A nurse is transcribing a client’s prescription for erythromycin 500mg four times per day. Which of the following information should the nurse clarify with the provider?
Time
Dosage
Route
Medication
The Correct Answer is A
A) Time: The time of administration is an important factor to clarify. The prescription specifies erythromycin 500mg four times per day, but it does not specify the exact times the medication should be administered. The nurse should clarify the specific times to ensure the medication is given at proper intervals, especially considering the potential for drug interactions and the timing of meals, which may impact absorption.
B) Dosage: The dosage of 500mg is specified clearly in the prescription. There is no indication that the dosage is incorrect or needs clarification. Erythromycin 500mg four times per day is a standard dose for certain infections, so no issues are apparent with the dosage itself.
C) Route: The route of administration (oral, intravenous, etc.) is not specified in the question but is typically understood unless otherwise stated. However, in the context of erythromycin, the most common route is oral. Unless there’s uncertainty about the route, it does not need clarification.
D) Medication: The medication is clearly identified as erythromycin, which is a known antibiotic. There is no ambiguity in the medication prescribed, so there is no need for clarification in this regard. The focus should be on confirming the time of administration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) Rubber duck:
A rubber duck may be a suitable toy for a 2-month-old infant during bath time, but it is not considered the most developmentally appropriate for this age. At 2 months, infants are beginning to focus their vision on objects but have limited ability to manipulate toys. Toys such as a rubber duck do not provide the most stimulating developmental experience for an infant at this age.
B) Nesting cups:
Nesting cups are not the most appropriate for a 2-month-old infant. At this stage of development, babies are still in the early stages of hand-eye coordination and grasping skills. Nesting cups are more suitable for older infants (around 6-9 months) who are beginning to explore stacking, nesting, and grasping objects with more precision.
C) Crib mobile:
A crib mobile is an excellent developmentally appropriate toy for a 2-month-old infant. At this age, infants are developing visual tracking skills and are attracted to high-contrast patterns or moving objects. A crib mobile offers visual stimulation and can help an infant focus their eyes on objects, encouraging visual tracking and early sensory development. It is also safe for use in the crib environment.
D) Plastic keys:
Plastic keys can be a good toy for older infants as they begin developing their grasping and mouthing skills, but a 2-month-old infant is not yet able to hold objects or bring them to their mouth with coordination. Toys like these would not offer much benefit in terms of developmental stimulation at this age.
Correct Answer is ["A","B","C","D","G"]
Explanation
A. Respiratory complaint: A 4-day productive cough with fatigue and night sweats raises concern for a respiratory infection, including tuberculosis (TB) or pneumonia. Further evaluation, including chest imaging and sputum studies, is warranted.
B. Temperature: A low-grade fever (38.1°C/100.5°F) for several days, along with night sweats, suggests a possible infectious process, requiring further investigation.
C. Sputum characteristics: Blood-tinged sputum raises concern for TB, bronchitis, pneumonia, or malignancy, necessitating a sputum culture and acid-fast bacillus (AFB) testing.
D. Weight: Unintentional weight loss (5 lb in 1 week) and decreased appetite can indicate chronic infection, malignancy, or another systemic illness, necessitating further evaluation.
G. Travel history: Recent travel to South Africa, a country with a high TB prevalence, increases the risk of tuberculosis exposure and justifies further screening.
Incorrect Choices:
E. Blood pressure: 112/88 mm Hg is within the normal range and does not require further evaluation.
F. Oxygen saturation: 98% on room air is normal and does not indicate respiratory compromise.
H. Heart rate: 98/min is slightly elevated but could be due to fever or mild dehydration. It is not a primary concern.
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