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

Time

Dosage

Route

Medication

Answer and Explanation

The Correct Answer is A

A) Time: The time of administration is an important factor to clarify. The prescription specifies erythromycin 500mg four times per day, but it does not specify the exact times the medication should be administered. The nurse should clarify the specific times to ensure the medication is given at proper intervals, especially considering the potential for drug interactions and the timing of meals, which may impact absorption.

B) Dosage: The dosage of 500mg is specified clearly in the prescription. There is no indication that the dosage is incorrect or needs clarification. Erythromycin 500mg four times per day is a standard dose for certain infections, so no issues are apparent with the dosage itself.

C) Route: The route of administration (oral, intravenous, etc.) is not specified in the question but is typically understood unless otherwise stated. However, in the context of erythromycin, the most common route is oral. Unless there’s uncertainty about the route, it does not need clarification.

D) Medication: The medication is clearly identified as erythromycin, which is a known antibiotic. There is no ambiguity in the medication prescribed, so there is no need for clarification in this regard. The focus should be on confirming the time of administration.

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Correct Answer is ["A","B","D","F","G","I"]

Explanation

Yellowing of the eyes (Jaundice) → Isoniazid and Rifampin can cause hepatotoxicity, leading to jaundice.

Blurred vision → Ethambutol can cause optic neuritis, leading to blurred vision and color blindness.

Dry eyes (Incorrect) → Not a common side effect of TB medications.

Gastrointestinal:

Abdominal pain → Isoniazid, Rifampin, and Pyrazinamide are hepatotoxic and can cause liver inflammation and gastric irritation.

Weight gain (Incorrect) → TB medications are more likely to cause weight loss rather than gain.

Hematologic:

Increased bruising & bleeding tendencies → Rifampin can cause thrombocytopenia, increasing the risk of bruising and bleeding.

Insomnia (Incorrect) → Not a serious adverse effect of TB medications.

Genitourinary:

Darkening of the urine → Rifampin causes orange-red discoloration of urine, sweat, and tears, which is a benign but expected effect.

Urinary frequency (Incorrect) → Not a known adverse effect of TB medications.

A. Believes the death is punishment for bad behavior B. Recognizes the parent will never wake up C. Understands that everyone dies eventually D. Expresses curiosity about the funeral service

Correct Answer is A

Explanation

A) Believes the death is punishment for bad behavior: Preschoolers, typically ages 3 to 5, often engage in magical thinking and may believe that death is a result of their own actions or bad behavior. They may see death as a punishment for something they did wrong, as they have difficulty understanding the permanence and inevitability of death. This egocentric thinking is typical for their developmental stage.

B) Recognizes the parent will never wake up: Preschoolers may not yet fully comprehend the permanence of death. They may think the deceased parent will eventually wake up or return. This belief reflects their limited understanding of death, which they may view as reversible or temporary, especially if they haven't encountered death before.

C) Understands that everyone dies eventually: Preschoolers do not generally have the cognitive ability to grasp the concept that everyone dies eventually. This understanding develops later, typically during the concrete operational stage of development (around age 7 or 8), when children begin to understand death as permanent and universal.

D) Expresses curiosity about the funeral service: While some preschoolers may express curiosity about events like a funeral, it is more likely that their curiosity would be centered on simple, tangible aspects of death (such as asking questions about where the person went or what happens to their body) rather than the ceremony itself. At this stage, children may not fully understand the cultural or symbolic meanings of a funeral service.

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Body system	Findings
Head. Eyes. Ears. Nose, and Throat (HEENT)	Yellowing of the eyes Blurred vision Dry eyes
Gastrointestinal	Abdominal pain Weight gain
Hematologic	Increased bruising Increased bleeding tendancies Insomnia
Genitourinary	Darkening of the urine Urinary frequency

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["A","B","D","F","G","I"]

Explanation

A nurse is caring for a preschooler who recently experienced the death of a parent. Which of the following findings should the nurse identify as consistent with this age group?

Correct Answer is A

Explanation

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