Nokea
A nurse is teaching a client who has a new prescription for Beclomethasone. Which of the following instructions should the nurse include?
- A. Rinse your mouth after each use of this medication.
- B. Limit fluid intake while taking this medication.
- C. Increase your intake and the medication.
- D. You can take the medication as needed.
Correct Answer: A
Rationale: Rinsing the mouth prevents oral thrush, a common side effect of inhaled corticosteroids.
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Before administering a prescription medication, what information does the nurse find on the drug label? (Select all that apply.)
- A. Brand name
- B. Generic name
- C. Drug concentration
- D. Adverse effects
Correct Answer: D
Rationale: Prescription drug labels will contain the brand name, generic name, drug concentration, and expiration date. Adverse effects will not be listed on drug labels.
A 3 year old child has been admitted to hospital with suspicion of an atropine overdose. Which of the following symptoms could have led to the arrival of the diagnosis?
- A. Abdominal cramps
- B. Increased gastric secretion
- C. Increased cardiac rate
- D. Papillary constriction
Correct Answer: C
Rationale: Atropine overdose causes tachycardia due to muscarinic blockade.
Which of the following drugs are mucolytics?
- A. Diphenhydramine
- B. Carbocisteine and mecysteine
- C. Methadone or diamorphine
- D. Atropine
Correct Answer: B
Rationale: Carbocisteine and mecysteine break mucus disulfide bonds, acting as mucolytics.
A nurse has received an order to administer two drugs at the same time of the day. The nurse should first:
- A. Wash her hands before handling the medications
- B. Consult a drug guide for compatibility
- C. Question the patient concerning drug allergies
- D. Identify the patient by checking the armband and asking the patient to state his or her name
Correct Answer: B
Rationale: Consulting a drug guide for compatibility is critical to avoid adverse interactions when administering two drugs simultaneously. Hand washing, allergy checks, and patient identification are also essential but follow ensuring drug compatibility to prevent harm.
A patient is brought to the emergency department after ingesting an overdose of lorazepam (Ativan) several hours prior. The patient has a respiratory rate of 6 to 10 breaths per minute and is unconscious. The nurse will prepare to perform which action?
- A. Administer activated charcoal
- B. Give flumazenil (Romazicon)
- C. Give naloxone (Narcan)
- D. Perform gastric lavage
Correct Answer: B
Rationale: Flumazenil reverses benzodiazepine (lorazepam) overdose; naloxone is for opioids. Flumazenil is the antidote for benzodiazepine overdose.