A patient develops a superinfection due to fluoroquinolone therapy.
The patient asks the nurse why this happened.
Which response by the nurse would be most appropriate?
"Your infection was really severe, so the drug wasn't as effective as it could have been.”.
"This happens when your original infection begins to clear.”.
"The drug disrupts your normal bacteria so it allows other organisms to grow.”.
"We really don't know why this happens; it just does sometimes.”.
The Correct Answer is C
Choice A rationale:
This choice is not accurate because the severity of the infection is not the primary reason for the development of a superinfection. Superinfections occur due to disruptions in the normal bacterial flora, not because the drug is less effective in severe infections.
Choice B rationale:
This choice is also inaccurate. Superinfections do not occur as the original infection begins to clear. They are a result of antibiotic therapy, particularly with drugs like fluoroquinolones that disrupt the normal bacterial balance.
Choice C rationale:
Choice D rationale:
This choice is not appropriate as it does not provide the patient with useful information. It's essential to educate the patient about why the superinfection occurred.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Constipation is a potential adverse reaction to ferrous sulfate (Feosol), an iron supplement. Iron can cause gastrointestinal disturbances, including constipation, due to its effect on slowing down bowel movements and hardening of stool. It is important for the nurse to discuss this with the client before administering the drug to ensure the client is aware of this potential side effect.
Choice B rationale:
Fluid retention is not a common adverse reaction to ferrous sulfate. In fact, iron supplements are more likely to cause gastrointestinal issues like constipation rather than fluid retention.
Choice C rationale:
Fatigue is not a direct adverse reaction to ferrous sulfate. In some cases, iron deficiency can lead to fatigue, but this is usually a result of the underlying condition and not the medication itself.
Choice D rationale:
Clay-colored stools are not a typical adverse reaction to ferrous sulfate. This may indicate a potential issue with liver function or biliary obstruction but is not directly related to the iron supplement.
Correct Answer is C
Explanation
Choice A rationale:
Instructing the patient to increase dietary intake is not the most likely intervention when a patient shows improvement with penicillin therapy. Dietary advice would be more relevant if the patient was experiencing gastrointestinal side effects or had specific nutritional needs due to their condition or treatment.
Choice B rationale:
Informing the primary health provider immediately is not typically necessary when a patient shows improvement with penicillin therapy. It's crucial to continue monitoring the patient's progress, but this choice suggests an unnecessary action.
Choice C rationale:
This is the correct answer. When a patient undergoing penicillin therapy shows improvement, the nurse should record assessments and observations on the patient's chart. This helps track the patient's progress and ensures that the healthcare team has up-to-date information about the patient's condition.
Choice D rationale:
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