A client has been on an antibiotic for 2 weeks for treatment of ...

[mspears3]

A client has been on an antibiotic for 2 weeks for treatment of an ulcer caused by Helicobacter pylori. The client asks the nurse if the antibiotic could be causing diarrhea. What is the nurse's most accurate response?
 
  1. The infection has become severe.
  2. This might be a secondary infection due to the antibiotic therapy.
  3. The infection has a restricted group of microorganisms.
  4. The organisms that caused the infection have developed immunity to the drug.

Question 2

The nurse tells a client that the antibiotic the health care provider has prescribed is for Clostridium, the organism responsible for a number of diseases, including:
 
  Standard Text: Select all that apply.
  1. food poisoning.
  2. gas gangrene.
  3. tetanus.
  4. pneumonia.
  5. venereal disease.

[jaygar71]

Answer to Question 1

Correct Answer: 2
Rationale 1: There is another, more likely reason for the diarrhea.
Rationale 2: A superinfection is a side effect of antibiotic therapy.
Rationale 3: This is a true statement but does not answer the client's question.
Rationale 4: This is not a symptom of immunity.
Global Rationale: The appearance of a new infection while receiving anti-infective therapy is highly suspicious of a superinfection. Signs and symptoms of superinfection commonly include diarrhea, bladder pain, painful urination, or abnormal vaginal discharges. Broad-spectrum antibiotics are more likely to cause superinfections because they kill many microbial species, which sometimes includes host flora. Organisms that commonly cause superinfections are Clostridium albicans in the vagina, streptococci in the oral cavity, and Clostridium difficile in the colon.

Answer to Question 2

Correct Answer: 1,2,3
Rationale 1: Clostridium is an anaerobe responsible for some cases of food poisoning.
Rationale 2: Clostridium is an anaerobe responsible for gas gangrene.
Rationale 3: Clostridium is an anaerobe responsible for tetanus.
Rationale 4: Several organisms cause pneumonia, including Staphylococcus aureus, streptococci, Haemophilus influenzae, and Klebsiella. Clostridium does not cause pneumonia.
Rationale 5: Chlamydia and Neisseria are the two most common organisms that cause venereal disease.
Global Rationale: Clostridium is a gram-positive anaerobic bacilli that causes food poisoning, gas gangrene, and tetanus.

[mspears3]

Both answers were spot on, thank you once again

[jaygar71]

Great! Please up vote