A nurse is caring for a client in a rehabilitation facility.
Diarrhea
Clostridium difficile infections
Abdominal pain
Nausea
Vomiting
Loss of healthy bacteria
Correct Answer : A,C,D
Rationale:
- Diarrhea is one of the most frequent gastrointestinal side effects of antibiotics due to alteration of normal intestinal flora and increased motility.
- Nausea is a common adverse reaction as antibiotics can irritate the stomach lining or affect gut motility.
- Abdominal pain may occur secondary to irritation of the gastrointestinal tract or as part of antibiotic-associated colitis.
- Clostridium difficile infections are a serious complication, not a routine side effect, requiring immediate evaluation and intervention.
- Vomiting may occur but is less common compared to nausea and diarrhea.
- Loss of healthy bacteria is the underlying mechanism of many side effects, but it is not typically described to clients as a direct side effect.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. A CBC may show leukocytosis but is not diagnostic for pancreatitis.
B. AST/ALT may be elevated if biliary obstruction is present, but they are not specific for pancreatitis.
C. Blood glucose may rise in pancreatitis due to impaired insulin release, but it is not diagnostic.
D. Amylase and lipase levels are the primary diagnostic lab tests for acute pancreatitis, with lipase being more specific and remaining elevated longer.
Correct Answer is D
Explanation
Rationale:
A. Celery and other high-fiber, coarse vegetables should be avoided during an acute diverticulitis episode because they can irritate the inflamed colon.
B. Green peas are high in fiber and may worsen symptoms during acute inflammation.
C. Green salad is high in fiber and not recommended during an acute flare.
D. Grilled chicken breast with white rice is low in fiber, easily digestible, and gentle on the gastrointestinal tract, making it appropriate for a client with acute diverticulitis.
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