A client develops diarrhea after taking amoxicillin (Amoxil) for a sinus infection. The nurse suspects that the diarrhea is caused by a superinfection of Clostridioides difficile (C. diff).
Which statement by the client supports this suspicion?
“I have been taking probiotics to restore my normal flora.”
“I have watery stools that smell very foul.”
“I have abdominal cramps and bloating.”
“I have lost my appetite and feel nauseous."
The Correct Answer is B
This statement supports the suspicion of difficile infection, which is a common cause of antibiotic-associated diarrhea. Difficile infection can cause severe diarrhea and dehydration, lower abdominal pain and cramping, low-grade fever, nausea, and loss of appetite. The diarrhea is usually watery and has a very foul odor.
Choice A is wrong because taking probiotics to restore normal flora does not indicate C. difficile infection. Probiotics are live microorganisms that may help prevent or treat antibiotic-associated diarrhea by replenishing the good bacteria in the gut.
Choice C is wrong because abdominal cramps and bloating are nonspecific symptoms that can occur with many gastrointestinal disorders, not just difficile infection.
Choice D is wrong because loss of appetite and nausea are also nonspecific symptoms that can occur with many gastrointestinal disorders, not just difficile infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
This statement supports the suspicion of difficile infection, which is a common cause of antibiotic-associated diarrhea. Difficile infection can cause severe diarrhea and dehydration, lower abdominal pain and cramping, low-grade fever, nausea, and loss of appetite.The diarrhea is usually watery and has a very foul odor.
Choice A is wrong because taking probiotics to restore normal flora does not indicate C. difficile infection.Probiotics are live microorganisms that may help prevent or treat antibiotic-associated diarrhea by replenishing the good bacteria in the gut.
Choice C is wrong because abdominal cramps and bloating are nonspecific symptoms that can occur with many gastrointestinal disorders, not just difficile infection.
Choice D is wrong because loss of appetite and nausea are also nonspecific symptoms that can occur with many gastrointestinal disorders, not just difficile infection.
Correct Answer is ["A","B"]
Explanation
Elevated serum creatinine and decreased urine output are signs of nephrotoxicity, which is a potential adverse effect of vancomycin (Vancocin) therapy. Nephrotoxicity is damage to the kidneys caused by toxic substances.
Choice C is wrong because increased blood pressure is not a sign of nephrotoxicity.Hypotension may occur during vancomycin infusion, especially if it is given too rapidly.
Choice D is wrong because hematuria is not a sign of nephrotoxicity.
Hematuria is blood in the urine, which may indicate other problems such as urinary tract infection, kidney stones, or bladder cancer.
Choice E is wrong because tinnitus is not a sign of nephrotoxicity.Tinnitus is ringing or buzzing in the ears, which may indicate ototoxicity, another potential adverse effect of vancomycin therapy.
Ototoxicity is damage to the ears caused by toxic substances.
Normal ranges for serum creatinine are 0.6 to 1.2 mg/dL for men and 0.5 to 1.1 mg/dL for women.
Normal ranges for urine output are 800 to 2000 mL per day or 30 to 50 mL per hour.
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