A client is prescribed an antidiarrheal drug.
The nurse reviews the client's medical record for possible contraindications for use.
Which of the following would alert the nurse to a possible contraindication?
Pseudomembranous colitis.
Type 1 diabetes.
Liver disease.
Renal Disease.
The Correct Answer is A
Choice A rationale:
Pseudomembranous colitis Pseudomembranous colitis is a severe inflammation of the colon that can be caused by the overgrowth of Clostridium difficile, often associated with antibiotic use. Antidiarrheal drugs should not be administered in cases of infectious diarrhea, as they can worsen the condition. The nurse should be alert to this contraindication to avoid potential harm to the client.
Choice B rationale:
Type 1 diabetes Type 1 diabetes is not typically a contraindication for antidiarrheal drug use. However, it is essential to consider the overall health of the client and the potential causes of their diarrhea. In some cases, diabetes-related issues could be relevant, but it is not a direct contraindication for antidiarrheal drugs.
Choice C rationale:
Liver disease Liver disease is not a direct contraindication for antidiarrheal drug use. While the liver plays a role in drug metabolism, antidiarrheal drugs primarily affect the gastrointestinal system and do not directly harm the liver. However, individual patient factors and liver function should be considered.
Choice D rationale:
Renal Disease Renal disease is not typically a contraindication for antidiarrheal drug use. These drugs primarily affect the gastrointestinal system and do not have a direct impact on the kidneys. However, in patients with severe renal disease, it is essential to consider their overall health and the potential causes of their diarrhea.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Constipation Constipation is not a common adverse reaction to ciprofloxacin. While gastrointestinal side effects can occur with this medication, constipation is not typically associated with it. Ciprofloxacin is more likely to cause diarrhea or other gastrointestinal issues rather than constipation.
Choice B rationale:
Nausea Nausea is a common adverse reaction to ciprofloxacin. Ciprofloxacin can irritate the stomach lining, leading to feelings of nausea. It is important to educate the client about this potential side effect, as nausea can affect their compliance with the medication.
Choice C rationale:
Sedation Sedation is not a common adverse reaction to ciprofloxacin. This medication is not known for causing drowsiness or sedation. In fact, it is often prescribed to be taken twice a day, and sedation could interfere with the client's daily activities.
Choice D rationale:
Dry mouth Dry mouth is not a common adverse reaction to ciprofloxacin. While dry mouth can be a side effect of some medications, it is not typically associated with ciprofloxacin. Instead, ciprofloxacin is more likely to cause gastrointestinal symptoms and potential taste alterations.
Correct Answer is A
Explanation
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