The client diagnosed with influenza A is being discharged from the emergency department with a prescription for antibiotics. Which statement by the client indicates an understanding of this prescription?
"The antiobiotics will help prevent me from developing a bacterial pneumonia.
"If I had gotten this prescription sooner. I could have prevented this illness."
"These pills will make me feel better fast and I can return to work."
"I need to take these pills until I feel better; then I can stop taking the rest.
The Correct Answer is A
A. "The antibiotics will help prevent me from developing a bacterial pneumonia.": Antibiotics do not treat influenza virus, but if the prescriber has given antibiotics they are intended to treat or prevent secondary bacterial infection (e.g., bacterial pneumonia). The statement shows the patient understands that antibiotics are for bacterial, not viral, complications.
B. "If I had gotten this prescription sooner, I could have prevented this illness.": Antibiotics do not prevent viral influenza and could not have prevented the initial viral illness.
C. "These pills will make me feel better fast and I can return to work.": Antibiotics won’t reliably make a viral influenza patient feel better quickly; symptomatic improvement typically depends on time or antiviral therapy if indicated.
D. "I need to take these pills until I feel better; then I can stop taking the rest.": Stopping antibiotics early risks treatment failure and resistance; patients should complete the prescribed course unless advised otherwise by the prescriber.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "Medication therapy for hypothyroidism is usually lifelong, and you should not stop taking the medication": Most patients with primary hypothyroidism require lifelong levothyroxine replacement; stopping it will likely cause recurrence of symptoms.
B. "You need to stay on this medication until you become pregnant": Pregnancy often increases thyroid hormone needs -therapy is typically continued (and sometimes increased) during pregnancy, not stopped.
C. "You need to stay on the medication for at least 1 year before a decision about stopping it can be made.": Some transient hypothyroid states resolve, but primary hypothyroidism usually requires lifelong therapy; the one-year rule is not standard.
D. "You can stop the medication if your symptoms have improved.": Stopping therapy because symptoms improve will usually lead to relapse; abrupt cessation is not advised.
Correct Answer is D
Explanation
A. Don't take NSAIDS at bedtime because they may cause insomnia: NSAIDs are not associated with causing insomnia as a routine reason to avoid bedtime dosing.
B. Take NSAID's on an empty stomach to increase absorption: Taking NSAIDs on an empty stomach increases risk of GI irritation/ulceration; absorption is fine with food.
C. Bleeding isn't a problem with NSAID's: NSAIDs inhibit platelet function and can increase bleeding risk; this is an important safety consideration.
D. Take NSAID's with food to avoid an upset stomach: Taking NSAIDs with food, milk, or antacid reduces gastric irritation and helps prevent GI upset/ulceration.
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