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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

a) Transdermal estrogen therapy may have reduced side effects compared to oral preparations.

b) Intravaginal preparations may be more focused on genitourinary symptoms and may not necessarily reduce side effects.

c) An estrogen-progesterone combination is often used to prevent endometrial hyperplasia but may not necessarily increase side effects.

d) While side effects can occur at any age, the focus should be on the formulation of estrogen therapy, and transdermal preparations are often associated with reduced side effects.

A. Advise the client to avoid prolonged immobility and participate in exercise activities while on warfarin. B. Safe and effective warfarin therapy requires rigid adherence to the dosing schedule. C. Therapy will be evaluated by monitoring PT/INR frequently at first, then every 2-4 weeks after that. D. The client should be encouraged to use non-steroidal anti-inflammatory drugs (NSAIDs) for pain relief while on warfarin. E. Instruct the client to avoid foods high in Vitamin K while on warfarin.

Correct Answer is ["B","C","E"]

Explanation

a) Advising the client to avoid prolonged immobility and participate in exercise activities is a general health recommendation but not specifically related to warfarin therapy.

b) Safe and effective warfarin therapy requires rigid adherence to the dosing schedule to maintain therapeutic anticoagulation levels.

c) Monitoring PT/INR frequently initially and then regularly helps assess the effectiveness and safety of warfarin therapy.

d) Encouraging the use of NSAIDs is not recommended with warfarin due to the increased risk of bleeding.

e) Instructing the client to avoid foods high in Vitamin K is important because Vitamin K can interfere with the anticoagulant effects of warfarin.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 50-year-old postmenopausal client who has had a hysterectomy has moderate to severe hot flashes and is discussing estrogen therapy with the nurse. What will the nurse tell the client regarding the side effects of estrogen therapy?

Correct Answer is A

Explanation

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Correct Answer is ["B","C","E"]

Explanation

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