A nurse is preparing to administer vancomycin 50 mg PO daily divided into four equal doses. The amount available is vancomycin 125 mg capsules. How many capsules should the nurse administer with each dose?

(Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Choice A reason: You sound overwhelmed. Let’s talk about this some more. This response acknowledges the mother’s feelings and opens the door for further discussion. However, it does not directly address her specific concerns about physical activities. While it is empathetic, it lacks the focus needed to explore her worries about her son’s participation in school activities.

Choice B reason: I agree. His well-being is the most important. This response validates the mother’s concern but may inadvertently reinforce her fears without providing a balanced perspective. It does not encourage a discussion about the benefits of physical activity for children with diabetes or how to manage his condition safely during such activities.

Choice C reason: Tell me more about how you are feeling about your son’s activities. This response is the most appropriate as it invites the mother to express her specific concerns and feelings. It shows empathy and a willingness to understand her perspective, which can lead to a more productive conversation about managing her son’s diabetes while allowing him to participate in physical activities.

Choice D reason: You might want to use tutors to home-school him. This response suggests an alternative that may not be necessary or beneficial. Home-schooling might isolate the child and prevent him from enjoying social interactions and physical activities that are important for his overall development. It does not address the mother’s concerns directly and may not be the best solution.

Choice A reason: I am a prophet of the most high king

This statement reflects a delusion, which is a common symptom of schizophrenia. Delusions are false beliefs that are not based in reality. This statement does not indicate concrete thinking but rather a fixed, false belief.

Choice B reason: The voices tell me that I must avoid large crowds

This statement indicates auditory hallucinations, another common symptom of schizophrenia. Hallucinations involve perceiving things that are not present. This statement does not reflect concrete thinking but rather a perceptual disturbance.

Choice C reason: I am sure that each problem has only one solution

This statement reflects concrete thinking, which is characterized by a focus on literal and specific details rather than abstract concepts. Concrete thinking involves a rigid and literal interpretation of information, often seen in individuals with schizophrenia. This statement shows a lack of flexibility in thinking and an inability to consider multiple solutions to a problem.

Choice D reason: I know that you and the other nurses are trying to poison me

This statement reflects paranoia, a type of delusion where the individual believes others are out to harm them. Paranoid delusions are common in schizophrenia but do not indicate concrete thinking.