correct Answer is D

A. Antibiotic dosages below the minimum concentration are prescribed:

This statement is incorrect. When treating MRSA infections, it's essential to prescribe antibiotic dosages that achieve adequate concentrations to effectively combat the resistant bacteria. Suboptimal dosages or inadequate duration of treatment can contribute to treatment failure and the development of antibiotic resistance. Therefore, the nurse should emphasize the importance of prescribing appropriate dosages of antibiotics for MRSA infections.

B. Broad-spectrum antibiotics are used whenever possible:

This statement is not accurate. While broad-spectrum antibiotics may be effective against a wide range of bacteria, they are not always the preferred choice for treating MRSA infections. MRSA is resistant to many antibiotics, including those commonly used as broad-spectrum agents. Therefore, the treatment of MRSA typically involves antibiotics that are specifically effective against this resistant strain, such as vancomycin, daptomycin, linezolid, or other agents based on susceptibility testing. Therefore, the nurse should educate the client that specific antibiotics effective against MRSA are used, rather than relying solely on broad-spectrum antibiotics.

C. Antibiotics are prescribed only when a viral infection is present:

This statement is incorrect. Antibiotics are not effective against viral infections, including those caused by viruses such as influenza or the common cold. MRSA is a bacterial infection, and antibiotics are indicated for its treatment. However, it's essential to use antibiotics judiciously and only when necessary to avoid contributing to antibiotic resistance. The nurse should educate the client that antibiotics are prescribed for bacterial infections like MRSA, but they are not appropriate for viral infections.

D. Infections become resistant to high doses of antibiotics:

This statement is accurate. Overuse or inappropriate use of antibiotics, including high doses, can contribute to the development of antibiotic resistance. Bacteria like MRSA can acquire resistance mechanisms that render antibiotics ineffective, even at high doses. Therefore, it's crucial to use antibiotics judiciously, following appropriate dosing guidelines and duration of treatment, to minimize the risk of antibiotic resistance. The nurse should include this information in the teaching to emphasize the importance of responsible antibiotic use in the management of MRSA infections.

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Correct Answer is ["A","B","D"]

Explanation

A.Recognizing the role of spirituality in health and healing:

Many CAM therapies acknowledge the importance of spirituality in health and healing. Spiritual well-being is considered an integral aspect of overall health in many CAM modalities. Practices such as meditation, yoga, and mindfulness often incorporate spiritual elements. Therefore, recognizing the role of spirituality in health and healing is a common characteristic of CAM therapies.

B. Focusing on treatment of the person as an individual:

One of the key principles of CAM therapies is treating the individual as a whole, taking into account physical, mental, emotional, and spiritual aspects of health. CAM practitioners often emphasize personalized care tailored to the unique needs and characteristics of each individual. Therefore, focusing on the treatment of the person as an individual is a common characteristic of CAM therapies.

C. Focusing only on physical health:

This statement is incorrect. Unlike conventional Western medicine, which primarily focuses on the physical aspects of health and disease, CAM therapies often take a holistic approach that considers the interconnectedness of the mind, body, and spirit. Therefore, CAM therapies typically address physical, mental, emotional, and spiritual aspects of health, rather than focusing solely on physical health.

D.Promotion of disease prevention, self-care, and self-healing:

Many CAM therapies emphasize the importance of disease prevention, self-care practices, and the body’s innate ability to heal itself. These therapies often encourage individuals to take an active role in maintaining their health and well-being through lifestyle modifications, stress management techniques, dietary changes, and other self-care practices. Therefore, promotion of disease prevention, self-care, and self-healing is a common characteristic of CAM therapies.

A. Sulfonamides B. Macrolides C. Yeast D. Penicillin

Correct Answer is D

Explanation

A. Sulfonamides:

Sulfonamides are a class of antibiotics that are structurally distinct from cephalosporins like cefazolin. Allergic reactions to sulfonamides do not necessarily indicate a risk of allergy to cefazolin. However, it's still important to assess for any previous allergic reactions to medications, including sulfonamides, as individuals can have multiple medication allergies.

B. Macrolides:

Macrolides are another class of antibiotics that are structurally different from cephalosporins. Allergic reactions to macrolides do not directly indicate an allergy to cefazolin. However, as with sulfonamides, it's crucial to assess for any history of allergic reactions to medications, including macrolides.

C. Yeast:

Yeast is not a class of antibiotics but rather a type of fungus. Allergic reactions to yeast are unrelated to cephalosporin antibiotics like cefazolin. Therefore, a history of allergic reactions to yeast does not suggest an allergy to cefazolin.

D. Penicillin:

This is the correct choice. Penicillins and cephalosporins share a similar beta-lactam ring structure. Individuals who have had allergic reactions to penicillin may have an increased risk of cross-reactivity with cephalosporins, including cefazolin. Therefore, it's crucial to assess for any previous allergic reactions to penicillin before administering cefazolin to avoid potential allergic reactions or adverse effects.

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A nurse is reinforcing teaching with a client about treatment of methicillin-resistant Staphylococcus aureus (MRSA). Which of the following information should the nurse include in the teaching?

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Naxlex Comprehensive Predictor Exams

The nurse understands that CAM therapies have common characteristics, such as which of the following? (Select All that Apply)

Correct Answer is ["A","B","D"]

Explanation

Before administering cefazolin (Ancef), the nurse checks for a previous allergic reaction to:

Correct Answer is D

Explanation

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