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?
Medication
Dosage
Route
Time
The Correct Answer is C
Choice A reason: Erythromycin is specified, so the medication is clear. No ambiguity exists here for clarification. Scientifically, drug identity is explicit, and errors arise elsewhere, making this unnecessary to question unless a different antibiotic was intended, which isn’t suggested.
Choice B reason: Dosage (500 mg) is precise, with no range or units needing clarification. Scientifically, this is a standard erythromycin dose, aligning with therapeutic norms for infections, leaving little room for error unless misheard, which isn’t indicated.
Choice C reason: Route (e.g., oral, IV) isn’t stated, critical for erythromycin, as administration affects bioavailability and efficacy. Scientifically, unclear delivery risks under- or overdosing, necessitating provider clarification to ensure safe, effective treatment per pharmacological standards.
Choice D reason: Time (four times daily) is clear, aligning with erythromycin’s pharmacokinetics for steady levels. Scientifically, frequency is unambiguous, requiring no clarification unless intervals were vague, which they aren’t, making this less urgent than route.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Stating no need for gynecological exams post-hysterectomy is incorrect. Even without a uterus, pelvic exams monitor for cancers like ovarian or vaginal. This misunderstanding suggests the client lacks full awareness of long-term care needs, indicating incomplete informed consent about the procedure’s implications on future health monitoring.
Choice B reason: Expecting a large stomach scar is inaccurate for a vaginal hysterectomy, which avoids abdominal incisions unlike abdominal hysterectomy. This misconception shows the client does not understand the surgical approach, a key consent element, as it impacts recovery and risks, suggesting consent was not fully informed.
Choice C reason: Expressing relief about no more children aligns with understanding a hysterectomy removes the uterus, ending menstruation and fertility. This reflects comprehension of the procedure’s purpose and permanent outcome, a core aspect of informed consent, indicating the client grasps the surgery’s reproductive implications accurately.
Choice D reason: Expecting periods to resume post-hysterectomy is wrong, as removing the uterus stops menstruation permanently. This error reveals a critical misunderstanding of the procedure’s effects, a fundamental consent requirement, suggesting the client has not been adequately informed about the surgery’s impact on her menstrual cycle.
Correct Answer is C
Explanation
Choice A reason: Puffed rice cereal lacks significant fiber, offering minimal bulk to stimulate peristalsis. It’s a poor choice for constipation relief, as it doesn’t soften stool or aid movement.
Choice B reason: Tomato juice provides hydration and some nutrients, but its low fiber content doesn’t effectively combat constipation. High-fiber foods are needed to increase stool bulk instead.
Choice C reason: Bran muffins are high in insoluble fiber, adding bulk and water to stool, promoting bowel movements. This choice reflects understanding of constipation management through diet.
Choice D reason: Cottage cheese is low in fiber, offering protein but no relief for constipation. It doesn’t enhance intestinal motility or stool consistency, making it an ineffective option.
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