Nokea
A nurse is admitting a client and completing a preassessment before administering medications. Which of the following data should the nurse include in the preassessment? (Select ONE that does not apply.)
- A. Use of herbal teas
- B. Daily fluid intake
- C. Current health status
- D. Previous surgical history
Correct Answer: B
Rationale: Herbal teas , health status , surgical history , and allergies impact medication safety; fluid intake is less critical.
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Children who should receive meningococcal conjugate vaccine (Hib-MenCY, MenHibrix) include:
- A. Children traveling to the Haj
- B. Infants, routinely at 2, 4, 6, and 12 to 15 months
- C. Infants with functional asplenia (including sickle cell disease)
- D. Two-year olds with complement deficiencies
Correct Answer: C
Rationale: Hib-MenCY is indicated for infants with asplenia (e.g., sickle cell); Haj travel applies to older meningococcal vaccines.
After admitting a patient to the unit, the nurse is organizing times to administer ordered medications. What important consideration will guide the nurse's timing of each medication?
- A. Comfort
- B. Ethnicity of patient
- C. Gender
- D. Age
Correct Answer: D
Rationale: Age affects metabolism and timing needs (e.g., elderly may need adjusted schedules).
The nurse is applying the Centers for Disease Control and Prevention (CDC) recommendations for the possibility of bioterrorism. What action should the nurse perform?
- A. Post updated information on signs and symptoms of infections caused by biological agents
- B. Provide guidelines for treating clients exposed to, or potentially exposed to, biological agents
- C. Remain current on recognition and treatment of infections caused by biological weapons
- D. Advocate for increased funding for research involving bioterrorism and client treatment
Correct Answer: C
Rationale: Staying current on recognition and treatment aligns with CDC recommendations for nurse preparedness in bioterrorism scenarios.
A primary health care provider instructs a nurse to administer a medication to a patient STAT. Which action by the nurse would be most appropriate?
- A. Insist on obtaining a written report before administering any drug.
- B. Administer the drug as ordered by the physician.
- C. Forgo obtaining the physician's order after the drug has been administered.
- D. Document the administration of the drug only after receiving the physician's order.
Correct Answer: B
Rationale: The nurse should administer the drug as instructed without a written order as it is an emergency. The nurse should, however, ensure that the physician's order is obtained after the drug has been administered. Waiting for a written order during an emergency may exacerbate the patient's condition. The nurse should complete the documentation immediately after the administration of the drug and not wait until the physician's order is received.
Avoid concurrent administration of exenatide with which of the following drugs?
- A. Digoxin
- B. Warfarin
- C. Lovastatin
- D. All of the above
Correct Answer: D
Rationale: Exenatide delays gastric emptying, potentially affecting absorption of digoxin , warfarin , and lovastatin .