A client received a prescription for augmentin to treat a respiratory infection. The client asks the clinic nurse, "How long will I need to take the medication?" Which is the nurse's best response?

"As soon as you feel better, you can stop taking the medication."

"For an additional one to two days after your symptoms have subsided."

"The time period is usually for seven to 10 days in a row."

"Until you have been afebrile for twenty-four hours."

Answer and Explanation

The Correct Answer is C

Rationale:
A. "As soon as you feel better, you can stop taking the medication.": Stopping antibiotics early can lead to incomplete eradication of the infection, antibiotic resistance, and relapse. Symptom improvement does not indicate that the infection has been fully treated.

B. "For an additional one to two days after your symptoms have subsided.": While some infections may require a short period of therapy after symptom resolution, standard practice for respiratory infections treated with Augmentin is a full prescribed course, not just a day or two beyond symptom improvement.

C. "The time period is usually for seven to 10 days in a row.": Augmentin (amoxicillin/clavulanate) is typically prescribed for a 7–10 day course for most respiratory infections. Completing the full course ensures effective bacterial eradication and reduces the risk of resistance.

D. "Until you have been afebrile for twenty-four hours.": Fever resolution does not guarantee complete infection clearance. Relying solely on temperature could result in premature discontinuation of therapy. The prescribed full course is required regardless of fever status.

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Free Nursing Study Resources

Correct Answer is ["1.3"]

Explanation

Calculation:

Convert the infant’s weight from pounds to kilograms

Weight (kg) = 22 ÷ 2.2 = 10 kg

Calculate the total daily dose based on weight

Total Daily Dose = 20 mg/kg × 10 kg

= 200 mg/day

Determine the dose per administration

Doses per day = every 8 hours

24 ÷ 8 = 3 doses/day

Dose per administration = 200 ÷ 3 ≈ 66.7 mg per dose

Calculate the volume to administer per dose

Available Concentration: 250 mg/5 mL

= 50 mg/mL

Volume to administer = Dose ÷ Concentration

= 66.7 ÷ 50

= 1.334 mL

Rounded to the nearest tenth

= 1.3 mL

A. Inability to ambulate B. Tachypnea C. Tachycardia D. Maculopapular rash E. 5 wet diapers today F. Pyrexia G. Red spots with bluish center

Correct Answer is ["B","C","D","F","G"]

Explanation

Rationale:

• Tachypnea: The respiratory rate of 42 breaths/minute is elevated for an 11-month-old infant and indicates physiologic stress. Tachypnea may reflect fever, systemic infection, or early respiratory compromise. In the context of rash and high fever, it raises concern for a viral illness with potential complications. Prompt provider notification supports early intervention and monitoring.

• Tachycardia: A heart rate of 153 beats/minute exceeds normal limits for age and may be related to fever, dehydration, or systemic infection. Sustained tachycardia can signal worsening illness or increased metabolic demand. Reporting this finding allows the provider to evaluate circulatory status and hydration needs.

• Maculopapular rash: The rash beginning on the face and spreading to the trunk and extremities follows a classic viral exanthem pattern. This distribution is especially concerning in combination with fever and mucosal findings. Early recognition and reporting are essential for diagnosis, isolation precautions, and public health considerations.

• Pyrexia: A temperature of 102.7° F (39.3° C) represents significant fever in an infant. High fever over several days increases the risk of dehydration and febrile complications. When paired with rash and systemic symptoms, pyrexia strongly suggests an infectious etiology requiring provider evaluation.

• Red spots with bluish center: These lesions on the buccal mucosa are consistent with Koplik spots, which are characteristic of measles. Koplik spots often appear before or alongside the rash and are highly significant diagnostically. Immediate reporting is critical due to the contagious nature of measles and the need for isolation and public health notification.

• Inability to ambulate: At 11 months of age, independent ambulation is developmentally variable and not expected in all infants. The assessment notes appropriate movement of all extremities without weakness. This finding is consistent with normal developmental stage and does not indicate acute pathology.

• 5 wet diapers today: Five wet diapers suggest adequate hydration for an infant, even in the setting of fever. There is no evidence of oliguria or dehydration at this time. Continued monitoring is appropriate, but this finding alone does not require urgent escalation.

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A client received a prescription for augmentin to treat a respiratory infection. The client asks the clinic nurse, "How long will I need to take the medication?" Which is the nurse's best response?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["1.3"]

Explanation

Patient Data The nurse is considering the client's presentation and which information must be shared with a healthcare provider (HCP). Click to highlight the condition(s) that the nurse should share with the healthcare professional.

Correct Answer is ["B","C","D","F","G"]

Explanation

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