Level: Clinical
Difficulty: Medium
Subtopic: Antimicrobial resistance
NCLEX: A 71-year-old client in a long-term care facility is being evaluated for nursing care related to antimicrobial re…
Microbiology Safety and Infection Prevention and Control
Case Study
A 71-year-old client in a long-term care facility is being evaluated for nursing care related to antimicrobial resistance. Assessment data include watery diarrhea 8 times today after antibiotic therapy. The nurse is evaluating discharge teaching. Which client statement shows correct understanding?
Question
A. "I will stop my medications when I feel better."
B. "I do not need to report mild symptoms unless they become unbearable."
C. "The nurse does not need to know about changes unless the provider asks."
D. "I will call the nurse if I have new or worse symptoms before my follow-up appointment."
B. "I do not need to report mild symptoms unless they become unbearable."
C. "The nurse does not need to know about changes unless the provider asks."
D. "I will call the nurse if I have new or worse symptoms before my follow-up appointment."
Rationale
Correct answer: D. "I will call the nurse if I have new or worse symptoms before my follow-up appointment."
Rationale: Effective teaching includes when to seek help for worsening symptoms. Stopping medications or delaying reports are unsafe.
Hint: Apply ABCs, client stability, and NCSBN clinical judgment steps before choosing an intervention.
Rationale: Effective teaching includes when to seek help for worsening symptoms. Stopping medications or delaying reports are unsafe.
Hint: Apply ABCs, client stability, and NCSBN clinical judgment steps before choosing an intervention.