Which instruction should take priority in client teaching for any ...

[cmoore54]

Which instruction should take priority in client teaching for any antibiotic therapy?
 
  1. The full course of prescribed drug therapy must be completed.
  2. Maintain adequate food intake
  3. Maintain an adequate fluid intake
  4. Report symptoms of secondary infection, such as vaginal yeast infections

Question 2

The nurse is administering the first dose of ampicillin intramuscularly to a client with a severe infection. In addition to the six rights of medication administration, an important priority nursing action is to:
 
  1. monitor bowel sounds.
  2. teach the client about the side effects of the drug.
  3. encourage the client to increase fluid intake.
  4. monitor the client closely for hypersensitivity with the first dose.

[zoeyesther]

Answer to Question 1

Correct Answer: 1
Rationale 1: The priority teaching point is that the client must complete the entire prescription to ensure treatment success and prevent the development of resistance.
Rationale 2: Although adequate food intake is important, another teaching point is priority.
Rationale 3: Although fluid intake is important, another teaching point is priority.
Rationale 4: Although secondary infections are uncomfortable and should be reported, another teaching point is priority.
Global Rationale: While all of these points are important, the priority is teaching the patient to take the entire course of antibiotic. This helps ensure that the maximum amount of bacteria are killed and helps to prevent drug resistance.

Answer to Question 2

Correct Answer: 4
Rationale 1: The chance of hypersensitivity is greater with parenteral administration of ampicillin; so while monitoring bowel sounds is important, it is not as important as another nursing action.
Rationale 2: The chance of hypersensitivity is greater with parenteral administration of ampicillin; so while teaching about side effects is important, it is not as important as another nursing action.
Rationale 3: The chance of hypersensitivity is greater with parenteral administration of ampicillin; so while encouraging fluid intake is important, it is not as important as another nursing action.
Rationale 4: The chance of hypersensitivity is greater with parenteral administration of ampicillin. The priority nursing action is to monitor the client for 30 minutes following administration.
Global Rationale: Hypersensitivity may occur even with the first dose of a medication. The nurse must monitor for that possibility.

[cmoore54]

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[zoeyesther]

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