A nurse is caring for a client on the medical surgical unit. Exhibits Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
Explanation & Rationale
Rationale: Potential Condition: The client developed new onset of severe, frequent diarrhea after receiving IV antibiotics (cefazolin), along with fever, abdominal cramping, dehydration (dry mucous membranes), and hyperactive bowel sounds. These are hallmark features of Clostridioides difficile colitis. Actions to Take: Contact precautions (gown and gloves) are essential to prevent transmission since C. difficile is highly contagious. IV fluids help correct dehydration and electrolyte losses caused by frequent diarrhea. Parameters to Monitor: Serum potassium should be monitored because diarrhea causes large potassium losses, risking hypokalemia. Blood pressure should be tracked closely since dehydration and electrolyte loss can lead to hypotension and hemodynamic instability.