A nurse is transcribing a client’s prescription for erythromycin 500 mg four times per day. Which of the following information should the nurse clarify with the provider?
Medication
Dosage
Route
Time
The Correct Answer is C
Choice A reason: Erythromycin is specified, so the medication is clear. No ambiguity exists here for clarification. Scientifically, drug identity is explicit, and errors arise elsewhere, making this unnecessary to question unless a different antibiotic was intended, which isn’t suggested.
Choice B reason: Dosage (500 mg) is precise, with no range or units needing clarification. Scientifically, this is a standard erythromycin dose, aligning with therapeutic norms for infections, leaving little room for error unless misheard, which isn’t indicated.
Choice C reason: Route (e.g., oral, IV) isn’t stated, critical for erythromycin, as administration affects bioavailability and efficacy. Scientifically, unclear delivery risks under- or overdosing, necessitating provider clarification to ensure safe, effective treatment per pharmacological standards.
Choice D reason: Time (four times daily) is clear, aligning with erythromycin’s pharmacokinetics for steady levels. Scientifically, frequency is unambiguous, requiring no clarification unless intervals were vague, which they aren’t, making this less urgent than route.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Persistent contractions signal labor or abruption, not previa. Placenta previa causes painless bleeding from placental positioning, not uterine activity.
Choice B reason: Increased fetal movement isn’t tied to previa; it’s a fetal response indicator. Previa’s hallmark is maternal bleeding, not fetal behavior changes.
Choice C reason: Rigid abdomen suggests abruption with clot formation, not previa. Previa bleeding is external, leaving the uterus soft, not tense.
Choice D reason: Bright red vaginal bleeding is classic in placenta previa, from low placental implantation. It’s painless, distinguishing it from other complications.
Correct Answer is A
Explanation
Choice A reason: Asking about a plan assesses immediate suicide risk, as a specific intent with means indicates high lethality. This prioritizes safety per psychiatric protocols, identifying actionable steps over background factors, aligning with scientific urgency to prevent harm by targeting the most direct threat indicator first.
Choice B reason: Family history of suicide is a risk factor, but not the priority over a current plan. It provides context, not imminent danger data. Scientifically, past events inform predisposition, yet assessing active intent trumps historical trends for acute intervention in suicidal ideation scenarios.
Choice C reason: Support systems reduce isolation, a suicide risk factor, but don’t gauge immediate intent. Asking about this is secondary to planning, as it addresses coping, not current danger level. Psychiatric evidence prioritizes intent assessment over social resources for urgent safety evaluation in ideation cases.
Choice D reason: Stressors contribute to ideation but identifying them is less urgent than a plan. They offer context, not actionable risk data. Scientifically, while stressors are relevant, determining if the client has a concrete method outweighs exploring triggers for prioritizing life-saving interventions in acute suicidal states.
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