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

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A reason: Puffed rice cereal lacks significant fiber, offering minimal bulk to stimulate peristalsis. It’s a poor choice for constipation relief, as it doesn’t soften stool or aid movement.

Choice B reason: Tomato juice provides hydration and some nutrients, but its low fiber content doesn’t effectively combat constipation. High-fiber foods are needed to increase stool bulk instead.

Choice C reason: Bran muffins are high in insoluble fiber, adding bulk and water to stool, promoting bowel movements. This choice reflects understanding of constipation management through diet.

Choice D reason: Cottage cheese is low in fiber, offering protein but no relief for constipation. It doesn’t enhance intestinal motility or stool consistency, making it an ineffective option.

A. Facial erythema B. Peeling of the hands and feet C. Fever D. Beefy, red tongue

Correct Answer is C

Explanation

Choice A reason: Facial erythema is not a hallmark of pertussis, caused by Bordetella pertussis. It may occur in scarlet fever from Streptococcus, but pertussis features paroxysmal coughing and whooping, not facial redness, making this uncharacteristic of the respiratory infection’s typical presentation.

Choice B reason: Peeling of hands and feet is typical of Kawasaki disease or scarlet fever post-streptococcal infection, not pertussis. Pertussis affects the respiratory tract, causing mucus buildup and coughing, not dermatologic desquamation, which is unrelated to its bacterial pathogenesis.

Choice C reason: Fever is expected in pertussis as the body mounts an immune response to Bordetella pertussis, elevating temperature to fight infection. Though not always high, it accompanies the catarrhal phase, reflecting systemic inflammation, a common sign in respiratory bacterial infections.

Choice D reason: Beefy, red tongue is a feature of scarlet fever or vitamin deficiencies, not pertussis. Pertussis targets the respiratory system, causing coughing and whooping, not oral mucosal changes, making this unrelated to its pathophysiology, focusing on airway irritation.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing dietary teaching with a client who has constipation about appropriate food choices. Which of the following food selections by the client demonstrates an understanding of the teaching?

Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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