Pharmacology Antibiotics #1

Question

The client has been placed on penicillin V,4 an oral antibiotic, to treat a strep throat infection. Which nursing instruction is appropriate to give the client?

Answers

  1. There is little chance of allergic reaction with penicillin
    • Rationale:

      This answer is not correct because penicillin is one of the top antibiotics reported by clients as being allergic to. Allergic reactions can range from a rash to anaphylactic reaction.

  2. Take birth control pills with penicillin to avoid pregnancy
    • Rationale:

      This answer is not correct because birth control pills are not effective birth control when a female is taking penicillin. Condoms or IUD should be used for birth control when taking penicillin.

  3. Report any diarrhea and stomach distress to the provider
    • Rationale:

      This answer is not correct because diarrhea and stomach distress is a common but expected side effect of penicillin. This does not need to be reported to the provider unless watery diarrhea is persistent.

  4. Even if you feel better, continue to take the all the pills prescribed
    • Rationale:

      This answer is correct because even if clients feel better, they should continue to take all antibiotics until the prescribed medication is completed. This is to avoid superinfections, which can become resistant to penicillin due to noncompliance to completing the full course of antibiotics prescribed. This concept is extremely important due to the increasing incidence of antibiotic resistance.

Overview

Penicillin is a commonly prescribed antibiotic. The client should be instructed to take all prescribed antibiotics, even if they begin to feel better, to avoid superinfections.

Explanation

Learning Outcomes

Penicillin is an antibiotic commonly prescribed by health care providers to treat various infections, including strep throat, skin infections, and upper respiratory infections. Clients should be educated to take all the prescribed medication, even if they begin to feel better. This is to avoid superinfections, which can become resistant to penicillin due to noncompliance to completing the full course of antibiotics prescribed. This concept is extremely important due to the increasing incidence of antibiotic resistance.

Test Taking Tip

Always monitor for allergic and anaphylactic reactions with antibiotic therapy.

Video Rationale