Debra is a 50-year-old Caucasian female who presents with a one-day history of congestion and headac

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Asked by wendy81

Debra is a 50-year-old Caucasian female who presents with a one-day history of congestion and headache and a cough. “I always get a respiratory infection this time of year. It always takes an antibiotic to get rid of it. I’m just trying to get ahead of it. I have new grandbabies. I can’t be sick.” She has no known drug allergies. She has a history of GERD and her only medication is over-the-counter famotidine 20 mg twice a day. She currently has a 99-degree temperature with scattered rhonchi bilaterally. The rest of the exam is unremarkable.

1. As the prescriber considers treatment options for Debra they are aware that:

a. use of narrow-spectrum agents does the most to facilitate emergence of antimicrobial resistance.
b. use of broad-spectrum agents does the most to facilitate emergence of antimicrobial resistance.
c. all respiratory infections require treatment with antimicrobial agents.
d. antimicrobials inhibit overgrowth of normal flora that possess mechanisms for resistance.

2. When selecting an antimicrobial agent, the prescriber considers:

a. the likely organism, sensitivity of the organism to the drug, host characteristics.
b. the likely organism, personal opinion of drug of choice, location of infection.
c. the host immune characteristics and likelihood of developing toxicity, the medications that seem to be working in the local area.
d. the patient’s expectations, the likely organism, sensitivity of the organism to the drug.

3. Patient education for antimicrobials includes:

a. Stop the medication immediately when feeling better.
b. Save unused medication for future illnesses.
c. Complete the entire course of treatment unless experiencing an adverse effect.
d. Share the medication with a family member with similar symptoms.

4. Would you prescribe an antibiotic to her? If so, which one and why?

SCIENCE
HEALTH SCIENCE
NURSING
NURSING 440

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