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: Droplet precautions need a mask, not always gown and gloves, unless contact is likely. Scientifically, this overstates requirements, as droplet spread (e.g., flu) prioritizes respiratory protection, indicating partial misunderstanding of PPE specifics.
Choice B reason: Bleach at 1:20 is too dilute; 1:10 is standard for blood spills. Scientifically, this weakens disinfection, as higher chlorine concentration kills pathogens like hepatitis, showing incorrect grasp of spill management protocols.
Choice C reason: Biohazard disposal for soiled dressings prevents pathogen spread, aligning with infection control. Scientifically, this ensures safe waste handling, as dressings may harbor bacteria or viruses, reflecting accurate understanding of standard precautions.
Choice D reason: Alcohol doesn’t kill C. difficile spores; soap and water are required. Scientifically, this misapplies hand hygiene, as spore-forming bacteria resist alcohol, indicating a key error in infection control knowledge for this pathogen.
Correct Answer is D
Explanation
Choice A reason: Fluconazole treats fungal infections, not RSV, a viral respiratory illness. Antivirals like ribavirin might apply, but antifungals don’t. Scientifically, this mismatches RSV’s etiology, as it’s a paramyxovirus, rendering fluconazole ineffective and irrelevant for managing this preschooler’s condition.
Choice B reason: Monitoring urine for protein assesses kidney function, unrelated to RSV, which affects lungs. Proteinuria isn’t a typical RSV sign. Scientifically, this lacks relevance, as RSV causes respiratory distress, not renal complications, making it an unnecessary action here.
Choice C reason: An X-ray of the neck targets croup or epiglottitis, not RSV, which affects lower airways. RSV needs chest imaging if severe. Scientifically, neck imaging misaligns with RSV’s pathophysiology, wasting resources when lung assessment is more pertinent.
Choice D reason: Droplet precautions prevent RSV spread via respiratory droplets, critical in preschoolers who aerosolize virus easily. Scientifically, this aligns with infection control, as RSV’s high contagiousness requires masks and isolation to protect others, a primary nursing action per guidelines.
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