Nokea
A nurse is preparing to administer a new prescription for ampicillin 1.5g IV every 6 hr to a client who has an upper respiratory infection. The client also has a prescription for a sputum specimen for culture and sensitivity. Which of the following actions should the nurse plan to take?
- A. Verify the prescription.
- B. Administer the medication at 1000, 1400, 1800, and 2200.
- C. Assess the client for an allergy to penicillin
- D. Document giving the medications
- E. Obtain a sputum for culture and sensitivity
Correct Answer: A,C,D,E
Rationale: Correct Answer: A, C, D, E
Rationale:
A: Verify the prescription - It is essential for the nurse to confirm the accuracy and appropriateness of the new medication order before administration.
C: Assess the client for an allergy to penicillin - Since ampicillin is a penicillin antibiotic, it is crucial to evaluate the client for any potential allergic reactions.
D: Document giving the medications - Documentation is a critical aspect of nursing practice to ensure accurate recording of the medication administration.
E: Obtain a sputum for culture and sensitivity - This action is necessary to identify the causative organism and determine the most effective antibiotic therapy for the client's infection.
Summary:
B: Administering the medication at specific times is not relevant to the question.
F, G: No additional options provided.
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A nurse is providing teaching for a client who has a prescription for gentamicin. Which of the following should the nurse include as an adverse effect of this medication?
- A. Urinary frequency
- B. Constipation
- C. Hypertension
- D. Tinnitus
Correct Answer: D
Rationale: The correct answer is D: Tinnitus. Gentamicin is known to cause ototoxicity, including tinnitus, which is a ringing or buzzing sound in the ears. This adverse effect is important for the nurse to include in teaching to monitor for hearing changes. Urinary frequency (A), constipation (B), and hypertension (C) are not commonly associated with gentamicin use, so they are incorrect choices.
A nurse who is caring for a preschooler should question a prescription for which of the following antibiotics?
- A. Azithromycin
- B. Tetracycline
- C. Cefuroxime
- D. Gentamicin
Correct Answer: B
Rationale: The correct answer is B: Tetracycline. Tetracycline is contraindicated in preschoolers due to its potential to cause permanent discoloration of teeth and inhibition of bone growth. Azithromycin (A) and Cefuroxime (C) are safe choices for preschoolers. Gentamicin (D) is generally used in newborns, not preschoolers.
A nurse is caring for a client who is receiving diazepam as sedation for an endoscopy, Which of the following antidotes should the nurse have on hand during the procedure?
- A. Naloxone
- B. Atropine
- C. Flumazenil
- D. Neostigmine
Correct Answer: C
Rationale: The correct answer is C: Flumazenil. Flumazenil is the antidote for benzodiazepines like diazepam, used for sedation. It works by competitively inhibiting benzodiazepine binding, reversing sedative effects. Naloxone (A) is for opioid overdose, Atropine (B) for bradycardia, and Neostigmine (D) for reversing neuromuscular blockade. No other choices provided. In summary, Flumazenil is the appropriate antidote for benzodiazepine overdose, making it the correct choice in this scenario.
A nurse in the emergency department is planning care for a client who had a myocardial infarction and is receiving thrombolytic therapy with an WV infusion of alteplase. Which of the following interventions should the nurse include in the plan?
- A. Administer aspirin instead of acetaminophen for fever
- B. Ambulate the client as often as tolerated
- C. Administer a sodium phosphate enema for constipation
- D. Monitor for changes in level of consciousness
Correct Answer: D
Rationale: The correct answer is D: Monitor for changes in level of consciousness. This is essential because thrombolytic therapy with alteplase can increase the risk of intracranial bleeding, which can lead to changes in the level of consciousness. Monitoring for neurological signs, especially changes in mental status, is crucial for early detection and intervention in case of intracranial bleeding.
Choice A is incorrect as aspirin is not recommended alongside thrombolytic therapy due to increased risk of bleeding. Choice B is incorrect as ambulating the client may increase the risk of bleeding complications. Choice C is incorrect as administering a sodium phosphate enema is not relevant to the client's condition.
A nurse is providing teaching to a client who has a history of diabetes mellitus and a new prescription for hydrochlorothiazide to treat uncontrolled hypertension. Which of the following information should the nurse include in the teaching?
- A. Blood glucose monitoring is likely to be inaccurate while taking hydrochlorothiazide
- B. You might need to decrease your insulin dosage while taking hydrochlorothiazide.
- C. Hydrochlorothiazide therapy can elevate blood glucose levels in clients who have diabetes
- D. Reducing sodium in your die whim taking your control your blood glucose.
Correct Answer: C
Rationale: The correct answer is C: Hydrochlorothiazide therapy can elevate blood glucose levels in clients who have diabetes. Hydrochlorothiazide is a diuretic that can lead to increased blood glucose levels, particularly in individuals with diabetes. This is important for the nurse to include in the teaching to ensure the client is aware of potential effects on their blood glucose levels.
A: Blood glucose monitoring is likely to be inaccurate while taking hydrochlorothiazide - This statement is incorrect as monitoring blood glucose levels is still important while taking hydrochlorothiazide.
B: You might need to decrease your insulin dosage while taking hydrochlorothiazide - This statement is incorrect as hydrochlorothiazide can elevate blood glucose levels, which may necessitate adjustments to insulin dosage.
D: Reducing sodium in your diet will help control your blood glucose - This statement is not directly related to the effects of hydrochlorothiazide on blood glucose levels.
In summary, choice C is the correct