The nurse is planning care for several patients in the hospital environment. Which is the greatest risk factor for a patient developing Clostridioides difficile?

Recent use of antibiotics

Prolonged rehabilitation unit stay

Current intensive care unit stay

Recent surgical procedure

Answer and Explanation

The Correct Answer is A

A. Recent use of antibiotics is the greatest risk factor for developing C. difficile infection. Antibiotics disrupt the normal gut flora, allowing C. difficile to overgrow and produce toxins that cause severe diarrhea and colitis.
B. Prolonged rehabilitation stays can increase exposure to hospital-acquired infections but are not as strongly associated with C. difficile as antibiotic use.
C. Staying in the ICU can increase the risk for various infections, but it’s the antibiotic use commonly associated with ICU care that elevates C. difficile risk—not the ICU stay itself.
D. Recent surgery may raise infection risk in general, but it is not as specifically linked to C. difficile as antibiotic therapy is.

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Correct Answer is B

Explanation

A. Bulimia does have long-term health effects, including electrolyte imbalances, gastrointestinal issues, and dental erosion. Saying it has no long-term effects is incorrect.
B. Eating disorders, especially anorexia nervosa, can lead to amenorrhea (absence of menstrual periods) due to hormonal imbalances, which is a well-established effect.
C. Eating disorders can affect the kidneys. Severe cases can lead to kidney damage due to dehydration, electrolyte imbalances, or the effects of purging behaviors.
D. Anorexia typically causes hypotension (low blood pressure), not hypertension. It can also lead to bradycardia, electrolyte imbalances, and organ damage.

A. The symptoms presented are more indicative of parkinsonism B. AD The does not develop suddenly. C. AD does not typically occur in African American clients. D. There have been no liver function studies ordered.

Correct Answer is B

Explanation

A. Parkinsonism includes motor symptoms like tremor, rigidity, and bradykinesia, not sudden confusion. The presentation does not clearly indicate parkinsonism.
B. Alzheimer’s disease is progressive and develops gradually over months to years. A sudden onset of confusion suggests another cause, such as delirium, stroke, or medication-related effects, and should prompt further investigation.
C. Alzheimer’s disease does occur in African American clients, often at higher rates and with earlier onset compared to other populations. This is not a reason to question the diagnosis.
D. Liver function tests may be part of a general workup, but their absence does not specifically disqualify an AD diagnosis

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The nurse is planning care for several patients in the hospital environment. Which is the greatest risk factor for a patient developing Clostridioides difficile?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing education to a group of clients about the health effects of eating disorders. Which of the following client statements indicates an understanding of the teaching?

Correct Answer is B

Explanation

After 1 week of sudden continuous mental confusion, an older African American client is admitted with a preliminary diagnosis of Alzheimer's disease (AD). What should cause the nurse to question this diagnosis?

Correct Answer is B

Explanation

The patient received regular insulin 10 units subcutaneously at 8:30 PM for a blood glucose level of 253 mg/dL. The nurse plans to monitor this patient for signs of hypoglycemia at which time related to the insulin's peak action?

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