A nurse is providing teaching to a client who has a skin infection and a new prescription for gentamicin topical cream. Which of the following instructions should the nurse provide?

Wash the aﬀected area with soap and water before applying cream.

Apply a heavy layer of cream well beyond the border of the aﬀected site.

The meditation might cause temporary blurted vision.

Increase intake of ﬂuids while using this medication

Answer and Explanation

The Correct Answer is A

According to Mayo Clinic, before applying gentamicin topical cream, one should wash the aﬀected area with soap and water and dry thoroughly. Then apply a small amount to the aﬀected area and rub in gently.

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Correct Answer is C

Explanation

Enteric-coated aspirin is designed to release slowly over time to protect the stomach lining from irritation. Crushing the medication would defeat this purpose and could cause stomach irritation or other side eﬀects.

A. A client who bn a fever of unknown origin B. A client who has a prosthetic heart valve is having dental surgery C. A client who had an emergency cesarean section D. A client following total hip arthroplasty.

Correct Answer is A

Explanation

Prophylactic antibiotics are antibiotics given to prevent an infection from occurring. They are often used in situations where there is a high risk of infection, such as during surgery or dental procedures. However, prophylactic antibiotics are not recommended for all clients.

Option b is a situation where prophylactic antibiotics are recommended. Clients with prosthetic heart valves are at an increased risk of developing infective endocarditis (infection of the heart lining) during dental procedures due to the risk of bacteria entering the bloodstream.

Option c is another situation where prophylactic antibiotics may be used. Clients who have had an emergency cesarean section are at an increased risk of developing post-operative infections, and prophylactic antibiotics may be given to prevent this.

Option d is also a situation where prophylactic antibiotics may be used. Total hip arthroplasty is a surgical procedure that involves replacing the hip joint with a prosthesis. Clients who undergo this procedure are at an increased risk of developing a surgical site infection, and prophylactic antibiotics may be given to prevent this.

Option a, on the other hand, does not warrant prophylactic antibiotics. A fever of unknown origin does not necessarily indicate an infection, and antibiotics should only be given when there is a confirmed bacterial infection. Inappropriate use of antibiotics can lead to antibiotic resistance and other adverse eﬀects.

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A nurse is providing teaching to a client who has a skin infection and a new prescription for gentamicin topical cream. Which of the following instructions should the nurse provide?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has difficulty swallowing medications and is prescribed enteric-coated aspirin PO once daily. The client asks if the medication can be crushed to make it easier to swallow. Which of the following responses should the nurse provide?

Correct Answer is C

Explanation

A nurse is reviewing guidelines for prophylactic antibiotics. The nurse should Identify that prophylactic antibiotic therapy is not recommended for which of the following clients?

Correct Answer is A

Explanation

A nurse is administering timolol eye drops to a client who has glaucoma. Which of the following actions should the nurse take?

A nurse is providing teaching to a client who has a skin infection and a new prescription for gentamicin topical cream. Which of the following instructions should the nurse provide?

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