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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice A reason:

While parental divorce can be a stressful event for adolescents, it alone does not pose the highest risk of suicide completion.

Choice B reason:

Parental substance use disorder can contribute to a challenging family environment, but it is not the highest risk factor for suicide completion in adolescents.

Choice C reason:

Loss of family income can create stress and instability, but it is not the highest risk factor for suicide completion.

Choice D reason:

Bipolar disorder, especially when combined with depressive symptoms, significantly increases the risk of suicide in adolescents. It is important to monitor adolescents with bipolar disorder closely and provide appropriate mental health support and intervention. While other factors mentioned can contribute to a child's overall well-being, they do not carry the same level of direct risk for suicide completion as bipolar disorder with depressive symptoms.

A. Give pain medications on a schedule. B. Initiate contact isolation. C. Offer clear liquids. D. Maintain strict bed rest.

Correct Answer is A

Explanation

Choice A reason:

Providing pain medication on a schedule is important for managing pain and ensuring the child's comfort, especially after a surgery involving peritonitis.

Choice B reason:

Contact isolation is not typically indicated for a child postoperative for appendicitis unless there is a specific infectious concern. It is not a routine intervention.

Choice C reason:

Offering clear liquids may be appropriate depending on the child's individual recovery and surgeon's orders. However, this should be determined on an individual basis and is not a standard postoperative intervention.

Choice D reason:

Maintaining strict bed rest may not be necessary for all children postoperative for appendicitis. Early mobilization and ambulation are often encouraged to promote recovery.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a group of parents about adolescent suicide. Which of the following findings poses the highest risk of suicide completion in adolescents?

Correct Answer is D

Explanation

A nurse is assisting with the plan of care for a child who is 12 hr postoperative following a ruptured appendix with peritonitis. Which of the following actions should the nurse include in the plan of care?

Correct Answer is A

Explanation

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