A patient receiving long-term antibiotic therapy for an infected ...

[kodithompson]

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.

Question 2

The nurse is caring for an older patient recovering from a bleeding ulcer. Which manifestations should the nurse use to determine whether the patient is experiencing peritonitis?
 
  Select all that apply.
 
  1. confusion
  2. bradycardia
  3. restlessness
  4. abdominal discomfort
  5. decreased urinary output

[wfdfwc23]

Answer to Question 1

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.

Answer to Question 2

Correct Answer: 1, 3, 4, 5
Patients who are older, chronically debilitated, or immunosuppressed may present with few of the classic signs of peritonitis. Increased confusion and restlessness, decreased urinary output, and vague abdominal complaints may be the only manifestations present. Bradycardia is not a manifestation of peritonitis in an older patient.