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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Phenytoin can be taken with or without food, as food does not significantly affect its absorption. Taking it on an empty stomach is not necessary and may cause gastrointestinal upset, making this an incorrect teaching point for long-term use.
Choice B reason: Insomnia is not a common side effect of phenytoin. Common neurological effects include dizziness, ataxia, or sedation due to its action on sodium channels, stabilizing neuronal membranes. Teaching about insomnia is irrelevant and does not address key management concerns.
Choice C reason: Phenytoin commonly causes gingival hyperplasia due to fibroblast proliferation in gum tissue. Regular gum massage and good oral hygiene can reduce this risk by promoting circulation and preventing tissue overgrowth, making this a critical teaching point for long-term use.
Choice D reason: Blood pressure monitoring is not a primary concern with phenytoin, which primarily affects the central nervous system and liver. While rare cardiovascular effects may occur, gingival hyperplasia and blood level monitoring are more significant for long-term management.
Correct Answer is ["35"]
Explanation
Bryant’s traction is typically used for children who weigh under 35 pounds to avoid excessive pressure on the hips and ensure correct alignment.
Final answer = 35 pounds
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