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    Dosage calculation rn maternal newborn proctored assessment 3.2

    A nurse is caring for a client who experienced a cesarean birth 1 week ago and is being admitted for a puerperal infection. Which of the following prescriptions requires clarification with the provider?

    Explanation & Rationale

    A. Mupirocin 2% ointment topical to incision 3 times daily. Appropriate for preventing or treating localized bacterial infections at the surgical site. B. 0.45% sodium chloride 1,000 mL IV every 8 hr. Appropriate for hydration and fluid balance, which is important in infection management. C. Budesonide 250 mcg/inhalation suspension twice daily. Appropriate for respiratory conditions such as asthma or COPD; if the client has a history of such conditions, this would be reasonable. D. Ciprofloxacin 1,000 mg daily. Requires clarification because: Ciprofloxacin is not a first-line antibiotic for puerperal infections. Dosage concern: Ciprofloxacin is usually given 500 mg every 12 hours rather than a single 1,000 mg daily dose.

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