A nurse is educating a client who has been prescribed a 10-day course of antibiotics for a bacterial infection. The nurse emphasizes the importance of completing the full course and informs the client about the signs and symptoms of a superinfection. Which statement by the client indicates a correct understanding of the nurse's teaching?
"If I develop new symptoms like severe diarrhea, I should ignore them and finish the antibiotics."
I need to finish all my antibiotics and report any unusual symptoms like a white coating on my tongue to my doctor.
"It is okay to share my antibiotics with family members if they have similar symptoms to mine."
I should stop taking the antibiotics as soon as feel better to avoid any side effects."
The Correct Answer is B
A) "If I develop new symptoms like severe diarrhea, I should ignore them and finish the antibiotics."
New symptoms like severe diarrhea, especially if it is watery or bloody, can be a sign of a superinfection, such as Clostridium difficile (C. diff), which is associated with antibiotic use. It is essential for the client to report these symptoms to their healthcare provider immediately. Ignoring such symptoms can lead to serious complications.
B) "I need to finish all my antibiotics and report any unusual symptoms like a white coating on my tongue to my doctor."
Completing the full course of antibiotics is crucial to fully eradicate the infection and prevent the development of antibiotic resistance. The white coating on the tongue could indicate a fungal superinfection, such as oral thrush, which requires medical attention. This statement demonstrates an understanding of the importance of finishing antibiotics and recognizing potential side effects or superinfections.
C) "It is okay to share my antibiotics with family members if they have similar symptoms to mine."
Antibiotics should never be shared with others, even if they have similar symptoms. The antibiotics prescribed to a client are tailored to treat their specific infection, and taking the wrong antibiotic can lead to ineffective treatment, drug resistance, or adverse reactions. Sharing medication is dangerous and illegal.
D) "I should stop taking the antibiotics as soon as I feel better to avoid any side effects."
It is important to complete the full course of antibiotics as prescribed, even if the client starts feeling better before the course is finished. Stopping antibiotics prematurely can result in the infection not being fully treated, leading to a relapse or the development of antibiotic-resistant bacteria.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Given:
Total Heparin in solution: 25,000 units
Volume of solution: 250 mL
Infusion rate: 11 mL/hr
Step 1: Calculate the concentration of Heparin in the solution:
Concentration (units/mL) = Total Heparin (units) / Volume of solution (mL)
Concentration (units/mL) = 25,000 units / 250 mL
Concentration (units/mL) = 100 units/mL
Step 2: Calculate the infusion rate in units/hr:
Infusion rate (units/hr) = Infusion rate (mL/hr) x Concentration (units/mL)
Infusion rate (units/hr) = 11 mL/hr x 100 units/mL
Infusion rate (units/hr) = 1100 units/hr
Correct Answer is B
Explanation
A) Neutropenia
Neutropenia refers to an abnormally low level of neutrophils, a type of white blood cell. While certain medications, such as chemotherapy agents and some antipsychotic drugs, can cause neutropenia, atenolol (a beta-blocker) is not typically associated with this side effect. Atenolol primarily affects the cardiovascular system by reducing heart rate and blood pressure, and it is not known to cause significant changes in white blood cell counts.
B) Bradycardia
Bradycardia, or a slower-than-normal heart rate, is a well-known and common adverse effect of beta-blockers, including atenolol. Beta-blockers work by blocking beta-adrenergic receptors, which decreases the heart rate and the force of contraction, as well as lowering blood pressure. In some individuals, this can lead to excessively low heart rates, which could be dangerous if the heart rate drops too much. Bradycardia can lead to symptoms such as dizziness, fainting, or fatigue, and may require dose adjustments or discontinuation of the medication
C) Anemia
Anemia, which is a condition characterized by a low red blood cell count or low hemoglobin levels, is generally not a common adverse effect of atenolol. While certain medications like some chemotherapeutic agents, NSAIDs, or antibiotics may cause anemia due to their effects on the bone marrow or by causing gastrointestinal bleeding, atenolol is not typically linked to this side effect.
D) Hypokalemia
Hypokalemia (low potassium levels) is typically associated with the use of diuretics or other medications that cause the kidneys to excrete more potassium, such as some classes of antibiotics and corticosteroids. However, atenolol, being a beta-blocker, does not directly affect potassium levels.
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