A client receiving a cephalosporin has passed six distinct-smelling, unformed stools in the first 6 hours of the nurse's shift. What is the nurse's best action?
Stop all antibiotics and implement strict use of alcohol-based hand sanitizer.
Discontinue the cephalosporin and call the provider to recommend vancomycin or metronidazole.
Call the provider to request an additional antibiotic to override the effects of the cephalosporin.
Increase the dose of cephalosporin and provide isolation measures.
The Correct Answer is B
a) Stopping all antibiotics and implementing strict use of alcohol-based hand sanitizer is not the appropriate response to the observed symptoms. The focus should be on addressing the potential infection.
b) The symptoms suggest the possibility of Clostridium difficile infection, and discontinuing the cephalosporin is crucial. Vancomycin or metronidazole is commonly used to treat C. difficile infection.
c) Requesting an additional antibiotic to override the effects of the cephalosporin is not the appropriate course of action. The focus should be on discontinuing the causative antibiotic.
d) Increasing the dose of cephalosporin is contraindicated in the presence of suspected C. difficile infection. Isolation measures may be implemented, but the priority is discontinuing the causative antibiotic and initiating appropriate treatment for the infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
a) Avoiding alcohol and herbal remedies is a correct instruction because they can interact with warfarin and increase the risk of bleeding.
b) Stopping warfarin abruptly without healthcare provider guidance can be dangerous and increase the risk of thrombosis. Signs of bleeding should be reported promptly to the healthcare provider for appropriate management.
c) Being consistent with the intake of leafy greens is important to maintain a stable INR, as these foods contain vitamin K, which can interfere with warfarin.
d) Regular INR monitoring is essential to ensure that the client is within the therapeutic range and to make adjustments to the warfarin dosage if necessary.
Correct Answer is D
Explanation
a) Increasing the frequency of medication dosing may lead to higher overall exposure and is not necessarily related to hepatic metabolism.
b) Ordering a dose that is higher than an adult dose could result in excessive drug levels, especially in a newborn with immature hepatic function.
c) Discontinuing the drug after one or two treatments may not be necessary if the dose is appropriately adjusted based on hepatic metabolism.
d) Ordering a lower dose is appropriate because hepatic metabolism in newborns is often immature, and lower doses are required to avoid toxicity.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.