A patient is taking cefadroxil (Duricef) and comes to the clinic complaining of loose stools for several days. The primary care NP notes normal vital signs; warm, pink skin with elastic turgor; and moist mucous membranes. The NP should:
a. order tests for Clostridium difficile–associated disease (CDAD).
b. discontinue the cefadroxil.
c. reassure the patient that loose stools are common with antibiotics.
d. recommend consuming lactobacillus-containing foods to minimize diarrhea.
A
The U.S. Food and Drug Administration (FDA) advises that CDAD be considered in all patients who present with diarrhea after antibiotic use. This patient's symptoms are mild, so discontinuation of the drug is not warranted unless CDAD is present.
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