Mark the location of the beginning of the plateau phase on this dose-response relationship curve.
- A. At the beginning of the curve
- B. At the area where the curve moves upward
- C. Half way up the upstroke of the curve
- D. The horizontal area at the top of the curve
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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A healthcare professional is preparing to administer IV Furosemide to a client with heart failure. Which of the following actions should the healthcare professional take?
- A. Administer the medication undiluted.
- B. Dilute the medication with normal saline.
- C. Administer the medication through a central line.
- D. Administer the medication slowly over 2 minutes.
Correct Answer: D
Rationale: Furosemide, when administered intravenously, should be given slowly over 2 minutes to reduce the risk of ototoxicity, a known adverse effect of rapid infusion. This method allows for better monitoring of the client's response and decreases the likelihood of adverse reactions associated with a faster administration rate.
A client has been prescribed Methotrexate to treat Rheumatoid Arthritis. Which of the following instructions should the nurse provide?
- A. Take this medication with food to prevent nausea.
- B. Avoid alcohol while taking this medication.
- C. Wear sunscreen when outdoors while taking this medication.
- D. Take this medication on an empty stomach.
Correct Answer: B
Rationale: Methotrexate is hepatotoxic, and avoiding alcohol is crucial to prevent liver damage. However, Option A (Take this medication with food to prevent nausea) could also be correct, as Methotrexate commonly causes nausea, and taking it with food can help alleviate this side effect. However, the most important instruction is to avoid alcohol due to the risk of liver toxicity.
A healthcare professional is preparing to administer IV Vancomycin to a client who has a systemic infection. Which of the following actions should the healthcare professional take?
- A. Administer the medication rapidly over 15 minutes.
- B. Monitor the client for hypertension during infusion.
- C. Administer a test dose before the full dose.
- D. Monitor the client for Red Man Syndrome.
Correct Answer: D
Rationale: The correct action for the healthcare professional is to monitor the client for Red Man Syndrome. Red Man Syndrome is a common adverse reaction to Vancomycin characterized by flushing, rash, and hypotension. It is important to monitor the client for these symptoms to intervene promptly if they occur.
A client with type 2 diabetes is prescribed insulin glargine (Lantus). Which statement by the client indicates a need for further teaching?
- A. I should inject this insulin at the same time each day.'
- B. I can mix this insulin with regular insulin if needed.'
- C. This insulin helps control my blood sugar overnight.'
- D. I should not see a peak in action with this insulin.'
Correct Answer: B
Rationale: Insulin glargine, a long-acting basal insulin, provides steady glucose control without a peak. Mixing it with regular insulin is incorrect'glargine's pH precipitates if combined, altering its action, indicating a teaching need. Same-time injection ensures consistency. Overnight control and no peak align with its 24-hour, flat profile. The misconception about mixing risks erratic glucose levels, critical in type 2 diabetes where stability is key. Further teaching must clarify glargine's unique formulation, preventing administration errors that could lead to hypo- or hyperglycemia, making B the statement requiring correction.
A client with peptic ulcer disease is prescribed sucralfate. Which of the following instructions should the nurse include?
- A. Take sucralfate with meals.
- B. Take sucralfate 1 hr before meals.
- C. Take sucralfate with antacids.
- D. Take sucralfate 2 hours after meals.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.