NRNP 6566 Week 9 Knowledge Check Quiz Q&A

NRNP 6566 Week 9 Knowledge Check Quiz Q&A • Question 1 A 32 year old preschool teacher complains of difficulty swallowing, sore throat, and chills. She is febrile with a temperature of 101.6 along with white patches on her tonsils. Her rapid strep test is positive. Her past medical history is positive for an anaphylactic reaction to cefaclor two years ago. What antibiotic could be safely utilized in this patient? Correct Answer: Streptococcus is usually treated with amoxicillin. Her type 1 anaphylactic reaction to a cephalosporin means you should not use a cephalosporin or penicillin. Acceptable alternatives would be macrolide such as azithromycin or clindamycin. • Question 2 A 20-year old woman was seen by her primary care provider last week and diagnosed with a lower track UTI. Her complaints at that time included burning on urination, frequent urination of a small amount, and superpubic pain. She was prescribed a 3 day course of Bactrim which she completed. She is admitted to the step down unit today with complaints of fever (102.6 and above) for the past 24 hours and CVA tenderness. She appears very ill and is somewhat confused today. Her BP is 100/62. Her family indicates that she has been vomiting for the last 24 hours and been unable to keep food or fluids down. What would your initial plan for this patient include? Correct Answer: This patient has classic symptoms of pyelonephritis as well as sepsis. Her high temperature, low blood pressure, vomiting, dehydration, and confusion