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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Related Questions
Correct Answer is C
Explanation
Choice A rationale
Monitoring blood pressure for hypertension during the infusion is important, but it is not the primary measure to reduce complications with vancomycin administration3.
Choice B rationale
Restricting fluids during vancomycin therapy is not recommended. Adequate hydration is important when receiving vancomycin to prevent kidney damage3.
Choice C rationale
Infusing the drug over at least 1 hour is the most crucial measure to reduce complications that may occur with vancomycin administration. This is to prevent “red man syndrome,” a reaction that can cause flushing, rash, and hypotension3.
Choice D rationale
Discontinuing the drug immediately if red man syndrome occurs is not the primary measure. The infusion can often be slowed down or temporarily stopped to manage this reaction3.
Correct Answer is A
Explanation
Choice A rationale
Corticosteroids, like the ones the client has been receiving for severe bronchitis, can cause an increase in glucose levels. This is because corticosteroids can stimulate the liver to release extra glucose and can also make body tissues less sensitive to insulin.
Choice B rationale
Type 2 diabetes does not convert to type 1 diabetes. These are two distinct conditions with different causes.
Choice C rationale
While illness and stress can make the body’s tissues less sensitive to insulin, leading to higher blood glucose levels, the client’s bronchitis symptoms have resolved. Therefore, this is not the most likely reason for the increase in glucose levels.
Choice D rationale
Antibiotics do not typically cause an increase in glucose levels. Therefore, this is not the most likely reason for the increase in glucose levels.
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