Antibiotic-Associated Diarrhea Quiz
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Questions and Answers

What is the primary mechanism by which broad spectrum antibiotics contribute to a Clostridium difficile (C. diff) infection?

  • Causing inflammation that leads to increased C. diff replication.
  • Disrupting normal gastrointestinal flora, allowing C. diff to overgrow. (correct)
  • Suppressing the patient's immune response, making them susceptible to infection.
  • Directly activating C. diff bacteria to produce toxins.
  • What is the most immediate action that should be taken by the nurse following suspicion of a C. diff infection?

  • Providing a clear liquid diet to manage vomiting and diarrhea.
  • Immediately starting the patient on broad-spectrum antibiotics.
  • Initiating contact precautions to prevent spread. (correct)
  • Administering antidiarrheal medication to reduce symptoms.
  • What specific laboratory test is required to confirm a C. diff infection?

  • A blood culture to rule out sepsis from this infection.
  • A stool culture to detect C. diff toxin. (correct)
  • A urine analysis to check for signs of dehydration.
  • A complete blood count to assess the inflammatory response.
  • Which of these clinical findings is the least likely to be associated with a C. diff infection?

    <p>Constipation with no diarrhea</p> Signup and view all the answers

    During management of a patient with C. diff, which of these is the most critical lab value that the nurse should be monitoring?

    <p>Serum potassium</p> Signup and view all the answers

    Study Notes

    Antibiotic-Associated Diarrhea (C. diff)

    • Broad-spectrum antibiotics (like cefepime) can disrupt the gut's natural bacteria, allowing Clostridium difficile (C. diff) to overgrow.
    • C. diff produces toxins causing diarrhea, abdominal pain, and fever.
    • Confirmation of C. diff infection requires a stool culture testing for the toxin.
    • Contact precautions are crucial to prevent transmission.
    • Severe diarrhea can lead to significant fluid loss and dehydration.
    • Nurses need to monitor serum potassium levels and intake/output.

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    Description

    Test your knowledge on antibiotic-associated diarrhea caused by C. difficile. This quiz covers the effects of broad-spectrum antibiotics, diagnosis methods, and important nursing precautions necessary for patient care. Ensure you understand the implications of C. diff infection and its management.

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