The mother of a 3-year-old who has been diagnosed with an ear infection states, "I can't understand why you won't give my child antibiotics. Can't you see that she is sick?" Which of the following responses by the nurse is appropriate at this time?
I know how you feel, but the best medicine for your child right now is acetaminophen.
Your child will get better on her own in a few days.
I am also very surprised that the pediatrician did not order antibiotics.
It is likely that the ear infection is caused by a virus and antibiotics do not kill viruses.
The Correct Answer is D
Choice A reason: This response is not appropriate because it does not address the mother's concern about antibiotics. It also implies that the nurse is making a medical decision for the child, which is beyond the scope of practice.
Choice B reason: This response is not appropriate because it does not provide any reassurance or education to the mother. It also sounds dismissive of the child's condition and the mother's worry.
Choice C reason: This response is not appropriate because it undermines the authority and judgment of the pediatrician. It also creates doubt and confusion in the mother's mind about the quality of care her child is receiving.
Choice D reason: This response is appropriate because it explains the rationale for not prescribing antibiotics for an ear infection. It also educates the mother about the difference between viral and bacterial infections and the appropriate use of antibiotics.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: This is not the correct answer because Synagis® is a monoclonal antibody that is given as a prophylaxis to prevent severe RSV infection in high-risk infants. It is not effective as a treatment for RSV bronchiolitis.
Choice B reason: This is not the correct answer because antiviral medication is not routinely recommended for RSV bronchiolitis, as it has not been shown to improve outcomes. Limiting fluids and giving antitussives may also be harmful, as they can cause dehydration and suppress the cough reflex.
Choice C reason: This is not the correct answer because IV antibiotics are not indicated for RSV bronchiolitis, which is a viral infection. Antibiotics may increase the risk of antibiotic resistance and adverse effects.
Choice D reason: This is the correct answer because oxygen mist therapy can help humidify the air and relieve the respiratory distress. IV fluids can prevent dehydration and maintain electrolyte balance. Hand washing can prevent the spread of RSV infection to other patients and staff.
Correct Answer is A
Explanation
Choice A reason: This is correct because the ordered dose of Amoxicillin is within the safe range for a 3-year-old weighing 14 kg. The daily dose of Amoxicillin is 175 mg x 3 = 525 mg. The safe dose range for a 14 kg child is 20-40 mg/kg/day, which is 280-560 mg/day. Therefore, the ordered dose is safe.
Choice B reason: This is incorrect because the ordered dose of Amoxicillin is not above the safe range for a 3-year-old weighing 14 kg. It is not necessary to reduce the dose or report it to the prescriber.
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