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)

Using a kitchen spoon to administer the medication.

Written information about the medication.

The reason why the child is taking the medication.

The adverse effects of the medication.

Stopping the medication when the child feels better.

Answer and Explanation

Correct Answer : B,C,D

Choice A reason: Using a kitchen spoon to administer the medication is not recommended. Kitchen spoons can vary in size and may not provide an accurate dose. It is important to use a proper measuring device, such as an oral syringe or a medication cup, to ensure the correct dosage.

Choice B reason: Written information about the medication is crucial for the parents or caregivers. This information should include the name of the medication, the dosage, the frequency of administration, and any special instructions. Providing written information helps ensure that the medication is administered correctly and consistently.

Choice C reason: The reason why the child is taking the medication should be clearly explained to the parents or caregivers. Understanding the purpose of the medication helps ensure compliance and allows them to monitor the child’s response to the treatment.

Choice D reason: The adverse effects of the medication should be discussed with the parents or caregivers. Knowing the potential side effects allows them to recognize and respond to any adverse reactions promptly. This information is essential for the safe administration of the medication.

Choice E reason: Stopping the medication when the child feels better is incorrect. Antibiotics should be taken for the full prescribed course, even if the child starts to feel better before the medication is finished. Stopping the medication early can lead to incomplete treatment of the infection and contribute to antibiotic resistance.

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Correct Answer is D

Explanation

Choice A reason:

Erythromycin is a macrolide antibiotic and is generally considered safe for patients with a penicillin allergy. It does not share the beta-lactam ring structure that is responsible for cross-reactivity in penicillin-allergic patients.

Choice B reason:

Gentamicin is an aminoglycoside antibiotic and is also safe for patients with a penicillin allergy. It does not have the beta-lactam ring structure and therefore does not pose a risk of cross-reactivity.

Choice C reason:

Amphotericin B is an antifungal medication and is not related to penicillin. It is safe for use in patients with a penicillin allergy as it does not share any structural similarities with penicillin.

Choice D reason:

Amoxicillin-clavulanate is a combination of a penicillin antibiotic (amoxicillin) and a beta-lactamase inhibitor (clavulanate). Since it contains amoxicillin, it should not be given to patients with a penicillin allergy due to the risk of an allergic reaction.

Correct Answer is ["1"]

Explanation

Step 1: Determine the total daily dose of vancomycin.

Total daily dose = 50 mg

Step 2: Divide the total daily dose into four equal doses.

Each dose = 50 mg ÷ 4
Each dose = 12.5 mg

Step 3: Determine the amount of vancomycin available per capsule.

Each capsule = 125 mg

Step 4: Calculate the number of capsules needed for each dose.

Number of capsules per dose = 12.5 mg ÷ 125 mg
Number of capsules per dose = (12.5 ÷ 125)
Number of capsules per dose = 0.1

Step 5: Round the answer to the nearest whole number.

Rounded number of capsules per dose = 0.1 (rounded to 0)

Since 0 capsules is not practical, the nurse should administer 1 capsule per dose to ensure the patient receives the medication.

So, the nurse should administer 1 tabletwith each dose.

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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)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a child who is allergic to penicillin. The nurse should clarify which of the following prescriptions with the provider?

Correct Answer is D

Explanation

Correct Answer is ["1"]

Explanation

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