A nurse is caring for a client who has a new prescription for a protective safety restraint. Which of the following actions should the nurse take?

A. Indication: The prescription clearly states that acetaminophen is to be administered for a temperature above 38.5°C (101.3°F), which provides an appropriate therapeutic indication. Fever reduction is a standard and evidence-based use of acetaminophen in infants. The indication is specific and does not require clarification.

B. Frequency: The order includes the medication name, dose, route, and indication but does not specify how often the medication can be administered. Acetaminophen requires clear dosing intervals, typically every 4 to 6 hours, with a maximum daily dose to prevent hepatotoxicity. Without a defined frequency, there is a risk of overdose or inappropriate administration timing.

C. Route: The prescription specifies oral administration (PO), which is an appropriate and commonly used route for acetaminophen in infants who can tolerate oral intake. There is no ambiguity regarding how the medication should be delivered.

D. Dose: An 80 mg dose may be appropriate depending on the infant’s weight, as pediatric acetaminophen dosing is calculated at 10–15 mg/kg per dose. Although weight-based dosing should always be verified, the presence of a specific dose does not automatically require clarification unless it falls outside the safe range.

A. Administer bupropion 1 hr before meals: Bupropion is contraindicated in clients with bulimia nervosa due to an increased risk of seizures. Antidepressants such as SSRIs, like fluoxetine, are preferred for managing bulimia and comorbid depression.

B. Allow the client access to food throughout the day: Unrestricted access to food can trigger binge-eating episodes in clients with bulimia nervosa. Structured meal planning with scheduled eating times is more effective in reducing binge-purge behaviors.

C. Weigh the client once weekly: Weekly weighing is insufficient for monitoring rapid weight fluctuations associated with bulimia. Daily or more frequent monitoring, combined with close observation, is recommended to identify sudden changes and ensure safety.

D. Observe the client for 1 hr after meals: Post-meal observation helps prevent purging behaviors, such as self-induced vomiting or misuse of laxatives. This intervention directly addresses the core pathology of bulimia nervosa and supports safety and behavioral modification strategies.