A client is prescribed an antidiarrheal drug.
The nurse reviews the client's medical record for possible contraindications for use.
Which of the following would alert the nurse to a possible contraindication?
Pseudomembranous colitis.
Type 1 diabetes.
Liver disease.
Renal Disease.
The Correct Answer is A
Choice A rationale:
Pseudomembranous colitis Pseudomembranous colitis is a severe inflammation of the colon that can be caused by the overgrowth of Clostridium difficile, often associated with antibiotic use. Antidiarrheal drugs should not be administered in cases of infectious diarrhea, as they can worsen the condition. The nurse should be alert to this contraindication to avoid potential harm to the client.
Choice B rationale:
Type 1 diabetes Type 1 diabetes is not typically a contraindication for antidiarrheal drug use. However, it is essential to consider the overall health of the client and the potential causes of their diarrhea. In some cases, diabetes-related issues could be relevant, but it is not a direct contraindication for antidiarrheal drugs.
Choice C rationale:
Liver disease Liver disease is not a direct contraindication for antidiarrheal drug use. While the liver plays a role in drug metabolism, antidiarrheal drugs primarily affect the gastrointestinal system and do not directly harm the liver. However, individual patient factors and liver function should be considered.
Choice D rationale:
Renal Disease Renal disease is not typically a contraindication for antidiarrheal drug use. These drugs primarily affect the gastrointestinal system and do not have a direct impact on the kidneys. However, in patients with severe renal disease, it is essential to consider their overall health and the potential causes of their diarrhea.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Tapeworm. Tapeworm infections are caused by parasites known as cestodes. Antiprotozoal drugs are primarily used to treat infections caused by protozoa, which are a different type of pathogen. Tapeworms are not protozoa; they are classified as helminths. Therefore, using antiprotozoal drugs for tapeworm infections is not indicated.
Choice B rationale:
Aspergillosis. Aspergillosis is a fungal infection caused by Aspergillus species. Antiprotozoal drugs are not effective against fungal infections. They are designed to target protozoa, which are a different group of microorganisms. Therefore, antiprotozoal drugs are not indicated for the treatment of aspergillosis.
Choice D rationale:
Cryptococcal meningitis. Cryptococcal meningitis is a fungal infection caused by Cryptococcus neoformans. Like aspergillosis, it is caused by a fungus, not a protozoan parasite. Antiprotozoal drugs are not appropriate for the treatment of fungal infections. Therefore, the use of antiprotozoal drugs is not indicated for cryptosporidium meningitis.
Choice C rationale:
Giardiasis. Giardiasis is an intestinal infection caused by the protozoan parasite Giardia lamblia. Antiprotozoal drugs, such as metronidazole, are effective in treating giardiasis. These drugs target protozoa and disrupt their cellular functions, making them a suitable choice for the treatment of giardiasis.
Correct Answer is C
Explanation
Choice A rationale:
Laxatives are generally contraindicated in clients with chronic hepatitis due to potential liver-related complications. However, this choice is not directly related to the use of laxatives.
Choice B rationale:
Laxatives may be used with caution in clients with type 1 diabetes to manage constipation. While there are considerations related to blood sugar control, it is not an absolute contraindication.
Choice D rationale:
Laxatives can be used in clients with cardiac disease, although some types of laxatives may be safer than others. This choice does not represent a contraindication.
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