A 2-year-old child with a fever is prescribed amoxicillin clavulanate 250 mg/5 cc three times daily by mouth [×] ten days for otitis media. To guard against antibiotic resistance,the nurse instructs the parent to
1. administer a loading dose for the first dose.
2. measure the prescribed dose in ahousehold teaspoon.
3. give the antibiotic for the fullten days.
4. stop the antibiotic if the child isafebrile
Answer:3
Rationale: Antibiotics must be administered for the full number of days ordered to prevent mutation of resistant strains of bacteria. A loading dose was not ordered. A household teaspoon may contain less than 5 cc,and the full dose must be given.Stopping the antibiotic before the prescribed time will permit remaining bacteria to reproduce,and the otitis media will return,possibly with antibiotic-resistant organisms. The absence of a fever is not an indication that all bacteria are killed or not reproducing.
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