A nurse is reviewing guidelines for prophylactic antibiotics. The nurse should Identify that prophylactic antibiotic therapy is not recommended for which of the following clients?

A client who bn a fever of unknown origin

A client who has a prosthetic heart valve is having dental surgery

A client who had an emergency cesarean section

A client following total hip arthroplasty.

Answer and Explanation

The Correct Answer is A

Prophylactic antibiotics are antibiotics given to prevent an infection from occurring. They are often used in situations where there is a high risk of infection, such as during surgery or dental procedures. However, prophylactic antibiotics are not recommended for all clients.

Option b is a situation where prophylactic antibiotics are recommended. Clients with prosthetic heart valves are at an increased risk of developing infective endocarditis (infection of the heart lining) during dental procedures due to the risk of bacteria entering the bloodstream.

Option c is another situation where prophylactic antibiotics may be used. Clients who have had an emergency cesarean section are at an increased risk of developing post-operative infections, and prophylactic antibiotics may be given to prevent this.

Option d is also a situation where prophylactic antibiotics may be used. Total hip arthroplasty is a surgical procedure that involves replacing the hip joint with a prosthesis. Clients who undergo this procedure are at an increased risk of developing a surgical site infection, and prophylactic antibiotics may be given to prevent this.

Option a, on the other hand, does not warrant prophylactic antibiotics. A fever of unknown origin does not necessarily indicate an infection, and antibiotics should only be given when there is a confirmed bacterial infection. Inappropriate use of antibiotics can lead to antibiotic resistance and other adverse eﬀects.

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Correct Answer is C

No explanation

A. They are metabolized in the liver. B. Their action is located in the mouth. C. These drugs pass directly into systemic circulation. D. Blood ﬂow is diminished in these sites.

Correct Answer is C

Explanation

Sublingual and buccal medications are rapidly absorbed because they are placed under the tongue or between the cheek and gum, where they dissolve and are absorbed directly into the bloodstream through the mucous membranes in the mouth. This allows for rapid absorption and bypasses the liver’s first-pass metabolism.

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A nurse is reviewing guidelines for prophylactic antibiotics. The nurse should Identify that prophylactic antibiotic therapy is not recommended for which of the following clients?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer medications to a client who states. "I don't want to take those drugs.’ Which of the following actions should the nurse take?

Correct Answer is C

Why are sublingual and buccal medications rapidly absorbed?

Correct Answer is C

Explanation

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