A client with meningitis has been admitted from a small community hospital after no improvement from previous treatment. Which medication will the nurse be expected to prescribe? A. Vancomycin (Vancocin) IV B. Ampicillin (Omnipen) PO C. Ceftriazone (Rocephin) IM D. Cefotaxime sodium (Claforan)

Short Answer

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Answer: A. Vancomycin (Vancocin) IV

Step by step solution

01

Identifying the medications indicated for treating meningitis

Begin by understanding the properties of the given medications and which are commonly used to treat meningitis. Medications used to treat meningitis are typically antibiotics, administered through various routes such as intravenous (IV), oral (PO), or intramuscular (IM).
02

Eliminate inappropriate options

Eliminate options based on their delivery method. Since meningitis is a severe infection in the brain and spinal cord, oral administration (PO) would not be appropriate for managing this condition. Therefore, eliminate option B (Ampicillin PO).
03

Check medications' effectiveness against meningitis

Analyze the remaining options based on their effectiveness against meningitis. Research the properties and usual indications for each of the medications: A. Vancomycin, C. Ceftriaxone, and D. Cefotaxime sodium.
04

Select the appropriate medication

Based on step 3 research, it is found that Ceftriaxone (Rocephin) IM and Cefotaxime sodium (Claforan) IV are common first-line treatments for bacterial meningitis. Vancomycin IV may be used if there is a penicillin-resistant strain or in combination with other antibiotics. Given that the initial treatment may have failed and although the exact strain is unknown, a more aggressive treatment might be considered. In this case, Vancomycin (Vancocin) IV seems like the appropriate medication due to its broad-spectrum coverage, including penicillin-resistant strains. Answer: A. Vancomycin (Vancocin) IV

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