A nurse should question administering Loperamide (Immodium) to which of the following clients?
A client with acute, non-infectious diarrhea
A client with traveler's diarrhea
A client with an e.coli infection
A client who has hyperactive bowel sounds
The Correct Answer is C
A. A client with acute, non-infectious diarrhea.: Loperamide is safe and effective for treating acute, non-infectious diarrhea by slowing intestinal motility. It allows increased absorption of water and electrolytes, helping to reduce stool frequency and improve consistency.
B. A client with traveler’s diarrhea.: Loperamide can be used short-term in traveler’s diarrhea when symptoms are not caused by invasive bacteria. It provides symptomatic relief by decreasing bowel movements while the underlying infection is being treated.
C. A client with an E. coli infection.: Loperamide should be avoided in clients with infectious diarrhea caused by organisms such as E. coli, Salmonella, or Shigella. Slowing intestinal motility can trap bacteria and toxins in the gut, worsening the infection and increasing the risk of toxic megacolon.
D. A client who has hyperactive bowel sounds.: Hyperactive bowel sounds alone are not a contraindication to loperamide use. They are expected with diarrhea and may actually improve as the medication reduces peristaltic activity and stool frequency.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["34.1"]
Explanation
Weight in pounds: 75 lbs
Conversion factor: 1 kg = 2.2 lbs
Calculate the weight in kilograms (kg).
Weight (kg) = Weight (lbs) / 2.2 lbs/kg
= 75 / 2.2
= 34.0909... kg.
Round the answer to the nearest tenth.
= 34.1 kg.
Correct Answer is C
Explanation
A. The cost of the antibiotics.: While cost is a practical consideration in treatment planning, it should never determine the initial selection between bactericidal and bacteriostatic drugs. The choice must first focus on clinical safety and efficacy before financial factors are reviewed.
B. The frequency of dosing.: Dosing frequency affects patient adherence but does not influence whether a bactericidal or bacteriostatic antibiotic is indicated. The pharmacodynamics and mechanism of action related to the patient’s condition are more critical in selecting the right agent.
C. The patient's immune status.: Immune status is the most important factor because bacteriostatic drugs inhibit bacterial growth, relying on the patient’s immune system to eliminate the remaining organisms. In immunocompromised clients, such as those with HIV or undergoing chemotherapy, bactericidal drugs are preferred to directly destroy the bacteria.
D. The route of administration.: The route influences drug absorption and speed of therapeutic action but not the mechanism of bacterial control. Once the antibiotic class is determined, the route is chosen based on infection severity and patient condition.
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