Final answer:
The nurse reviewing a medical record should expect a prescription of fluconazole for a suspected fungal infection, ceftriaxone for a suspected bacterial infection, and metronidazole for a suspected parasitic infection. The specific prescription would be based on the type and susceptibility of the infection.
Step-by-step explanation:
The student's question is related to medical prescriptions appropriate for different types of infections that adolescents might encounter. When a nurse is planning care for an adolescent and reviewing laboratory results, the type of prescription they should expect the provider to prescribe will depend on the type of infection suspected.
For a suspected fungal infection, fluconazole would be an appropriate prescription, as this medication is commonly used to treat systemic yeast infections. Ceftriaxone is typically prescribed for suspected bacterial infections due to its broad-spectrum activity against various bacteria. Metronidazole, on the other hand, is more commonly used for parasitic infections such as giardiasis and trichomoniasis, as well as certain bacterial infections.
To determine the most suitable antibiotic, the medical professional would need to know the specific type of pathogen causing the infection. Antibiotics such as ciprofloxacin are often initially prescribed for UTIs, but may need to be adjusted based on antimicrobial susceptibility tests. In cases where common antibiotics do not lead to improvement, a patient might be suffering from a viral infection, a resistant bacterial strain, or a fungal pathogen requiring a different approach.
Amphotericin B and flucytosine are antifungal drugs deployed for treating conditions like cryptococcal infections, which can be difficult to eradicate, often requiring an extended treatment regimen that includes fluconazole.