The healthcare provider prescribes the antibiotic cefdinir 300 mg PO every 12 hours for a client with a postoperative wound infection. Which foods should the nurse encourage this client to eat?

Green leafy vegetables.

Avocados and cheese.

Yogurt or buttermilk.

Fresh fruits.

Answer and Explanation

The Correct Answer is C

A. Green leafy vegetables: While nutritious and high in vitamins and minerals, green leafy vegetables do not specifically counteract the gastrointestinal effects of antibiotics like cefdinir. They are not directly relevant to maintaining gut flora during antibiotic therapy.

B. Avocados and cheese: These foods provide healthy fats and protein but do not restore beneficial gut bacteria disrupted by antibiotics. They are nutritious but not the primary dietary focus for this purpose.

C. Yogurt or buttermilk: Probiotic-rich foods like yogurt or buttermilk help maintain normal gastrointestinal flora, reducing the risk of antibiotic-associated diarrhea and promoting gut health during cefdinir therapy. Including these foods supports the client’s digestive system while on antibiotics.

D. Fresh fruits: Fruits are rich in vitamins and fiber but do not specifically replace beneficial bacteria lost during antibiotic therapy. They are supportive nutritionally but do not directly prevent gastrointestinal side effects.

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Correct Answer is C

Explanation

A. Assess for spinal scoliosis: While scoliosis can affect posture and mobility, it is less likely to immediately impact the client’s safety in performing daily activities at home.

B. Compare shoulder symmetry: Shoulder asymmetry may indicate musculoskeletal issues but is not the most critical factor in evaluating fall risk or functional independence.

C. Observe gait while walking: Gait assessment provides direct information about balance, coordination, and mobility, which are key indicators of fall risk and home safety. Observing how the client walks helps the nurse plan interventions to prevent injury.

D. Palpate for joint nodules: Detecting nodules can identify conditions such as osteoarthritis, but the presence of nodules alone does not provide immediate insight into functional mobility or home safety.

A. Hydrocortisone. B. Potassium chloride. C. Broad spectrum antibiotic. D. Regular insulin.

Correct Answer is A

Explanation

A. Hydrocortisone: The client is experiencing an Addisonian (adrenal) crisis, evidenced by weakness, confusion, dehydration, hyponatremia, hyperkalemia, and hypoglycemia. Intravenous hydrocortisone provides the deficient cortisol necessary to stabilize electrolytes, improve vascular tone, and support glucose regulation.

B. Potassium chloride: Although the client’s potassium is elevated, administering potassium would worsen hyperkalemia. The priority is treating the underlying adrenal insufficiency rather than directly correcting potassium at this stage.

C. Broad spectrum antibiotic: There is no evidence of a bacterial infection causing the crisis; the client’s acute illness is a viral infection, and antibiotics would not address adrenal insufficiency. Antibiotics may be considered only if a bacterial infection is confirmed.

D. Regular insulin: Insulin lowers blood glucose and potassium, but this client is hypoglycemic and hyperkalemic due to adrenal crisis. Administering insulin would exacerbate hypoglycemia and is contraindicated in this scenario.

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The healthcare provider prescribes the antibiotic cefdinir 300 mg PO every 12 hours for a client with a postoperative wound infection. Which foods should the nurse encourage this client to eat?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is performing a functional assessment of an older adult to determine safety in the home. Which musculoskeletal assessment is most important for the nurse to include?

Correct Answer is C

Explanation

Correct Answer is A

Explanation

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