A nurse is caring for a school-age child who has cystic fibrosis.

Exhibits

A nurse is reviewing the child's medical record. Which of the following medications should the nurse expect the provider to prescribe or reconcile from the child's home medication list? Select all that apply.

A. "Let's review the side effects of metronidazole.” Metronidazole is used to treat bacterial infections like bacterial vaginosis and trichomoniasis, not syphilis. Syphilis is typically treated with penicillin or other appropriate antibiotics.

B. “I have to contact your parents.” At 20 years old, the patient is an adult and has a right to medical privacy. Contacting their parents without consent would violate patient confidentiality laws.

C. “You need to come back in a week for retesting" Retesting is important in the follow-up for sexually transmitted infections, but it is usually scheduled for a later date (e.g., after treatment is completed and time has passed to check for cure or reinfection). A week is too soon for meaningful retesting for syphilis.

D. “I have to notify the public health department.” Syphilis is a reportable disease, meaning healthcare providers are required to notify public health authorities to help control the spread of the infection. This is necessary for public health tracking and intervention.

A. "Your baby's crying is a way to communicate with you." Correct. This response validates the parent's concern and provides an understanding that crying is a normal behaviour for infants as a form of communication.

B. "Why do you feel like your baby cries a lot?" This question might make the parent feel defensive and does not provide reassurance or helpful information about infant behaviour.

C. "Is it possible that you have spoiled your baby?" This response is inappropriate and can make the parent feel judged or blamed. It also suggests a misunderstanding of infant development, as infants cannot be spoiled by responding to their needs.

D. "Letting your baby cry will teach them how to self-soothe." This advice is not suitable for a 1-month-old infant, as they are too young to self-soothe and need their caregivers to respond to their needs for comfort and care.