The mother of a 4-year-old calls the nurse to report her child ...

[sam.t96]

The mother of a 4-year-old calls the nurse to report her child has been having diarrhea since he began taking an antibiotic 48 hours ago. The mother asks if she should give her child an over-the-counter medication for the diarrhea.
 
  What is the nurse's best response?
  1. Wait one more day and see if the diarrhea clears.
  2. Yes, give something over the counter, but only one dose.
  3. Yes, give something over the counter according to the dosage directions on the label.
  4. Do not treat the diarrhea, and bring the child to the office.

Question 2

The nurse has received an order to give imipenem-cilastatin (Primaxin) intravenously (IV) to a client. Which assessments should alert the nurse to contact the health care provider?
 
  Standard Text: Select all that apply.
  1. The client is allergic to penicillin.
  2. The medication list includes antiseizure medications.
  3. The client is an older adult with long-standing diabetes.
  4. The urine culture and sensitivity reveals a urinary tract infection (UTI).
  5. A wound culture is positive for methicillin-resistant Staphylococcus aureus (MRSA).

[JCABRERA33]

Answer to Question 1

Correct Answer: 4
Rationale 1: Diarrhea may be a result of the antibiotic and should be evaluated now.
Rationale 2: Diarrhea may be a result of the antibiotic and should not be treated with over-the-counter products.
Rationale 3: Diarrhea may be the result of the antibiotic and should not be treated with over-the-counter products.
Rationale 4: Diarrhea due to antibiotic therapy should not be treated with over-the-counter products and should be evaluated as soon as possible.
Global Rationale: Patients should be taught to consult the health care provider before taking any antidiarrheal drugs that slow gastric motility because these may cause the retention of harmful bacteria.

Answer to Question 2

Correct Answer: 1,2,3
Rationale 1: Imipenem-cilastatin (Primaxin) is contraindicated in clients with a history of allergy to other carbapenems, cephalosporins, or penicillins.
Rationale 2: Imipenem-cilastatin (Primaxin) should be used cautiously in clients with a history of seizures due to an increased risk of seizure activity.
Rationale 3: Because the kidneys excrete imipenem-cilastatin (Primaxin), clients with renal impairment must be closely monitored and doses lowered.
Rationale 4: The presence of a UTI is not a contraindication for imipenem-cilastatin (Primaxin).
Rationale 5: Imipenem-cilastatin (Primaxin) is prescribed for strains of MRSA.
Global Rationale: Imipenem-cilastatin is contraindicated in patients who have experienced a severe allergic reaction to this drug, other carbapenems, cephalosporins, or penicillins. Because the kidneys excrete imipenem-cilastatin, patients with significant renal impairment must be carefully monitored and dosages lowered. This drug should be used cautiously in patients with brain lesions, head trauma, or a history of seizures due to an increased risk of seizures.

[sam.t96]

Excellent

[kusterl]

TYSM