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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Influenza vaccine production involves growing the virus in eggs. Therefore, the vaccine may contain trace amounts of egg proteins. Some individuals may be allergic to egg proteins and may experience an allergic reaction after receiving the vaccine. For this reason, healthcare providers should always ask their patients about egg allergies before administering the influenza vaccine.
Yeast, gelatin, and shellfish are not typically present in the seasonal inactive influenza vaccine, so allergy to these substances is not a concern when administering the vaccine. However, if a person has a known allergy to any of the ingredients in the vaccine, they should inform their healthcare provider before receiving it.
Correct Answer is D
Explanation
The intravenous route provides the most rapid onset of medication action because the medication is delivered directly into the bloodstream. However, this route also poses the greatest risk of adverse effects if the medication is administered incorrectly or too rapidly because there is no opportunity for the body to metabolize or excrete the medication before it reaches its target organs.
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