A patient receiving long-term antibiotic therapy for an infected joint replacement begins to experience diarrhea, abdominal cramps, malaise, fever, and anorexia. What interventions should the nurse prepare to administer to this patient?
Select all that apply.
1. Maintain nothing by mouth status.
2. Prepare to administer metronidazole.
3. Insert a nasogastric tube for feedings.
4. Collect all urine for a 24-hour specimen.
5. Discontinue the currently prescribed antibiotic.
Correct Answer: 2, 5
The patient is demonstrating manifestations of Clostridium difficile. Stopping the antibiotic causing the diarrhea is the first step in the treatment of this health problem. Treatment with metronidazole is specific for C. difficile. Nothing by mouth, insertion of a nasogastric tube, and 24-hour urine are not treatments for Clostridium difficile.
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