A child is diagnosed with bacterial conjunctivitis and is prescribed topical antibiotic therapy. The child's mother asks when he can return to school. Which response by the nurse would be most appropriate?
A) "You need to wait until you finish the entire prescription of antibiotic.".
B) "Once the drainage is gone, he can go back to school.".
C) "You can send him to school this afternoon after his first dose of antibiotic.".
D) "He needs to be symptom-free for at least 72 hours.".
B
Feedback:
For the child with bacterial conjunctivitis, the child may safely return to school or day care when the mucopurulent drainage is no longer present, usually after 24 to 48 hours of treatment with the topical antibiotic. There is no need to wait until the prescription is finished. The antibiotic is being given topically, not systemically. One dose of antibiotic is not sufficient to eradicate the infection. Typically 24 to 48 hours of treatment is needed to stop the drainage, which, when no longer present, indicates that the child can return to school.
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