A woman who is 4 months pregnant comes to the clinic with acute diarrhea and nausea. Her husband is experiencing similar symptoms. The primary care nurse practitioner (NP) notes a temperature of 38
5° C, a heart rate of 92 beats per minute, and a blood pressure of 100/60 mm Hg. The NP should: a. prescribe attapulgite to treat her diarrhea.
b. obtain a stool culture and start antibiotic therapy.
c. instruct her to replace lost fluids by drinking Pedialyte.
d. refer her to an emergency department for intravenous (IV) fluids.
D
Diarrhea in pregnant women can have serious consequences, and the patient may need to be referred. This woman is showing signs of dehydration and needs IV rehydration. Attapulgite is a category B drug for pregnancy and should be avoided if possible. Acute diarrhea is usually viral, and antibiotics are not given unless a stool culture is performed and is positive. Because the patient is pregnant and has nausea, oral rehydration would not be effective.
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Fill in the blank(s) with correct word
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