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 B
Explanation
a) Concurrent use of acetaminophen is not directly related to heparin therapy for atrial fibrillation. It may need attention but does not warrant immediate reporting.
b) An aPTT of 80 seconds is significantly prolonged and may indicate a risk of bleeding due to excessive anticoagulation. This finding requires immediate notification to the healthcare provider.
c) An INR of 0.8 is within the normal range and does not pose an immediate concern in the context of heparin infusion.
d) Dark, tarry stools could indicate gastrointestinal bleeding but may not be directly related to heparin therapy. It should be monitored and reported, but it's not an immediate concern for heparin infusion.
Correct Answer is C
Explanation
A) Taking levothyroxine at bedtime may affect sleep, but this statement suggests an incorrect understanding of the dosing schedule.
B) Taking levothyroxine with a meal may interfere with its absorption. The medication is generally recommended to be taken on an empty stomach.
C) Taking levothyroxine before breakfast on an empty stomach is the standard recommendation for optimal absorption.
D) Stopping levothyroxine based on TSH levels should be done under the guidance of a healthcare provider, and it's not a routine approach to medication administration.
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