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

Answer and Explanation

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.

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Correct Answer is D

Explanation

A) Steatotic liver disease: Steatotic liver disease, or fatty liver disease, is typically associated with excess fat in the liver, often linked to alcohol use, obesity, or diabetes. While it can affect liver function, it is not primarily associated with deficiencies in iron and vitamin B12. Therefore, this condition is not directly related to the lab findings of low iron and vitamin B12.

B) Leukemia: Leukemia is a type of cancer that affects the blood and bone marrow, leading to abnormal white blood cell production. While leukemia can cause anemia as a secondary effect due to bone marrow dysfunction, it is not typically characterized by deficiencies in both iron and vitamin B12 simultaneously. The lab findings are more consistent with a nutritional or absorption issue rather than leukemia.

C) Hepatitis: Hepatitis refers to inflammation of the liver, usually caused by a viral infection or other factors. While hepatitis can lead to various blood abnormalities, it is not specifically linked to both iron and vitamin B12 deficiencies. Hepatitis more commonly affects liver function and may cause jaundice, but it does not directly explain low iron and B12 levels.

D) Anemia: Both iron and vitamin B12 are essential for the production of healthy red blood cells. Iron deficiency can lead to iron-deficiency anemia, and vitamin B12 deficiency can cause pernicious anemia. Therefore, low levels of both iron and vitamin B12 suggest the possibility of anemia, and the nurse should monitor the client for signs and symptoms of this condition, such as fatigue, pallor, and weakness.

A. Rolls from back to abdomen B. Moves objects to mouth C. Anterior fontanel closed D. Posterior fontanel closed

Correct Answer is C

Explanation

A) Rolls from back to abdomen: Rolling from back to abdomen is a typical developmental milestone for a 4-month-old infant. By this age, infants usually have increased muscle strength and coordination, allowing them to start rolling over. This movement helps build their core strength, which is important for later developmental milestones like sitting up and crawling.

B) Moves objects to mouth: It is common for a 4-month-old to move objects to their mouth as they begin exploring the world around them. This action is a key part of sensory development and helps infants develop their hand-to-mouth coordination. Additionally, this behavior assists in teething and the development of oral motor skills.

C) Anterior fontanel closed: The anterior fontanel normally closes between 12 to 18 months of age. If it is closed at 4 months, it may suggest abnormal cranial growth, such as craniosynostosis, where the sutures of the skull close too early. This could lead to increased pressure on the brain, which can cause developmental delays or other complications, so the provider should be notified for further assessment.

D) Posterior fontanel closed: The posterior fontanel typically closes by 2 to 3 months of age. If it is closed by 4 months, it is completely normal and indicates proper cranial development. The closing of the posterior fontanel helps ensure the skull's bones are fusing together as expected, and it does not raise any concerns at this stage.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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