A nurse is caring for an older adult who has been experiencing severe Clostridium difficile- related diarrhea. When reviewing the patient's most recent laboratory tests, the nurse should prioritize which of the following?
Creatinine level
Potassium level
White blood cell levels
Hemoglobin level
The Correct Answer is B
Choice A reason:
Monitoring creatinine levels is important, but it may not be the top priority in this situation.
Choice B reason:
This statement is correct. Given the severe diarrhea associated with Clostridium difficile infection, monitoring potassium levels is crucial to identify and address potential electrolyte imbalances, which can lead to serious complications.
Choice C reason:
Monitoring white blood cell levels is important in the context of infection, but potassium levels are more directly relevant to managing severe diarrhea associated with Clostridium difficile.
Choice D reason:
Hemoglobin levels are important for assessing anemia, but in this context, monitoring potassium levels takes precedence due to the potential for electrolyte imbalances from severe diarrhea.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B"]
Explanation
Choice A reason:
Anticholinergic medications: These are not a component of treatment for diverticular disease. Anticholinergic medications can reduce intestinal motility and cause dry mouth, constipation, and urinary retention, which can aggravate the diverticula and increase the risk of complications. The patient should avoid these medications unless prescribed by a doctor for another condition.
Choice B reason:
Increasing fiber intake is a common component of treatment for diverticular disease as it can help prevent constipation and reduce the risk of diverticulitis.
Choice C reason:
Reducing fat intake is also important in the treatment of diverticular disease, as a low-fat diet can help prevent further irritation of the colon.
Choice D reason:
This is not a component of treatment for diverticular disease. On the contrary, adequate fluid intake is essential to prevent dehydration and constipation, which can worsen the condition. The patient should drink at least eight glasses of water per day or more if they have a high-fiber diet.
Choice E reason:
These are not a component of treatment for diverticular disease. Enemas can irritate the colon and increase the pressure in the diverticula, which can lead to perforation or bleeding. The patient should avoid enemas unless instructed by a doctor for a specific reason.
Correct Answer is ["3.6"]
Explanation
- To calculate the dose of Ceclor in mg, multiply the weight in kg by the dosage in mg/kg/day and divide by the number of doses per day.
- To convert pounds to kg, divide by 2.2.
- To calculate the volume of Ceclor in mL, divide the dose in mg by the concentration in mg/mL.
- Convert 66 pounds to kg: 66 / 2.2 = 30 kg
- Calculate the dose of Ceclor in mg: 30 x 45 / 3 = 450 mg
- Calculate the volume of Ceclor in mL: 450 / 125 = 3.6 mL
- The nurse would administer 3.6 mL per dose.
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