A patient has been on antibiotic therapy for 2 weeks and reports watery diarrhea and abdominal cramps. What intervention should the nurse suggest to the healthcare provider?
“A blood culture should be drawn.”.
“A stool sample should be collected to test for Clostridium difficile.”.
“The antibiotic should be discontinued immediately.”.
“An antidiarrheal should be prescribed to alleviate discomfort.”.
The Correct Answer is B
Choice A rationale
While a blood culture could be useful in diagnosing a systemic infection, it would not be the most appropriate intervention for a patient reporting watery diarrhea and abdominal cramps after 2 weeks of antibiotic therapy.
Choice B rationale
A stool sample should be collected to test for Clostridium difficile. This bacterium can overgrow in the gut during antibiotic therapy, leading to symptoms such as watery diarrhea and abdominal cramps.
Choice C rationale
Discontinuing the antibiotic immediately may not be the best course of action without confirming the cause of the symptoms.
Choice D rationale
Prescribing an antidiarrheal could alleviate discomfort, but it would not address the underlying cause of the symptoms.
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Correct Answer is C
Explanation
Choice A rationale
While collecting a urine sample can be important in diagnosing certain conditions, it is not the most important action to take prior to administering an antibiotic for pneumonia.
Choice B rationale
Ensuring the patient is on a cardiac monitor is not the most crucial action prior to administering an antibiotic for pneumonia. While it’s important to monitor the patient’s vital signs, it’s not specifically related to the administration of antibiotics.
Choice C rationale
Collecting a blood culture sample is the most important action to take prior to administering an antibiotic for pneumonia. This is to identify the specific bacteria causing the infection, which can help in selecting the most effective antibiotic.
Choice D rationale
Checking baseline vital signs, including temperature, is important but not the most crucial action prior to administering an antibiotic for pneumonia. It’s part of the overall assessment but does not directly impact the choice or effectiveness of the antibiotic.
Correct Answer is C
Explanation
Choice A rationale
Pyridoxine, also known as vitamin B6, does not prevent discoloration of body fluids. This is not a known side effect of isoniazid.
Choice B rationale
While isoniazid can potentially cause liver damage, pyridoxine does not prevent this side effect. Instead, regular liver function tests are typically performed to monitor for this potential complication.
Choice C rationale
Pyridoxine is prescribed alongside isoniazid to prevent peripheral neuropathy, which is a potential side effect of isoniazid. Peripheral neuropathy can cause symptoms such as numbness and tingling in the hands and feet.
Choice D rationale
Pyridoxine does not prevent drug-resistant tuberculosis. Drug resistance is a complex issue that is not prevented by vitamin supplementation. Prednisone Prednisone Explore
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