A client who is positive for Neisseria gonorrhoeae vaginally delivered a newborn. Which medication should the nurse administer to the newborn? A Erythromycin ointment. B Neomycin ointment. C Latanoprost eye drops. D Tetracaine eye drops.
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The mother is positive for Neisseria gonorrhoeae, which can lead to the newborn developing ophthalmia neonatorum, a form of conjunctivitis that can cause blindness if untreated. Show more…
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Case Number: 2 An otherwise healthy 22-year old man came to the emergency department with a history of urethral pain and purulent discharge that developed after he had sexual contact with a prostitute. Gram stain of the discharge revealed abundant gram-negative diplococci resembling Neisseria gonorrhoeae. The patient was treated with ceftriaxone and sent home. Two days later, the patient returned to the emergency room with a complaint of persistent, watery urethral discharge. Abundant white blood cells but no organisms were observed on Gram stain of the discharge. Culture of the discharge was negative for N. gonorrhoeae. 6. What is the most likely cause of his current complaint? a. Neisseria gonorrhoeae b. Chlamydia trachomatis c. Syphilis d. Chancroid e. HPV 7. What is the source of the infection? a. A toilet seat b. Improperly cooked food c. His own normal flora d. His sexual partner e. Deep puncture from stepping on a nail 8. Why did the ceftriaxone treatment fail? a. His strain of N. gonorrhoeae was producing beta-lactamase b. He hadn't taken his medication long enough c. He initially had a duel infection, and the ceftriaxone only killed the N. gonorrhoeae d. The drug given to him had degraded and was ineffective e. It just hasn't had time to work yet 9. Which laboratory test should be ordered to confirm the diagnosis? a. A nucleic acid test b. A serological test c. A routine culture d. A repeat Gram Stain e. A drug susceptibility test on the organism recovered two days ago. 10. What drug may be used to effectively treat this patient? a. More ceftriaxone b. Penicillin c. Azithromycin d. Rifampin e. Clindamycin
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Katrina is a 19-year-old college student who traveled to New Delhi, India, with a group of students as part of a medical mission trip. Her contribution was to teach English at an orphanage. One day as she made her way from the hostel to the orphanage in the slum, her backpack was caught by a fast-moving train and she was thrown onto the track where the train ran over the lower part of her leg. She was transported to a hospital where what remained of her leg was amputated below the knee. Her family was notified and flew to India, and they arranged for Katrina to be transported to a hospital in the United States. A Kirby-Bauer disk diffusion assay was performed on the wound bacteria to identify antibiotics that could be used against the infection. •Interpret the results of the antimicrobial susceptibility test, shown below. Susceptibility Test Results Zone diameter Ciprofloxacin 14 mm Erythromycin 8 mm Meropenem 10 mm Cephalosporin 1 8 mm Cephalosporin 2 13 mm Vancomycin 15 mm Table of Standard Values for Kirby-Bauer Assay Resistant Intermediate Susceptible Quinolone <15 16–20 >21 Macrolide <13 14–22 >23 Imipenem <13 14–15 >16 Cephalosporin 1 <14 15–22 >23 Cephalosporin 2 <13 14–20 >21
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nurse is caring for a newborn immediately following birth. After assuring a patent airway, what is the priority nursing action? • Administer vitamin K Dry the skin. • Administer eye prophylaxis • Place an identification bracelet.
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