A nurse is caring for an 18-month-old toddler who has acute diarrhea caused by Clostridium difficile bacteria. Which of the following actions should the nurse take?
Use a bleach-based solution to clean the bedside table.
Encourage family members to use hand sanitizer when exiting the room.
Place the toddler in a negative-airflow room.
Administer loperamide 1 mg PO.
The Correct Answer is A
Choice A reason:
Using a bleach-based solution to clean the bedside table is an appropriate measure to prevent the spread of Clostridium difficile bacteria, as bleach is effective in killing spores.
Choice B reason:
While hand sanitizer is useful for killing many types of bacteria and viruses, it may not be as effective against Clostridium difficile spores. Washing hands with soap and water is preferred.
Choice C reason:
Placing the toddler in a negative-airflow room is not necessary for managing Clostridium difficile diarrhea. Standard precautions and proper hygiene are sufficient.
Choice D reason:
Loperamide is not typically recommended for managing Clostridium difficile diarrhea, as it may worsen the condition by slowing down the bowel motility. The primary treatment is discontinuing the antibiotic that caused the infection and, in some cases, using specific antibiotics to target the C. difficile bacteria.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason:
A diet soft drink does not contain enough sugar to raise the child's blood glucose level quickly. It is not the appropriate choice in this situation.
Choice B reason:
Metformin is a medication used to manage type 2 diabetes, not type 1 diabetes. It would not be effective in treating the low blood sugar (hypoglycemia) in this scenario.
Choice C reason:
Administering insulin would further lower the child's blood glucose level and is contraindicated in cases of hypoglycemia.
Choice D reason:
This statement is correct. A regular soft drink contains sugar and can rapidly increase the child's blood glucose level, effectively treating the hypoglycemia.
Correct Answer is B
Explanation
Choice A reason:
A blood glucose level of 220 mg/dL is elevated and should be addressed, but it may not be an immediate priority compared to the presence of Kussmaul respirations.
Choice B reason.
Correct. Kussmaul respirations are a sign of diabetic ketoacidosis (DKA), a severe complication of diabetes. This requires immediate attention and intervention.
Choice C reason:
Vomiting is a concerning symptom, but it may not be as immediately life-threatening as Kussmaul respirations.
Choice D reason:
Frequent urination is a common symptom of diabetes, but it may not require immediate intervention unless it is accompanied by other severe symptoms.
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