The nurse is managing care for a client prescribed tetracycline who is reporting frequent episodes of diarrhea. The nurse plans to monitor this client for:
1. pseudomembranous colitis.
2. paralytic ileus.
3. intestinal obstruction.
4. impaired biliary function.
Correct Answer: 1
Rationale 1: Diarrhea is a symptom of pseudomembranous colitis, a serious adverse effect associated with tetracycline therapy.
Rationale 2: Diarrhea is not associated with paralytic ileus.
Rationale 3: Bowel obstruction is not associated with tetracycline therapy.
Rationale 4: Clay-colored stool is associated with impaired biliary function.
Global Rationale: The presence of diarrhea must be monitored carefully due to the possibility of pseudomembranous colitis (PMC). Caused by Clostridium difficile, this is a rare though potentially severe disorder resulting from therapy with tetracyclines and other classes of antibiotics. Diarrhea is not associated with paralytic ileus. Bowel obstruction is not associated with tetracycline therapy. Clay-colored stool is associated with impaired biliary function.
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