Question

a male client with meningitis is prescribed cefotaxime iv and asks the nurse why he cannot receive an oral drug, such as cefaclor or cefadroxil, that he has taken before for infections. how should the nurse respond when considering the actions of cephalosporins? cefazolin is another iv antibiotic that can be prescribed. cefaclor is a good alternative to suggest to the healthcare provider. cefadroxil is usually prescribed when the iv is discontinued. cefotaxime provides therapeutic cns concentrations.

Explanation:

Meningitis affects the central nervous system (CNS). Oral cephalosporins like cefaclor/cefadroxil may not achieve sufficient therapeutic concentrations in the CNS. Cefotaxime, when given IV, can reach therapeutic levels in the CNS, which is crucial for treating meningitis. The other options don't address the CNS penetration aspect relevant to meningitis treatment.

Answer:

D. Cefotaxime provides therapeutic CNS concentrations.