What statement by a patient’s mother leads the nurse to determine she understands instructions about administering an oral antibiotic for otitis media?

I will continue using the medication until symptoms are relieved.

I will share the medicine with siblings if their symptoms are the same.

I will give the medication with a glass of milk.

I will administer prescribed doses until all the medication is used.

Answer and Explanation

The Correct Answer is D

Choice A reason: Stopping antibiotics when symptoms resolve risks incomplete bacterial eradication, leading to recurrent or resistant otitis media. Antibiotics must be taken for the full course to ensure all pathogens (e.g., Streptococcus pneumoniae) are eliminated, preventing chronic infection or complications.
Choice B reason: Sharing antibiotics with siblings is dangerous, as it may lead to incorrect dosing, inappropriate treatment, or antibiotic resistance. Each child requires a specific prescription based on their condition, weight, and bacterial susceptibility, making this an unsafe practice.
Choice C reason: Giving antibiotics with milk may reduce absorption for some drugs (e.g., amoxicillin), as calcium can bind to certain antibiotics, decreasing bioavailability. This statement indicates a misunderstanding, as water is typically recommended to ensure optimal drug absorption.
Choice D reason: Administering the full course of antibiotics ensures complete eradication of bacteria causing otitis media, preventing recurrence or resistance. This reflects proper understanding, as completing the prescribed regimen targets pathogens like Haemophilus influenzae, ensuring effective treatment and reducing complication risks.

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Correct Answer is ["A","C","D","E"]

Explanation

Choice A reason: Early ambulation post-hip arthroplasty promotes venous blood flow, reducing stasis, a key factor in Virchow’s triad for thromboembolism. Muscle contractions enhance circulation, preventing clot formation in deep veins, significantly lowering the risk of pulmonary embolism.
Choice B reason: Fluid restriction does not prevent venous thromboembolism and may increase blood viscosity, promoting clot formation. Adequate hydration supports circulation, reducing stasis, making fluid restriction counterproductive for preventing thromboembolism in postoperative clients.
Choice C reason: Quadriceps-setting exercises activate muscle pumps in the legs, promoting venous return and reducing blood stasis. This mechanical action prevents clot formation in deep veins, making it an effective intervention to lower thromboembolism risk post-surgery.
Choice D reason: Compression stockings/devices apply external pressure, enhancing venous return and preventing blood pooling in the legs. This reduces stasis, a major risk factor for deep vein thrombosis, making them a standard preventive measure post-hip arthroplasty.
Choice E reason: Anticoagulants (e.g., heparin) inhibit clot formation by interfering with the coagulation cascade, reducing the risk of thromboembolism. They are critical post-hip arthroplasty, as surgery increases clotting risk due to endothelial damage and immobility.

Correct Answer is ["0.6"]

Explanation

Step 1 is: Convert pounds to kilograms 33 ÷ 2.2 = 15 Result = 15 kg

Step 2 is: Multiply weight by dosage 15 × 20 = 300 Result = 300 mg/day

Step 3 is: Divide total daily dose into 4 doses 300 ÷ 4 = 75 Result = 75 mg per dose

Step 4 is: (125 ÷ 1) = 125 mg/mL

Step 5 is: (75 ÷ 125) = 0.6 Result = 0.6 mL per dose

Final answer = 0.6 mL per dose

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What statement by a patient’s mother leads the nurse to determine she understands instructions about administering an oral antibiotic for otitis media?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning postoperative care for a client following a total hip arthroplasty. What nursing interventions would help prevent venous thromboembolism for this client? (Select all that apply)

Correct Answer is ["A","C","D","E"]

Explanation

The recommended safe dosage of erythromycin for a child is 20 mg/kg/day in four equal doses. The child weighs 33 lb. The medication is supplied in 125 mg/mL. What is the safe and therapeutic dosage for this child?

Correct Answer is ["0.6"]

Explanation

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