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 (B)</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 (D)</p> Signup and view all the answers

Flashcards

How do broad-spectrum antibiotics affect gut bacteria?

Broad-spectrum antibiotics, such as cefepime, can disrupt the normal bacteria in the gut, allowing harmful bacteria like C. diff to grow unchecked.

What is C. diff?

A type of bacteria that can take over the gut when normal bacteria are disrupted, causing severe diarrhea.

What does C. diff toxin do?

C. diff releases a toxin that causes symptoms like diarrhea, abdominal pain, and fever.

How is C. diff infection confirmed?

A stool culture test is used to confirm the presence of C. diff toxin in a patient's stool.

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What measures are taken to prevent the spread of C. diff?

Contact precautions are used to prevent the spread of C. diff from one person to another.

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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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