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 53 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
YES! Correct, THANKS for helping me on my review

kalskdjl1212

  • Member
  • Posts: 353
Reply 3 on: Yesterday
Gracias!

« previous next »
 

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.

Did you know?

Oliver Wendell Holmes is credited with introducing the words "anesthesia" and "anesthetic" into the English language in 1846.

Did you know?

Approximately 15–25% of recognized pregnancies end in miscarriage. However, many miscarriages often occur before a woman even knows she is pregnant.

Did you know?

In ancient Rome, many of the richer people in the population had lead-induced gout. The reason for this is unclear. Lead poisoning has also been linked to madness.

Did you know?

About 60% of newborn infants in the United States are jaundiced; that is, they look yellow. Kernicterus is a form of brain damage caused by excessive jaundice. When babies begin to be affected by excessive jaundice and begin to have brain damage, they become excessively lethargic.

A model genetic system, the fern Ceratopteris richardii A model genetic system, the fern Ceratopteris richardii
Male genitourinary system. Male genitourinary system.
reproductive system in plants reproductive system in plants
Layout of the Nervous System Layout of the Nervous System
A system absorbs 623 J of heat while doing 457 J of work. What is the value of U? A system absorbs 623 J of heat while doing 457 J of work. What is the value of U?
Sympathetic and Parasympathetic Nervous System Sympathetic and Parasympathetic Nervous System
Video: Predator- prey competition and symbiosis

For a complete list of videos, visit our video library