Author Question: A patient being treated for GERD has increased risk for development of infection with Clostridium ... (Read 31 times)

maegan_martin · **on:** Jul 23, 2018

A patient being treated for GERD has increased risk for development of infection with Clostridium difficile. The nurse would include which information in this patient's teaching?

1. Report any episode of diarrhea.
2. Treat diarrhea with over-the-counter antidiarrheal drugs.
3. Increase intake of active culture yogurt.
4. Avoid fatty foods.
5. Increase fluid intake.

Question 2

A client asks the nurse whetherthere are any regulatory controls on herbal or dietary supplements. Which response by the nurse is most appropriate?

1. The Dietary Supplement Health and Education Act (DSHEA) regulates herbal and dietary supplements.
2. The Joint Commission (TJC) regulates herbal and dietary supplements.
3. The Food, Drug, and Cosmetic Act regulates herbal and dietary supplements.
4. The Department of Health and Human Services (HHS) regulates herbal and dietary supplements.

connor417 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

2,3
Rationale 1: The patient does not need to report each episode of diarrhea but should report if the amount increases or is frequent, or if the stool includes mucus, blood, or pus.
Rationale 2: Antidiarrheal drugs may cause retention of harmful bacteria.
Rationale 3: Dairy products containing live active cultures help restore normal flora.
Rationale 4: Avoidance of fatty foods is not specifically prescribed to treat this condition.
Rationale 5: Increasing fluid intake is not specifically prescribed to treat this condition.

Global Rationale: Antidiarrheal drugs may cause retention of harmful bacteria. Dairy products containing live active cultures help restore normal flora. The patient does not need to report each episode of diarrhea but should report if the amount increases or is frequent, or if the stool includes mucus, blood, or pus. Avoidance of fatty foods and increasing fluids are not specifically prescribed to treat this condition.

Answer to Question 2

1

Rationale 1: The Dietary Supplement Health and Education Act (DSHEA) regulates dietary supplements, but by a far less restrictive law than the FDA. According to the DSHEA, dietary supplements are exempted from the FDA, and are not approved as drugs by the FDA. The DSHEA does give the FDA power to remove from the market any product that poses a significant or unreasonable risk to the public.
Rationale 2:The Joint Commission (TJC)regulates herbal and dietary supplements is incorrect because the Joint Commission provides accreditation to hospitals and healthcare agencies.
Rationale 3:Food, Drug, and Cosmetic Actregulates herbal and dietary supplementsis incorrect because the FDA regulates OTC and prescription drugs and assures the public that standards of safety have been met prior to marketing.
Rationale 4:Department of Health and Human Services (HHS)regulates herbal and dietary supplementsis incorrect because HHS does not regulate products.

Global Rationale: The Dietary Supplement Health and Education Act (DSHEA) regulates dietary supplements, but by a far less restrictive law than the FDA. According to the DSHEA, dietary supplements are exempted from the FDA, and are not approved as drugs by the FDA. The DSHEA does give the FDA power to remove from the market any product that poses a significant or unreasonable risk to the public. The Joint Commission provides accreditation to hospitals and healthcare agencies. The FDA, not the Food, Drug, and Cosmetic Act, regulates OTC and prescription drugs, and assures the public that standards of safety have been met prior to marketing. The Department of Health and Human Services(HHS) does not regulate products.