A patient who has been receiving clindamycin for 10 days develops ...

[RODY.ELKHALIL]

A patient who has been receiving clindamycin for 10 days develops profuse diarrhea and abdominal pain and has a temperature of 101.2 F. The nurse suspects that the patient has an infection caused by C. difficile.
 
  The nurse would expect the prescriber to order
  a. penicillin G.
  b. vancomycin (Vancocin).
  c. tetracycline (Sumycin).
  d. azithromycin (Zithromax).

Question 2

A pregnant adolescent asks the nurse whether it would be all right to continue to take her prescription for tetracycline (Sumycin) to clear up her acne. What response by the nurse provides the best information?
 
  a. Tetracycline is effective in clearing up acne.
  b. Tetracycline may cause allergic reactions in pregnant women.
  c. Tetracycline will resolve an asymptomatic urinary tract infection.
  d. A tetracycline drug could be harmful to the baby's teeth and should be avoided.

[mmpiza]

Answer to Question 1

ANS: B
Vancomycin or Flagyl should be ordered for a patient with an infection caused by Clostridium difficile (C. difficile).
Penicillin, tetracycline, and azithromycin are not indicated for the treatment of C. difficile infection.

Answer to Question 2

ANS: D
Tetracyclines can cause discoloration of deciduous and permanent teeth. Tooth discoloration can be avoided if the drugs are not taken by pregnant women or by children under 8 years of age.
Tetracycline is effective in clearing up acne; however, it is not appropriate for a pregnant patient.
Pregnancy does not precipitate an allergic response to tetracycline.
Tetracycline may be useful in clearing up a urinary tract infection, but that is not the priority at this time.

[RODY.ELKHALIL]

TY

[mmpiza]

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