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Nrobison2016 Nrobison2016
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6 years ago
A patient who is taking doxycycline for a serious infection contacts the nurse to report anal itching. The nurse will contact the provider to discuss:
 
  a. adding an antihistamine to the patient's drug regimen.
  b. ordering liver function tests to test for he-patotoxicity.
  c. prescribing an antifungal drug to treat a superinfection.
  d. testing the patient for a C. difficile sec-ondary infection.
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6 years ago
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A superinfection occurs secondary to suppression of drug-sensitive organisms. Overgrowth with fungi, especially Candida albicans, is common and may occur in the mouth, pharynx, vagina, and bowel. Anal itching is a sign of such an infection, not a sign of hepatotoxicity. Antihistamines will not treat the cause. C. difficile is characterized by profuse, watery diarrhea.
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