Nokea
A nurse is preparing to administer erythromycin PO to a client who has an infection. The nurse checks the client's medical record and notes that the client has a severe allergy to penicillin. Which of the following actions should the nurse take?
- A. Premedicate the client with diphenhydramine.
- B. Request a different route of administration from the provider.
- C. Administer the medication to the client.
- D. Request a different medication from the provider.
Correct Answer: C
Rationale: Rationale:
The correct action is to administer the medication to the client (Choice C) because erythromycin is not related to penicillin, and having a severe allergy to penicillin does not contraindicate the use of erythromycin. Premedicating with diphenhydramine (Choice A) is not necessary as there is no cross-reactivity between erythromycin and penicillin. Requesting a different route of administration (Choice B) is unnecessary as the oral route is appropriate for erythromycin. Requesting a different medication (Choice D) is not required, as erythromycin is safe to use in a client with a penicillin allergy.
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A nurse is caring for a client who is receiving tobramycin. The nurse should monitor the client for which of the following adverse effects?
- A. Increased salivation
- B. Bruising
- C. Joint pain
- D. Tinnitus
Correct Answer: D
Rationale: The correct answer is D: Tinnitus. Tobramycin is an aminoglycoside antibiotic known to cause ototoxicity, including tinnitus. Tinnitus is a ringing or buzzing sound in the ears. It is important to monitor for this adverse effect as it can be an early sign of ototoxicity. Increased salivation (A), bruising (B), and joint pain (C) are not commonly associated with tobramycin use. Monitoring for tinnitus is crucial to prevent further hearing loss.
A nurse is collecting data from a client who is taking prednisone and self-administers insulin daily. The nurse should identify that which of the following findings indicates a medication interaction?
- A. Orthostatic hypotension
- B. Hyperglycemia
- C. Paresthesia
- D. Jaundice
Correct Answer: B
Rationale: The correct answer is B: Hyperglycemia. Prednisone can increase blood sugar levels, and insulin is used to lower blood sugar levels. If the client is experiencing hyperglycemia while taking both medications, it indicates a possible medication interaction. Orthostatic hypotension (A) is not typically associated with this medication combination. Paresthesia (C) and jaundice (D) are not commonly related to prednisone and insulin interactions.
A nurse is reviewing a list of current medications for a client who is starting therapy with furosemide. Which of the following medications should the nurse identify as being contraindicated?
- A. Levothyroxine
- B. Cetirizine
- C. Lithium carbonate
- D. Albuterol
Correct Answer: C
Rationale: The correct answer is C: Lithium carbonate. Furosemide can decrease lithium excretion, leading to increased lithium levels and toxicity. Levothyroxine (A), Cetirizine (B), and Albuterol (D) do not have significant interactions with furosemide. In summary, the other choices are incorrect because they do not pose a contraindication when taken concurrently with furosemide, unlike lithium carbonate.
A nurse is caring for a client who has chronic liver disease. Which of the following medications should the nurse recognize as appropriate for this client?
- A. Alprazolam
- B. Rotavirus vaccine
- C. Niacin
- D. Hepatitis A vaccine
Correct Answer: D
Rationale: The correct answer is D: Hepatitis A vaccine. Patients with chronic liver disease are at increased risk for complications from hepatitis A. Administering the hepatitis A vaccine can help prevent further liver damage in this population. Alprazolam (A) is a benzodiazepine used for anxiety disorders, not directly related to liver disease. Rotavirus vaccine (B) is used for preventing rotavirus infection in children, not relevant to chronic liver disease in adults. Niacin (C) is a vitamin used for managing cholesterol levels and has no direct effect on liver disease.
A charge nurse is evaluating a newly licensed nurse caring for a client who is using a PCA device. Which of the following actions by the nurse requires intervention by the charge nurse?
- A. The nurse monitors the client for oversedation
- B. The nurse reassures the client that the PCA device will not cause an overdose
- C. The nurse asks the client to demonstrate dose delivery.
- D. The nurse administers a PCA dose for the client.
Correct Answer: D
Rationale: Correct Answer: D. The nurse administering a PCA dose for the client requires intervention. This is because only the client should be allowed to self-administer medication via a PCA device to ensure safety and prevent medication errors. Allowing the nurse to administer the dose goes against the principles of PCA therapy, which empowers the client to manage their pain relief within safe limits.
Choice A: Monitoring the client for oversedation is a standard nursing practice and does not require intervention.
Choice B: Reassuring the client about the PCA device is important for patient education but does not require immediate intervention.
Choice C: Asking the client to demonstrate dose delivery is a proactive approach to ensure the client understands how to use the device correctly and does not require intervention unless the client is unable to demonstrate understanding.