Which of the following increase the risk of developing Clostridium Difficile. (Select All that Apply.)
Living independently.
A weakened immune system.
Use of anti-infective medications.
Watery diarrhea stools.
Fever
Correct Answer : B,C
A. Living independently does not inherently increase the risk for C. difficile. Risk factors are more related to antibiotic use, exposure in healthcare settings, and individual health conditions rather than the living situation itself.
B. A weakened immune system (due to conditions like HIV/AIDS, cancer, or immunosuppressive therapy) can increase susceptibility to infections, including C. difficile. Individuals with compromised immunity are less able to fight off infections.
C. The use of antibiotics is a significant risk factor for C. difficile infection. Antibiotics can disrupt the normal gut flora, leading to overgrowth of C. difficile and subsequent infection.
D. While watery diarrhea is a common symptom of C. difficile infection, it is not a risk factor for developing the infection itself. Instead, it indicates that the infection is already present. Thus, this option does not contribute to the risk of developing C. difficile.
E. Fever is often a symptom of an underlying infection but is not a direct risk factor for developing C. difficile. It can occur with C. difficile infection but does not increase the likelihood of becoming infected.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Sucralfate works by forming a protective barrier over the ulcer and is best taken on an empty stomach. Antacids can interfere with the effectiveness of sucralfate if taken simultaneously. It’s usually recommended to wait at least 30 minutes to 1 hour after taking sucralfate before taking an antacid.
B. Sucralfate should be stored at room temperature, away from moisture and heat, but it does not need to be refrigerated. This guidance is essential to ensure that the medication maintains its effectiveness.
C. Sucralfate is typically taken 1 hour before meals and at bedtime to optimize its protective effect on the stomach lining and ulcers. This timing allows it to coat the ulcer effectively before food intake.
D. Sucralfate tablets should be swallowed whole and not crushed or chewed, as doing so may affect how the medication works. This instruction helps ensure that the sucralfate can properly adhere to the ulcer surface.
Correct Answer is D
Explanation
A. An EGD involves inserting a flexible tube with a camera through the mouth into the esophagus, stomach, and duodenum. It often requires the patient to be NPO (nothing by mouth) for several hours beforehand, but it can typically be done before other imaging tests.
B. A barium enema is a radiologic examination of the large intestine that uses a barium contrast solution. Patients may need to follow a special diet and take laxatives prior to the test. It's often done earlier in the testing schedule to clear the bowel before other procedures.
C. An abdominal ultrasound is a non-invasive imaging test that does not require any special preparations, although patients are often advised to fast for a few hours beforehand for optimal results. It can typically be scheduled relatively flexibly in relation to other tests.
D. An abdominal CT scan may involve the use of contrast agents, which can be given orally or intravenously. If the patient has had a barium study (like a barium enema) before the CT scan, it’s generally recommended to schedule the CT scan last. This is because residual barium in the gastrointestinal tract can interfere with the imaging results of a CT scan.
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