This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A child has been receiving chloramphenicol for a Neisseria meningitidis central nervous system (CNS) ... (Read 52 times)

nmorano1

  • Hero Member
  • *****
  • Posts: 598
on: Jul 23, 2018
A child has been receiving chloramphenicol for a Neisseria meningitidis central nervous system (CNS) infection.
 
  The nurse administers the dose and subsequently notes that the child has vomited and appears dusky and gray in color. The child's abdomen is distended. What will the nurse do?
  a. Contact the provider for an order to obtain a chloramphenicol level.
  b. Notify the provider that the child's meningitis is worsening.
  c. Recognize this as initial signs of a C. difficile infection.
  d. Stop the infusion immediately and notify the provider.

Question 2

Which side effect of clindamycin (Cleocin) causes the most concern and may warrant discontinuation of the drug?
 
  a. Diarrhea
  b. Headache
  c. Nausea
  d. Vomiting


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

Kimmy

  • Sr. Member
  • ****
  • Posts: 342
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: D
Gray syndrome is a potentially fatal toxicity associated with chloramphenicol use. When symptoms occur, the drug should be stopped immediately. Lower chloramphenicol levels may prevent gray syndrome, but lowering the dose will not stop symptoms once they have appeared. These are not signs of worsening meningitis or a C. difficile infection.

Answer to Question 2

ANS: A
CDAD is a serious, sometimes fatal suprainfection associated with clindamycin. Patients with diarrhea should notify their prescriber immediately and discontinue the drug until this condition has been ruled out. Headache, nausea, and vomiting do not warrant discontinuation of the drug and are not associated with severe side effects.


nmorano1

  • Member
  • Posts: 598
Reply 2 on: Jul 23, 2018
:D TYSM

sailorcrescent

  • Member
  • Posts: 334
Reply 3 on: Yesterday
YES! Correct, THANKS for helping me on my review

« previous next »
 

Did you know?

Never take aspirin without food because it is likely to irritate your stomach. Never give aspirin to children under age 12. Overdoses of aspirin have the potential to cause deafness.

Did you know?

Earwax has antimicrobial properties that reduce the viability of bacteria and fungus in the human ear.

Did you know?

Your chance of developing a kidney stone is 1 in 10. In recent years, approximately 3.7 million people in the United States were diagnosed with a kidney disease.

Did you know?

It is believed that humans initially contracted crabs from gorillas about 3 million years ago from either sleeping in gorilla nests or eating the apes.

Did you know?

Giardia is one of the most common intestinal parasites worldwide, and infects up to 20% of the world population, mostly in poorer countries with inadequate sanitation. Infections are most common in children, though chronic Giardia is more common in adults.

A child suffering from malaria, one of the most common and deadly infectious diseases. A child suffering from malaria, one of the most common and deadly infectious diseases.
Procedures for Diagnostic Tests Related to the Digestive System Procedures for Diagnostic Tests Related to the Digestive System
Organization of the nervous system. Organization of the nervous system.
The urinary system. The urinary system.
Respiratory system of a bird. Respiratory system of a bird.
A taproot system consists of a large main root together with its lateral branchings A taproot system consists of a large main root together with its lateral branchings
Video: Chromosome structural organization/ Mechanisms for chromosome movement Animation

For a complete list of videos, visit our video library