A nurse is preparing to administer ibuprofen solution 60 mg orally to a 7-month-old infant who is febrile. Available is ibuprofen 50 mg/1.25 mL. How many should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

A. The medication (erythromycin) is clearly identified in the prescription, so no clarification is needed regarding the drug name itself. B. The dosage (500 mg) is specified in the order, which is a standard dose for this medication, so it does not require clarification. C. The time or frequency is provided as “four times per day.” While specific facility times may need to be assigned, the frequency of administration is clearly established in the order. D. The route is entirely missing from the prescription. Erythromycin can be administered via several different routes, such as orally or intravenously, and the nurse cannot assume the intended method. This is a critical omission that must be clarified for safe transcription.

A. Inspect the preschooler's tonsils for edema.: While tonsil inspection might be part of a general assessment, in a child with suspected epiglottitis, inspecting the throat should be avoided as it can trigger airway obstruction or cause further distress.

B. Collect a sputum sample.: Sputum collection is not typically indicated for epiglottitis diagnosis. A rapid diagnosis is essential to ensure timely intervention, and sputum samples are not a key diagnostic tool for this condition.

C. Determine the preschooler's oxygen saturation level.: Epiglottitis can lead to significant airway obstruction, so monitoring the oxygen saturation level is critical to assess for hypoxia and ensure adequate oxygenation. Early intervention may be required to maintain the child's airway.

D. Obtain a specimen for throat culture.: A throat culture should not be obtained in suspected epiglottitis, as manipulating the throat could cause complete airway obstruction. Immediate intervention to secure the airway is the priority.