A nurse is caring for a client in a rehabilitation facility.
Diarrhea
Clostridium difficile infections
Abdominal pain
Nausea
Vomiting
Loss of healthy bacteria
Correct Answer : A,C,D
Rationale:
- Diarrhea is one of the most frequent gastrointestinal side effects of antibiotics due to alteration of normal intestinal flora and increased motility.
- Nausea is a common adverse reaction as antibiotics can irritate the stomach lining or affect gut motility.
- Abdominal pain may occur secondary to irritation of the gastrointestinal tract or as part of antibiotic-associated colitis.
- Clostridium difficile infections are a serious complication, not a routine side effect, requiring immediate evaluation and intervention.
- Vomiting may occur but is less common compared to nausea and diarrhea.
- Loss of healthy bacteria is the underlying mechanism of many side effects, but it is not typically described to clients as a direct side effect.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. Used to visualize the upper gastrointestinal tract (esophagus, stomach, duodenum). It does not provide information about bowel obstruction in the large intestine.
B. Allows direct visualization of the colon mucosa but is not typically used initially in suspected acute bowel obstruction due to the risk of perforation.
C. Useful for evaluating gallbladder, liver, kidneys, and sometimes bowel, but it is less sensitive for detecting large bowel obstruction.
D. A plain abdominal X-ray (KUB) is often the first-line diagnostic study for suspected large bowel obstruction. It can show dilated bowel loops, air-fluid levels, and fecal loading, which correlate with the patient’s symptoms of bloating, distention, and relief after flatulence.
Correct Answer is ["A","C","E"]
Explanation
Rationale:
- Retaining the fluid allows the enema to soften stool and stimulate peristalsis effectively.
- Avoiding frequent use prevents dependence and irritation of the bowel.
- Following provider instructions ensures safe and appropriate selection of enema type and solution for the client’s condition.
- Electrolyte imbalances, benefits of solutions, and fluid intake are important considerations but are broader teaching points, not immediate enema administration instructions.
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