A client with a viral upper respiratory infection tells the nurse, "I am so angry because the nurse practitioner would not give me any antibiotics." What would be the most appropriate response by the nurse?

"Let me teach you about antibiotics and their usage."

"Let me talk to the provider and see what we can do."

"Why do you think you need an antibiotic?"

“I understand your frustration. You need an antibiotic.”

Answer and Explanation

The Correct Answer is A

A. "Let me teach you about antibiotics and their usage." This response provides education about antibiotics, including why they are not effective against viral infections. It acknowledges the client’s frustration while promoting understanding.

B. "Let me talk to the provider and see what we can do." This response suggests that the nurse might override the provider’s decision or negotiate an unnecessary prescription, which is inappropriate.

C. "Why do you think you need an antibiotic?" While this question encourages the client to express their thoughts, it may come across as dismissive or challenging rather than supportive.

D. "I understand your frustration. You need an antibiotic." This statement is incorrect because it reinforces a misconception that antibiotics are needed for viral infections, which can contribute to antibiotic resistance.

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Correct Answer is D

Explanation

Determine the dose per administration:

1000 mg ÷ 250 mg/capsule = 4 capsules per dose

Calculate the total per day:

Since the order is every 12 hours, the medication is given twice a day
4 capsules per dose × 2 doses per day = 8 capsules per day

A. Ensure the patient is safe and leave to get them some water. B. Contact dietary to order the patient a full liquid meal. C. Request that the provider write the order in the chart. D. Record the information in the patient chart.

Correct Answer is C

Explanation

A. Ensure the patient is safe and leave to get them some water: The provider’s verbal statement is not an official order. The student nurse must ensure a written order is in place before implementing dietary changes.

B. Contact dietary to order the patient a full liquid meal: The student nurse cannot place orders. They must first verify that the provider has documented the order.

C. Request that the provider write the order in the chart: Orders must be documented in the patient’s medical record before they can be carried out. The student nurse should ensure the provider formally writes the order.

D. Record the information in the patient chart: The student nurse cannot chart an order that has not been officially written by the provider.

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Laboratory Test	Reference Range	Patient Results
White Blood Cells	5,000- 10,000/mm3	9,500/mm3
Neutrophil Count	2.500-8,000/mm3	5,200/mm3
HIV	Negative	Positive

Stoma Assessment	Stoma is protruding 2cm, is red and moist. Peristomal area is clean and intact.
Output	Liquid stool that is malodorous. Gas present in the appliance.
General Status	Patient is avoiding looking at the ileostomy during care.
Laboratory Data	Potassium 3.6 mEq/L (normal 3.5 to 5 mEq/L) Sodium 137 mEq/L (normal 135 to 145 mEq/L) Creatinine 0.9 mg/dL (normal 0.6 to 1.2 mg/dL)

A client with a viral upper respiratory infection tells the nurse, "I am so angry because the nurse practitioner would not give me any antibiotics." What would be the most appropriate response by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Order: Ampicillin 1000 mg PO every 12 hours Available: Ampicillin 250 mg capsules How many capsules will you administer per day?

Correct Answer is D

Explanation

A student nurse is assessing their patient who is NPO due to a recent surgery. The provider comes in the room to see the patient and states that the patient is cleared to start a full liquid diet. What is the best action by the student nurse?

Correct Answer is C

Explanation

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