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 A
Explanation
Rationale:
A. Hypertonic solutions, like TPN with 25% dextrose, can irritate peripheral veins and cause phlebitis. Administering them through a central line allows rapid dilution in a large volume of blood, reducing vein irritation and promoting safe infusion.
B. Blood glucose monitoring is not dependent on the line type; it is done via peripheral blood samples.
C. The infusion rate is determined by the prescribed therapy, not by whether a central line is used.
D. Central lines do not decrease the risk of infection; in fact, they carry a higher risk of central line–associated bloodstream infections compared with peripheral lines.
Correct Answer is ["B","E","F"]
Explanation
Rationale:
A. Family history increases risk for heart disease and arthritis but is not a direct risk factor for peptic ulcer disease.
B. Smoking increases gastric acid secretion, reduces mucosal healing, and significantly raises PUD risk.
C. Alcohol use is denied by the client and therefore is not a contributing factor in this case.
D. Adalimumab use (an immunosuppressant for rheumatoid arthritis/psoriasis) does not directly increase PUD risk.
E. NSAIDs inhibit prostaglandin synthesis, reducing the gastric mucosal barrier and predisposing to ulcer formation.
F. H. pylori infection is a primary cause of peptic ulcers due to its damaging effect on gastric mucosa.
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