A client receiving a cephalosporin has passed six distinct-smelling, unformed stools in the first 6 hours of the nurse's shift. What is the nurse's best action?
Stop all antibiotics and implement strict use of alcohol-based hand sanitizer.
Discontinue the cephalosporin and call the provider to recommend vancomycin or metronidazole.
Call the provider to request an additional antibiotic to override the effects of the cephalosporin.
Increase the dose of cephalosporin and provide isolation measures.
The Correct Answer is B
a) Stopping all antibiotics and implementing strict use of alcohol-based hand sanitizer is not the appropriate response to the observed symptoms. The focus should be on addressing the potential infection.
b) The symptoms suggest the possibility of Clostridium difficile infection, and discontinuing the cephalosporin is crucial. Vancomycin or metronidazole is commonly used to treat C. difficile infection.
c) Requesting an additional antibiotic to override the effects of the cephalosporin is not the appropriate course of action. The focus should be on discontinuing the causative antibiotic.
d) Increasing the dose of cephalosporin is contraindicated in the presence of suspected C. difficile infection. Isolation measures may be implemented, but the priority is discontinuing the causative antibiotic and initiating appropriate treatment for the infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
a) The statement about rotating acetaminophen with ibuprofen for pain control demonstrates an understanding of the principles of multimodal pain management and is appropriate.
b) The statement about taking two oxycodone-acetaminophen tablets if pain persists after a certain time frame is appropriate and reflects awareness of appropriate pain management strategies.
c) The statement about the maximum daily dose of acetaminophen and its potential to cause liver problems is accurate and indicates good knowledge.
d) The statement about acetaminophen masking infection-related fevers is incorrect. While acetaminophen can reduce fever, it does not mask the presence of an infection. This statement indicates a need for further teaching.
Correct Answer is C
Explanation
a) Monitoring for Cushing's symptoms is important, but it is not a statement indicating a good understanding of the withdrawal process from glucocorticoids.
b) Telling the client to never take steroids again is an overly generalized statement and does not reflect a nuanced understanding of the medication.
c) Not attempting to taper off the medication without consulting the provider is the correct approach. Abrupt discontinuation can lead to adrenal insufficiency, and the tapering schedule should be individualized.
d) Reducing the dose by half each day without proper guidance may result in withdrawal symptoms and is not a recommended strategy.
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