Antidiarrheals are contraindicated in clients whose diarrhea is associated with which of the following organisms that can harm the intestinal mucosa?
Staphylococcus.
Salmonella.
Streptococcus.
Pseudomonas.
The Correct Answer is B
Choice A rationale:
Staphylococcus is not typically associated with causing diarrhea or harm to the intestinal mucosa. Staphylococcus is more commonly linked to skin and soft tissue infections, as well as food poisoning.
Choice B rationale:
Salmonella is a bacterium that can harm the intestinal mucosa and is a common cause of foodborne illness. It can lead to symptoms such as diarrhea, abdominal pain, fever, and vomiting, which can be severe and potentially damage the intestinal lining.
Choice C rationale:
Streptococcus is not a common cause of diarrhea or harm to the intestinal mucosa. Streptococcus species are more often associated with respiratory and throat infections.
Choice D rationale:
Pseudomonas is not a typical cause of diarrhea or harm to the intestinal mucosa. Pseudomonas is known for its association with healthcare-associated infections and is more often linked to conditions like pneumonia and urinary tract infections.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Wear protective clothing and sunscreen when outside. Rationale: Sulfonamide antibiotics, a type of medication mentioned in the question, can increase the skin's sensitivity to sunlight, leading to photosensitivity reactions. To reduce the effects of photosensitivity, the client should be instructed to wear protective clothing that covers the skin and to apply sunscreen with a high sun protection factor (SPF) when going outdoors. This helps shield the skin from harmful UV rays, reducing the risk of sunburn and other adverse reactions.
Choice B rationale:
Increase fluid intake. Rationale: Increasing fluid intake is a general recommendation for clients taking sulfonamide antibiotics to minimize the risk of crystalluria, a side effect that can result from inadequate hydration. Crystalluria is the formation of crystals in the urine and can lead to kidney stones. While staying hydrated is essential, it is not specifically related to reducing photosensitivity, which is the focus of this question.
Choice C rationale:
Avoid lights while indoors. Rationale: Avoiding lights while indoors is not a standard precaution to reduce the effects of photosensitivity caused by sulfonamide antibiotics. Photosensitivity primarily refers to the skin's heightened sensitivity to sunlight. Being indoors under regular lighting conditions should not significantly impact photosensitivity. The key precautions are related to outdoor sun exposure.
Choice D rationale:
Wear protective footwear. Rationale: Wearing protective footwear is not a standard precaution to reduce photosensitivity effects caused by sulfonamide antibiotics. Photosensitivity primarily affects the skin, not the feet. While protective footwear may be recommended in specific situations, such as in a construction or industrial setting, it is not directly related to reducing the risk of photosensitivity reactions.
Correct Answer is C
Explanation
Choice A rationale:
Tapeworm. Tapeworm infections are caused by parasites known as cestodes. Antiprotozoal drugs are primarily used to treat infections caused by protozoa, which are a different type of pathogen. Tapeworms are not protozoa; they are classified as helminths. Therefore, using antiprotozoal drugs for tapeworm infections is not indicated.
Choice B rationale:
Aspergillosis. Aspergillosis is a fungal infection caused by Aspergillus species. Antiprotozoal drugs are not effective against fungal infections. They are designed to target protozoa, which are a different group of microorganisms. Therefore, antiprotozoal drugs are not indicated for the treatment of aspergillosis.
Choice D rationale:
Cryptococcal meningitis. Cryptococcal meningitis is a fungal infection caused by Cryptococcus neoformans. Like aspergillosis, it is caused by a fungus, not a protozoan parasite. Antiprotozoal drugs are not appropriate for the treatment of fungal infections. Therefore, the use of antiprotozoal drugs is not indicated for cryptosporidium meningitis.
Choice C rationale:
Giardiasis. Giardiasis is an intestinal infection caused by the protozoan parasite Giardia lamblia. Antiprotozoal drugs, such as metronidazole, are effective in treating giardiasis. These drugs target protozoa and disrupt their cellular functions, making them a suitable choice for the treatment of giardiasis.
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