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?

A client who bn a fever of unknown origin

A client who has a prosthetic heart valve is having dental surgery

A client who had an emergency cesarean section

A client following total hip arthroplasty.

Answer and Explanation

The Correct Answer is A

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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Correct Answer is ["B","C","E"]

Explanation

The correct answer is choice b. The adverse effects of the medication., c. Written information about the medication., and e. The reason why the child is taking the medication.

Choice A rationale:

Stopping the medication when the child feels better is incorrect. It is important to complete the full course of antibiotics to ensure the infection is fully treated and to prevent antibiotic resistance.

Choice B rationale:

The adverse effects of the medication should be included in the discharge instructions. Parents need to be aware of potential side effects so they can monitor their child and seek medical attention if necessary.

Choice C rationale:

Written information about the medication is essential. This provides parents with a reference to review the medication’s purpose, dosage, and administration instructions.

Choice D rationale:

Using a kitchen spoon to administer the medication is incorrect. Kitchen spoons are not accurate for measuring medication doses. A proper measuring device, such as an oral syringe or medicine cup, should be used.

Choice E rationale:

The reason why the child is taking the medication should be included in the discharge instructions. Understanding the purpose of the medication helps ensure adherence to the prescribed treatment plan.

A. Use lotion and moisturizer before applying a new patch to either area. B. Remove the old patch and apply a new one in the same location. C. Press the patch securely in place on my forearm. D. Clean and dry the area before applying the patch.

Correct Answer is D

Explanation

When using a transdermal patch, it is important to clean and dry the skin before applying the patch 1. This helps to ensure that the patch sticks properly to the skin. The nurse should identify this statement as an indication that the client understands the teaching about using transdermal patches at home.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to discharge a child who has a new prescription for an oral antibiotic. Which of the following information should the nurse include in the discharge instructions? (Select all that apply.)

Correct Answer is ["B","C","E"]

Explanation

A nurse is reinforcing teaching with a client about using transdermal patches at home. Which of the following statements should the nurse identify as an indication that the client understands the teaching?

Correct Answer is D

Explanation

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