A nurse is caring for a client who experienced a cesarean birth 1 week ago and is being admitted for a puerperal infection. Which of the following prescriptions requires clarification with the provider?
Mupirocin 2% ointment topical to incision 3 times daily
0.45% sodium chloride 1,000 mL IV every 8 hr
Budesonide 250 mcg/inhalation suspension twice daily
Ciprofloxacin 1,000 mg daily
The Correct Answer is D
A. Mupirocin 2% ointment topical to incision 3 times daily. Appropriate for preventing or treating localized bacterial infections at the surgical site.
B. 0.45% sodium chloride 1,000 mL IV every 8 hr. Appropriate for hydration and fluid balance, which is important in infection management.
C. Budesonide 250 mcg/inhalation suspension twice daily. Appropriate for respiratory conditions such as asthma or COPD; if the client has a history of such conditions, this would be reasonable.
D. Ciprofloxacin 1,000 mg daily. Requires clarification because: Ciprofloxacin is not a first-line antibiotic for puerperal infections. Dosage concern: Ciprofloxacin is usually given 500 mg every 12 hours rather than a single 1,000 mg daily dose.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.5"]
Explanation
Volume (mL) = Dose (mg) / Concentration (mg/mL)
Given:
Dose = 10 mg
Concentration = 20 mg/mL
Volume = 10 mg / (20 mg/mL)
= 0.5 mL
Therefore, the nurse should administer 0.5 mL.
Correct Answer is ["63"]
Explanation
Formula:
Flow rate = Total Volume (mL)/ Infusion time(hrs)
Given:
Total volume: 250 mL
Infusion time: 4 hours
Flow rate = 250 mL / 4 hours
= 62.5 mL/hr
Rounding to the nearest whole number:
63 mL/hr
Therefore, the nurse should set the IV pump to deliver 63 mL/hr.
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