The nurse is admitting a client to the acute care floor with methicillin-resistant S. aureus. The nurse would expect the physician to order which of the following medications for the client?

kanamycin (Kantrex)

vancomycin

streptomycin

penicillin

Answer and Explanation

The Correct Answer is B

A. Kanamycin (Kantrex):

Kanamycin is an aminoglycoside antibiotic, but it is not commonly used as a first-line treatment for MRSA infections. Aminoglycosides are not typically preferred for treating MRSA because they are not as effective against these resistant bacteria compared to other agents like vancomycin.

B. Vancomycin:

Vancomycin is a glycopeptide antibiotic and is considered the drug of choice for the treatment of MRSA infections, including serious bloodstream infections, pneumonia, and skin and soft tissue infections. It works by inhibiting cell wall synthesis in bacteria, including MRSA.

C. Streptomycin:

Streptomycin is another aminoglycoside antibiotic, similar to kanamycin. Like kanamycin, streptomycin is not typically used as a first-line treatment for MRSA infections because it is less effective against resistant strains compared to other agents like vancomycin.

D. Penicillin:

Penicillin and other beta-lactam antibiotics are ineffective against MRSA because MRSA is resistant to these antibiotics, including methicillin. Therefore, penicillin would not be an appropriate choice for treating MRSA infections.

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Correct Answer is B

Explanation

A.Green leafy vegetables:

There is no specific recommendation to avoid green leafy vegetables while taking tetracycline. However, it’s generally advisable to take tetracycline on an empty stomach, as certain foods and supplements containing calcium, magnesium, aluminum, iron, or zinc can interfere with the absorption of tetracycline if consumed concurrently. Green leafy vegetables are not typically high in these minerals, so there is no need to avoid them specifically.

B. Sunlight:

Tetracycline antibiotics, including Sumycin, can increase the skin’s sensitivity to sunlight and UV radiation, leading to an increased risk of sunburn and photosensitivity reactions. Therefore, clients taking tetracycline should be advised to minimize sun exposure, wear protective clothing, and use sunscreen with a high sun protection factor (SPF) to reduce the risk of sunburn and skin damage.

C. Exercise:

There is no specific contraindication to exercise while taking tetracycline. In fact, regular exercise can promote overall health and well-being. However, it’s essential for clients to listen to their bodies and avoid strenuous exercise if they experience any adverse effects or symptoms while taking tetracycline or any other medication.

D. Foods high in tyramine:

Tetracycline antibiotics do not interact with tyramine-containing foods in the same way as certain other classes of antibiotics, such as monoamine oxidase inhibitors (MAOIs). Therefore, there is no specific need to avoid foods high in tyramine while taking tetracycline, as tyramine-related interactions are not typically associated with tetracycline use.

Correct Answer is ["0.6"]

Explanation

To calculate the volume of diazepam solution needed, we can use the formula:

Volume (mL) = Total dose (mg) / Concentration (mg/mL)

Given:

Total dose = 3 mg

Concentration = 5 mg/mL

Plugging the values into the formula:

Volume (mL) = 3 mg / 5 mg/mL

Volume (mL) = 0.6 mL

The nurse should administer: 0.6 mL

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The nurse is admitting a client to the acute care floor with methicillin-resistant S. aureus. The nurse would expect the physician to order which of the following medications for the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is instructing a client who has been prescribed tetracycline (Sumycin). What should the nurse advise this client to avoid while taking this medication?

Correct Answer is B

Explanation

A nurse is preparing to administer diazepam 3 mg IM. The amount available is diazepam for injection 5 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["0.6"]

Explanation

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