The patient reports experiencing frequent watery stools after eating undercooked meat at a restaurant. Which health care provider prescription would the nurse implement first?

Administer metronidazole

Administer loperamide

Obtain a CBC

Collect a stool sample

Answer and Explanation

The Correct Answer is D

A.   Metronidazole is an antibiotic used to treat certain bacterial and parasitic infections, including those caused by organisms like Giardia and some anaerobic bacteria. While it may be appropriate if a specific diagnosis indicates its use, it is not the first action without further evaluation.
B.   Loperamide is an antidiarrheal medication that slows intestinal movement and can help alleviate diarrhea. However, using loperamide in cases of suspected infectious diarrhea (especially if due to a bacterial or parasitic cause) can worsen the condition by keeping pathogens in the system longer. It is generally not the first choice in such scenarios.
C.   A complete blood count (CBC) can provide information about the patient's overall health and help identify signs of infection (like elevated white blood cell counts). However, this diagnostic test is not an immediate intervention to manage the patient's current symptoms.
D.   Collecting a stool sample is crucial to identify the causative organism responsible for the diarrhea, especially given the recent consumption of undercooked meat. This step is important for guiding appropriate treatment, as it will help determine whether an infectious agent is present and what specific treatment may be required.

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Correct Answer is ["A","B","C"]

Explanation

A.Gloves should be worn to protect the healthcare provider from potential exposure to C. diff spores, which can be present in the client’s stool. It also prevents the spread of infection to other patients and surfaces.
B.C. diff is highly contagious, and the spores can persist on surfaces. Restricting family members from using the client's restroom helps reduce the risk of spreading the infection to others, especially in shared facilities.
C.Placing the client in a private room helps prevent the spread of C. diff to other patients, particularly in healthcare settings. This isolation is critical for controlling outbreaks of this infection.
D. This is not recommended for C. diff. While alcohol-based hand sanitizers are effective against many pathogens, they do not effectively kill C. diff spores. Handwashing with soap and water is the preferred method after caring for a C. diff patient to ensure thorough removal of spores.
E. C. diff is primarily transmitted via the fecal-oral route, and droplet precautions are not required. Masks are typically used for respiratory infections, not for gastrointestinal infections like C. diff.

Correct Answer is ["0.6"]

Explanation

The infant weighs 10 pounds, which is equivalent to about 4.53692 kilograms (10 x 0.453592). The prescribed dose is 2 mg/kg, so the total dose per administration is 9.07384 mg (2 mg/kg x 4.53692 kg).

Since the elixir's strength is 15 mg/mL, we divide the total dose by the strength of the elixir to find out how many mL to administer: 9.07384 mg ÷ 15 mg/mL = 0.60492267 mL. Rounding to the nearest tenth, the nurse should administer 0.6 mL of ranitidine per dose to the infant.

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The patient reports experiencing frequent watery stools after eating undercooked meat at a restaurant. Which health care provider prescription would the nurse implement first?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is ["A","B","C"]

Explanation

Correct Answer is ["0.6"]

Explanation

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