A patient develops antibiotic-induced diarrhea related to Clostridium difficile infection and continues to have diarrhea 2 days after the antibiotic was discontinued. The nurse would expect the prescriber to order
a. difenoxin (Motofen).
b. metronidazole (Flagyl).
c. vancomycin (Vancocin).
d. erythromycin (E-Mycin).
B
Metronidazole is active against obligate anaerobes, which include C. difficile.
Difenoxin, vancomycin, and erythromycin are not indicated for the treatment of C. difficile in-fections.
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To decrease glandular cellular activity and prostate size, an 83-year-old patient has been prescribed finasteride (Proscar). When performing patient education with this patient, the nurse should be sure to tell the patient what?
A) Avoid the use of saw palmetto. B) Decrease the intake of fluids to prevent retention. C) Have a penile implant for erectile dysfunction. D) Prepare for transurethral needle ablation.
The renal failure client's respiration rate is rapid and increased in depth. What does this indicate about the client's renal failure?
A. The client's blood oxygen level is low. B. The client's blood carbon dioxide is low. C. The client's renal failure is worsening. D. The client's blood pH is too high.
At a unit staff meeting, nurses are complaining about having too many tasks to do and increasing number of patients admitted. What is the most effective strategy a nurse manager might use to address this problem?
1. Add a support staff to the day shift to help the unit secretary. 2. Allow nurses to work shorter shifts. 3. Provide coffee and donuts in the morning. 4. Inform radiology that schedules for tests have to be moved to later in the day.
Which patient is at highest risk for developing metabolic syndrome?
a. A 62-year-old white man who has coronary artery disease with chronic stable angina b. A 54-year-old Hispanic woman who is sedentary and has nephrogenic diabetes insipidus c. A 27-year-old Asian American woman who has preeclampsia and gestational diabetes mellitus d. A 38-year-old Native American man who has diabetes mellitus and elevated hemoglobin A1C