A person in your care is on antibiotics. They are nauseous, they have diarrhea, and you see a bumpy and itchy red rash on their chest and back. What is your FIRST step?Give them ginger ale for the nausea.Encourage them to eat crackers.Notify the nurse or your supervisor.Tell them to stop taking the antibiotic.

A 24-year-old woman presented to the hospital with lower abdominal pain and vomiting. She reported that the symptoms had developed suddenly, approximately 45-min earlier. She had felt well earlier in the day and denied any other symptoms. She had eaten some toast for breakfast and nothing since. She had not experienced any diarrhoea and had no contacts with similar symptoms. Her past medical history included gastro-oesophageal reflux disease and a recent diagnosis of pulmonary tuberculosis, for which she was being treated currently. Her regular medications included: isoniazid, rifampin, pyrazinamide, omeprazole and the combined oral contraceptive pill. She worked as a salesperson and did not smoke, drink alco- hol or take recreational drugs.Examination The patient appeared pale and distressed. Her heart rate was 140 bpm and her blood pressure was 106/74 mmHg. Her abdomen was generally tender, with particularly pain over the right iliac fossa, with guarding present. Results Bloods: WCC 14.2, Hb 10.5, Plt 460, Na 135, K 3.8, Creat 60, CRP 122 Urine dip: positive for leucocytes, and positive for the beta subunit of human chorionic gonadotropin (hCG)  1. What diagnoses should be considered for this young woman presenting with sudden-onset right iliac fossa pain? *1 pointa. Appendicitisb. Ectopic pregnancyc. Ovarian cyst ruptured. Gastrointestinal issues (diverticulitis, inflammatory bowel disease, irritable bowel syndrome)e. Kidney stonesf. Meckel's diverticulitisg. Pelvic inflammatory disease (PID)h. Renal colici. Herniaj. Gynecological issues (ovarian torsion, endometriosis, adnexal pathology)

A female client calls the clinic and talks with the nurse to inquire about a possible reaction after taking amoxicillin for 5 days. She reports having vaginal discomfort, itching, and a white discharge. The nurse should discuss which action with the client?

Infections for which antibiotic treatment is deemed inappropriate, except(1 Point)Cold, Flu, Chest cold (in otherwise healthy children and adults)Sore throats (strep throat), bronchitis (in otherwise healthy children and adults)Runny nose (with green or yellow mucus), Fluid in the middle ear

A lack of detailed record-keeping in clinics and emergency departments may be getting in the way of reducing the inappropriate use of antibiotics, a pair of new studies by a pair of University of Michigan physicians and their colleagues suggests.In one of the studies, about 10% of children and 35% of adults who got an antibiotic prescription during an office visit had no specific reason for the antibiotic in their record.The rate of this type of prescribing is especially high in adults treated seen in emergency departments and in adults seen in clinics who have Medicaid coverage or no insurance, the studies show. But the issue also occurs in children.Without information about what drove these inappropriate prescriptions, it will be even harder for clinics, hospitals and health insurers to take steps to ensure that antibiotics are prescribed only when they're really needed, the researchers say.Overuse and misuse of antibiotics raise the risk that bacteria will evolve to resist the drugs and make them less useful for everyone. Inappropriately prescribed antibiotics may also end up doing more harm than good to patients.When clinicians don't record why they are prescribing antibiotics, it makes it difficult to estimate how many of those prescriptions are truly inappropriate, and to focus on reducing inappropriate prescribing." Joseph Ladines-Lim, M.D., Ph.D., first author of both of the new studies and combined internal medicine/pediatrics resident at Michigan Medicine, U-M's academic medical center"Our studies help contextualize the estimates of inappropriate prescribing that have been published previously," he added. "Those estimates don't distinguish between antibiotic prescriptions that are considered inappropriate due to inadequate coding and antibiotic prescriptions truly prescribed for a condition that they can't treat."Ladines-Lim worked with U-M pediatrician and health care researcher Kao-Ping Chua, M.D., Ph.D., on the new studies. The one on outpatient prescribing by insurance status is in the Journal of General Internal Medicine and the one on trends in emergency department prescribing is in Antimicrobial Stewardship and Healthcare Epidemiology.

30-year-old man presents to his physician with a rash on his left leg. He reports that the rash started as a bug bite and is spreading. He denies any fever, chills, or malaise. His medical history is significant for type 1 diabetes mellitus, and his only medication is insulin. On examination of the left leg, there is a 4-cm area of erythema, swelling, and warmth with indistinct margins. There is no gross purulence. What antibiotic should this patient receive?Ask StudybuddyGroup of answer choicesOral dicloxacillinIV vancomycinOral cephalexinOral clindamycin