A provider prescribes phenobarbital for a client who has a seizure disorder. The medication has a long half life of 4 days. How many times per day should the nurse expect to administer this medication?
A. One
B. Two
...
A provider prescribes phenobarbital for a client who has a seizure disorder. The medication has a long half life of 4 days. How many times per day should the nurse expect to administer this medication?
A. One
B. Two
C. Three
D. Four
A nurse educator is reviewing medication metabolism at an in-service presentation. Which of the following factors should the educator include as a reason to administer lower medication dosages? (select all that apply)
A. Increased renal excretion
B. Increased medication-metabolizing enzymes
C. Liver failure
D. Peripheral vascular disease
E. Concurrent use of medication the same pathway metabolizes
A nurse is preparing to administer eye drops to a client. Which of the following actions should the nurse take? (select all that apply)
A. Have the client lie on one side
B. Ask the client to look up at the ceiling
C. Tell the client to blink when the drops enter the eye
D. Drop the medication into the client's conjunctival sac
E. Instruct the client to close the eye gently after instillation
A nurse is teaching a client about transdermal patches. Which of the following statements should the nurse identify as an indication that the client understands?
A. "I will clean the site with an alcohol swab before I apply the patch."
B. "I will rotate the application site weekly."
C. "I will apply the patch to an area of skin with no hair."
D. "I will place the new patch on the site of the old patch."
A nurse reviewing a client's medical record notes a new prescription for verifying the trough level of the client's medication. Which of the following actions should the nurse take?
A. Obtain a blood specimen immediately prior to administering the next dose of medication
B. Verify that the client has been taking the medication for 24 hours before obtaining a blood specimen
C. Ask the client to provide a urine specimen after the next dose of medication
D. Administer the medication, and obtain a blood specimen 30 minutes later
A nurse is preparing a client's medications. Which of the following actions should the nurse take in following legal practice guidelines? (select all that apply)
A. Teach the client about the medication
B. Determine the dosage
C. Monitor for adverse effects
D. Lock compartments for controlled substances
E. Determine the client's insurance status
A nurse is preparing to administer digoxin to a client who states, "I do not want to take that medication. I do not want one more pill." Which of the following responses should the nurse make?
A. "Your physician prescribed it for you, so you really should take it."
B. "Well, let's just get it over quickly then."
C. "Okay, I'll just give you your other medications."
D. "Tell me your concerns about taking this medication."
A nurse is reviewing a client's prescribed medications. Which of the following situations represents a contraindication to medication administration?
A. The client drank grapefruit juice, which could reduce a medication's effectiveness
B. The medication has orthostatic hypotension as an adverse effect
C. A medication is approved for ages 12 and older, and the client is 8 years old
D. An anti-anxiety medication that has an adverse effect of drowsiness is prescribed as a preoperative sedative
A nurse is assessing a client before administering medications. Which of the following data should the nurse obtain? (select all that apply)
A. Use of herbal supplements
B. Daily fluid intake
C. Ability to swallow
D. Previous surgical history
E. Allergies
A nurse is working with a newly licensed nurse who is administering medications to clients. Which of the following actions should the nurse identify as an indication that the newly hired nurse understands medication error prevention?
A. Taking all medications out of the unit-dose wrappers before entering the patient's room
B. Checking the prescription when a single dose requires administration of multiple tablets
C. Administering a medication, then looking up the usual dosage range
D. Relying on another nurse to clarify a medication prescription
A nurse is caring for a client experiencing IV extravasation. The facility requires the administration of an antidote for the prescribed IV solution. After stopping the IV infusion, which of the following actions should the nurse take first?
A. Remove the IV catheter
B. Withdraw the solution from the IV access
C. Administer the antidote to the vesicant
D. Insert a new IV access in a different extremity
A nurse is preparing to initiate IV therapy for an older adult client. Which of the following actions should the nurse plan to take?
A. Use a disposable razor to remove excess hair on the extremity
B. Select the back of the client's hand to insert the IV catheter
C. Distend the veins by using a blood pressure cuff
D. Direct the client to raise their arm above their head
A nurse assessing the IV catheter insertion site for a client receiving a nonvesicant solution and notes swelling at the site with decreased skin temperature. Which of the following actions should the nurse take? (select all that apply)
A. Stop the infusion
B. Start a new IV access distal to this site
C. Apply warm compresses to the insertion site
D. Elevate the client's arm
E. Obtain a specimen for culture at the insertion site
Acetaminophen antidote?
Acetylcysteine
Manifestations of hepatotoxicity?
N/V
Jaundice
Dark urine
Abdominal pain
Anorexia
Medications that are considered especially nephrotoxic?
Acyclovir
Aminoglycosides
Cyclosporine
NASIDs
Amphotericin B
Medications most commonly associated with angioedema?
NSAIDs
ACE inhibitors
A nurse in a clinic is caring for a group of clients. The nurse should contact the provider about a potential contraindication to medication for which of the following clients? (select all that apply)
A. A client at 8 weeks gestation who requests a flu shot
B. A client who takes prednisone and has a possible fungal infection
C. A client who has chronic liver disease and is taking hydrocodone/acetaminophen
D. A client who has PUD takes sucralfate, and has started taking OTC aluminum hydroxide
E. A client who has a prosthetic heart valve, takes Warfarin, and has a suspected pregnancy
A nurse is preparing to administer an IM dose of penicillin to a client who has a
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