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.
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Related Questions
Correct Answer is A
Explanation
Choice A reason: Withdrawal after a day care switch may signal emotional distress or adjustment issues in a 4-year-old, potentially indicating anxiety or trauma. This behavioral change has psychosocial implications, prioritizing it for assessment, as it could affect development more acutely than physical habits per child psychology evidence.
Choice B reason: Repetitive questioning is normal for 4-year-olds, reflecting curiosity or language development, not a health priority. It lacks urgency compared to withdrawal, which may indicate deeper issues. Scientifically, this aligns with typical cognitive growth, not warranting immediate intervention over potential emotional distress signals.
Choice C reason: Bedwetting twice weekly at age 4 is within normal developmental variation, often resolving naturally. It’s less urgent than withdrawal, which could indicate psychological harm. Physiologically, bladder control matures later in some children, making this a lower priority per pediatric developmental norms.
Choice D reason: Difficulty eating vegetables is common in preschoolers due to taste preferences or neophobia, not a health crisis. It’s less critical than withdrawal, which may reflect emotional issues. Nutritionally, this can be addressed gradually, lacking the immediate psychosocial urgency of behavioral changes per evidence.
Correct Answer is A
Explanation
Choice A reason: Gloves prevent MRSA spread via contact during oral care, a high-risk task. This adheres to contact precautions for infection control.
Choice B reason: Masks aren’t needed for MRSA patients; it’s not airborne. Contact precautions suffice, so this is unnecessary outside specific contexts.
Choice C reason: Negative pressure suits airborne pathogens, not MRSA, which spreads by contact. This overcomplicates room requirements for this infection.
Choice D reason: HEPA filters address air quality, irrelevant to MRSA’s contact transmission. Standard isolation, not filtration, controls this bacterial spread.
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