A patient recently began receiving clindamycin Cleocin to treat ...

[bclement10]

A patient recently began receiving clindamycin Cleocin to treat an infection. After 8 days of treatment, the patient reports having 10 to 15 watery stools per day. What will the nurse tell this patient?
 
  a. The provider may increase the clindamycin dose to treat this infection.
  b. This is a known side effect of clindamy-cin, and the patient should consume extra fluids.
  c. The patient should stop taking the clin-damycin now and contact the provider immediately.
  d. The patient should try taking Lomotil or a bulk laxative to minimize the diarrheal symptoms.

Question 2

A pregnant adolescent patient asks the nurse whether she should continue to take her prescription for tetracycline Sumycin to clear up her acne. Which response by the nurse is correct?
 
  a. Tetracycline can be harmful to the baby's teeth and should be avoided.
  b. Tetracycline is safe to take during preg-nancy.
  c. Tetracycline may cause allergic reactions in pregnant women.
  d. Tetracycline will prevent asymptomatic urinary tract infections.

[hollysheppard095]

Answer to Question 1

C
Clostridium difficileassociated diarrhea (CDAD) is the most severe toxicity of clindamycin; if severe diarrhea occurs, the patient should be told to stop taking clindamycin immediately and to contact the provider so that treatment with vancomycin or metronidazole can be initiated. In-creasing the dose of clindamycin will not treat this infection. Consuming extra fluids while still taking the clindamycin is not correct, because CDAD can be fatal if not treated. Taking Lomotil or bulk laxatives only slows the transit of the stools and does not treat the cause.

Answer to Question 2

A
Tetracyclines can cause discoloration of deciduous teeth of infants if taken by the mother after the fourth month of gestation. Tetracyclines should not be given to pregnant women. Tooth dis-coloration can be prevented if the drugs are not taken by pregnant women or by children under 8 years of age. Tetracycline is not appropriate for a pregnant patient. Pregnancy does not precipi-tate an allergic response to tetracycline. Tetracycline should not be used to prevent urinary tract infections (UTIs), especially in pregnant women.

[bclement10]

Excellent

[strudel15]

Gracias!