A nurse is transcribing a client's prescription for erythromycin 500 mg four times per day. Which of the following information should the nurse clarify with the provider?

A.This statement reflects the client's emotional response to their condition, which is important to address, but it does not indicate a need for immediate medical intervention.

B.Psoriasis is a chronic skin condition characterized by the rapid buildup of skin cells, resulting in thick, red, scaly patches on the skin. Treatment for psoriasis often involves the use of topical medications that are applied to the affected areas. This is a good practice. Old medication should be removed before applying a new dose to ensure the effectiveness of the treatment.

C.This is a reasonable practice as some fabric softeners may contain ingredients that can irritate sensitive skin, including the skin affected by psoriasis. Avoiding fabric softeners or using hypoallergenic alternatives can help reduce potential irritation.

D.Sunlight exposure can actually be beneficial for clients with psoriasis, as ultraviolet (UV) light can help reduce the growth of skin cells and alleviate symptoms. If the client is limiting their sunlight exposure, they might be missing out on a potential therapeutic benefit. However, it is important to balance sun exposure and avoid overexposure to prevent skin damage.

When a central venous catheter (CVC) is inserted, it is essential to confirm proper catheter placement to ensure safe and effective administration of TPN and other medications. A chest x-ray is the gold standard method to verify the correct positioning of the CVC tip. It helps
determine if the catheter is appropriately positioned in the superior vena cava or another desired location, which minimizes the risk of complications such as pneumothorax or improper medication delivery.

The other options listed are not appropriate actions for the nurse to take in this situation:
A. Verifying the amount of TPN solution the client is receiving every 4 hours is a task related to ongoing monitoring of TPN administration, but it is not directly related to the preparation of the client for CVC insertion.
C. Using a clean technique when changing the catheter dressing is not appropriate for CVC insertion. A sterile technique is required during the insertion of a CVC to minimize the risk of infection.
D. Placing the client in Sims' position is not the appropriate position for CVC insertion. The client is typically placed in a supine or Trendelenburg position during the procedure to facilitate access to the central venous system.