Nokea
Influenza vaccine may be administered annually to:
- A. Patients with an egg allergy
- B. Pregnant patients
- C. Patients age 6 weeks or older
- D. Patients with acute febrile illness
Correct Answer: B
Rationale: Influenza vaccine is safe in pregnancy; egg allergy requires caution, 6 weeks is too young, and fever delays it.
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A patient is to receive a daily dose of 240 mg of a medication. The dose is supposed to be divided evenly so that the drug is given every 6 hours. How much of the drug should be given at each dose?
- A. 30 mg
- B. 40 mg
- C. 50 mg
- D. 60 mg
Correct Answer: D
Rationale: Because there are 24 hours in a day, giving a drug every 6 hours would mean giving the drug four times a day. Because the total daily dose is 240 mg, dividing that dose by four would mean each dose should be 60 mg.
The health care provider has prescribed silver sulfadiazine (Silvadene) for the client with a partial thickness burn, which has cultured positive for gram-negative bacteria. The nurse is reinforcing information to the client about the medication. Which statement made by the client indicates a lack of understanding about the treatments?
- A. The medication is an antibacterial.'
- B. The medication will help heal the burn.'
- C. The medication will permanently stain my skin.'
- D. The medication should be applied directly to the wound.'
Correct Answer: C
Rationale: Silver sulfadiazine (Silvadene) is an antibacterial that has a broad spectrum of activity against gram-negative bacteria, gram-positive bacteria, and yeast. It is applied directly to the wound to assist in healing. It does not stain the skin.
The U.S. Food and Drug Administration regulates:
- A. Prescribing of drugs by MDs and NPs
- B. The official labeling for all prescription and over-the-counter drugs
- C. Off-label recommendations for prescribing
- D. Pharmaceutical educational offerings
Correct Answer: B
Rationale: The FDA regulates drug labeling , not prescribing practices , off-label use , or education , which fall under state or professional domains.
The nurse is preparing to administer a medication from a multidose bottle. The label is torn and soiled but the name of the medication is still readable. What is the nurse's priority action?
- A. Discard the entire bottle and contents and obtain a new bottle.
- B. Find the drug information and create a new label for the bottle.
- C. Ask another nurse to verify the contents of the bottle.
- D. Administer the medication if the name of the drug can be clearly read.
Correct Answer: A
Rationale: When the drug label is soiled obscuring some information the safest action by the nurse is to discard the bottle and contents because drug labels contain a great deal of important information, far more than just the name of the drug. Concentration of the drug, expiration date, administration directions, and precautions may be missing from the label and so put the patient at risk. Looking up drug information in a drug handbook or consulting with another nurse will not supply the expiration date or concentration of medication. Be safe and discard the bottle and its contents.
A nurse is teaching a client who has a new prescription for Digoxin and has a new prescription for Colesevelam. Which of the following instructions should the nurse include in the teaching?
- A. Take digoxin with your morning dose of colesevelam.
- B. Your sodium and potassium levels will be monitored periodically while taking colesevelam.
- C. Watch for bleeding or bruising while taking colesevelam.
- D. Take colesevelam with food and at least one glass of water.
Correct Answer: D
Rationale: Colesevelam should be taken with food and water for proper absorption; digoxin timing needs separation.