A patient has recently returned from travel in Central America and reports having seven to eight liquid stools each day with severe tenesmus. The primary care NP notes a temperature of 102° F
A stool specimen is Hemoccult positive with leukocytes present. The NP will: a. order tests for Clostridium difficile.
b. prescribe tinidazole 2000 mg for 3 days.
c. give 750 mg of ciprofloxacin one time only.
d. order a stool culture and begin therapy with a fluoroquinolone.
D
By history, this patient likely has traveler's diarrhea. The NP should obtain a culture and should start a fluoroquinolones antibiotic empirically. C. difficile is suspected in patients who have been taking antibiotics, which is not true in this case. Tinidazole is used for amebiasis or giardiasis. Ciprofloxacin may be given as a single dose for mild traveler's diarrhea.
You might also like to view...
The patient is receiving supplemental oxygen therapy. What finding would be most indicative of a life-threatening complication of oxygen therapy?
A) Increased somnolence B) Eupneic respirations C) SaO2 100% D) Skin irritation under mask
The nurse plans care for a client who has had gradual vision loss. Which of the following should the nurse include in the care plan?
A) Brightly colored throw rugs to lighten up the client's room. B) Fluorescent overhead lights on at night. C) A clock that chimes the hour in the client's living room. D) Radio playing music in the client's room around the clock.
A female client who has gone through puberty and started menstruating without any problems now has cessation of periods after 2 years of normal cycles. Which of the following would indicate a possible cause for this occurrence?
a. Lag in development of secondary sexual characteristics b. Overproduction of androgenic hormones c. Negative pregnancy test d. Clinical diagnosis of primary amenorrhea
A client is admitted with suspected avian influenza. The family asks the nurse what kind of care the client will get. Which statement by the nurse is correct?
a. "He will be given standard antibiotic agents and will be placed in contact isola-tion." b. "He will be placed on airborne and contact isolation." c. "Oseltamivir (Tamiflu) will reduce com-plications of this infection." d. "All family members should be tested for evidence of the same disease."