A nurse is educating a client who has been prescribed a 10-day course of antibiotics for a bacterial infection. The nurse emphasizes the importance of completing the full course and informs the client about the signs and symptoms of a superinfection. Which statement by the client indicates a correct understanding of the nurse's teaching?

"If I develop new symptoms like severe diarrhea, I should ignore them and finish the antibiotics."

I need to finish all my antibiotics and report any unusual symptoms like a white coating on my tongue to my doctor.

"It is okay to share my antibiotics with family members if they have similar symptoms to mine."

I should stop taking the antibiotics as soon as feel better to avoid any side effects."

Answer and Explanation

The Correct Answer is B

A) "If I develop new symptoms like severe diarrhea, I should ignore them and finish the antibiotics."
New symptoms like severe diarrhea, especially if it is watery or bloody, can be a sign of a superinfection, such as Clostridium difficile (C. diff), which is associated with antibiotic use. It is essential for the client to report these symptoms to their healthcare provider immediately. Ignoring such symptoms can lead to serious complications.

B) "I need to finish all my antibiotics and report any unusual symptoms like a white coating on my tongue to my doctor."
Completing the full course of antibiotics is crucial to fully eradicate the infection and prevent the development of antibiotic resistance. The white coating on the tongue could indicate a fungal superinfection, such as oral thrush, which requires medical attention. This statement demonstrates an understanding of the importance of finishing antibiotics and recognizing potential side effects or superinfections.

C) "It is okay to share my antibiotics with family members if they have similar symptoms to mine."
Antibiotics should never be shared with others, even if they have similar symptoms. The antibiotics prescribed to a client are tailored to treat their specific infection, and taking the wrong antibiotic can lead to ineffective treatment, drug resistance, or adverse reactions. Sharing medication is dangerous and illegal.

D) "I should stop taking the antibiotics as soon as I feel better to avoid any side effects."
It is important to complete the full course of antibiotics as prescribed, even if the client starts feeling better before the course is finished. Stopping antibiotics prematurely can result in the infection not being fully treated, leading to a relapse or the development of antibiotic-resistant bacteria.

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Correct Answer is B

Explanation

A) There is an increased risk of hyperthyroidism:
High levels of LDL cholesterol are not associated with hyperthyroidism. Hyperthyroidism is a condition related to an overactive thyroid gland, which affects metabolism and hormone levels but does not directly impact LDL cholesterol levels.

B) There is an increased risk of heart disease:
LDL cholesterol, often referred to as "bad cholesterol," contributes to the buildup of fatty plaques in the walls of arteries, a process known as atherosclerosis. This buildup can narrow and harden the arteries, leading to reduced blood flow and increasing the risk of heart disease, including conditions such as coronary artery disease, heart attack, and stroke. High LDL levels are considered one of the most significant modifiable risk factors for cardiovascular disease.

C) There is the possibility of digestive problems:
While very high cholesterol levels can sometimes contribute to the formation of gallstones, high LDL cholesterol levels are not directly linked to digestive problems. The primary concern with high LDL is its contribution to cardiovascular disease rather than digestive health.

D) There is an increased risk of rhabdomyolysis:
Rhabdomyolysis is a condition caused by the breakdown of muscle tissue, which can lead to the release of muscle proteins into the bloodstream. While certain medications used to lower cholesterol, such as statins, can cause muscle pain and, in rare cases, lead to rhabdomyolysis, high LDL itself is not a direct cause of rhabdomyolysis. The main health concern with high LDL is its contribution to heart disease.

A. 50 gtt/min B. 15 gtt/min C. 10 gtt/min D. 100 gtt/min

Correct Answer is A

Explanation

1. Determine the total volume to be infused: 100 mL

2. Calculate the infusion time in minutes: 30 minutes

3. Calculate the drip rate (gtt/min):

Drip rate = (Total volume / Infusion time) x Drop factor

Drip rate = (100 mL / 30 minutes) x 15 gtt/mL

Drip rate = 50 gtt/min

Therefore, the correct answer is 50 gtt/min

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Naxlex Comprehensive Predictor Exams

Low-density lipoproteins (LDLs) are the so-called "bad" lipoproteins. Which statement best reflects why high levels of LDL are considered unhealthy?

Correct Answer is B

Explanation

Order: ceftriaxone 2 g in 100 mL of 0.9% NaCI (normal saline solution) over 30 minutes Available: Macro drip set: 15 gtt/mL Calculate the IV flow rate in gtt/min.

Correct Answer is A

Explanation

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