A Child Has Been Receiving Chloramphenicol for a Neisseria Meningitidis

question 15

Multiple Choice

A child has been receiving chloramphenicol for a Neisseria meningitidis central nervous system (CNS) infection. The nurse administers the dose and subsequently notes that the child has vomited and appears dusky and gray in color. The child's abdomen is distended. What will the nurse do?

• A) Contact the provider for an order to obtain a chloramphenicol level.
• B) Notify the provider that the child's meningitis is worsening.
• C) Recognize this as initial signs of a C. difficile infection.
• D) Stop the infusion immediately and notify the provider.

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Definitions:

Axon

A long, slender projection of a nerve cell, or neuron, that typically conducts electrical impulses away from the neuron's cell body.

Dendrites

The branched projections of a neuron that act to conduct the electrochemical stimulation received from other neural cells to the body, or soma, of the neuron.

Myelin Sheath

A fatty layer that encases the axons of many neurons, speeding up the transmission of nerve impulses.

Multiple Sclerosis

A chronic autoimmune disease that affects the central nervous system, leading to various neurological symptoms.