The best way to determine whether or not a medication is compatible with a particular intravenous fluid is to:
- A. Mix a small amount of the medication in a small amount of the intravenous fluid and then examine this mixture for color changes
- B. Refer to a compatibility chart
- C. Call the doctor and ask if the medication is compatible with the particular intravenous fluid
- D. Mix a small amount of the medication in a small amount of the intravenous fluid and then examine this mixture for any precipitates
Correct Answer: B
Rationale: A compatibility chart is the most reliable and standardized method to determine if a medication is compatible with an IV fluid, ensuring safety and preventing adverse reactions.
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The nurse is assessing a newborn 24 hours after birth. Which finding requires immediate reporting?
- A. Milia on the nose
- B. Mongolian spots on the back
- C. Caput succedaneum
- D. Yellowing of the skin
Correct Answer: D
Rationale: Yellowing of the skin within 24 hours suggests pathological jaundice, requiring immediate evaluation to prevent complications like kernicterus.
A client with asthma has been prescribed beclomethasone (Beclovent) via metered-dose inhaler. To determine if the client has been rinsing the mouth after each use of the inhaler, the nurse should inspect the client's mouth for:
- A. Gingival hyperplasia.
- B. Oral candidiasis.
- C. Ulceration.
- D. Dental caries.
Correct Answer: B
Rationale: Beclomethasone, an inhaled corticosteroid, can cause oral candidiasis (thrush) if the mouth is not rinsed after use, as residual medication promotes fungal growth.
A client with a diagnosis of gout is prescribed febuxostat (Uloric). The nurse should instruct the client to:
- A. Take the medication with food to reduce stomach upset.
- B. Avoid drinking alcohol.
- C. Limit fluid intake.
- D. Take the medication at bedtime only.
Correct Answer: A,B
Rationale: Taking febuxostat with food reduces gastrointestinal upset, and avoiding alcohol prevents uric acid buildup.
The nurse monitors the client for a hypoglycemic reaction, knowing that NPH insulin peaks in approximately how many hours following administration?
- A. 1 hour
- B. 2 to 3 hours
- C. 4 to 12 hours
- D. 16 to 24 hours
Correct Answer: C
Rationale: NPH is an intermediate-acting insulin with a peak time in 4 to 12 hours. The remaining options describe periods of time that are either too short or too long.
When suctioning the respiratory tract of a client, it is recommended that the suctioning period not exceed how many seconds?
- A. 5 seconds.
- B. 10 seconds.
- C. 15 seconds.
- D. 20 seconds.
Correct Answer: C
Rationale: Suctioning should not exceed 15 seconds to prevent hypoxia and trauma to the airway.
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