Nokea
The nurse is administering carbidopa/levodopa (Sinemet) to the client. Which assessment should the nurse perform to determine if the medication is effective?
- A. Assess the client's muscle strength.
- B. Assess for cogwheel movements.
- C. Assess the carbidopa serum level.
- D. Assess the client's blood pressure.
Correct Answer: B
Rationale: Carbidopa/levodopa reduces Parkinson’s symptoms like cogwheel rigidity; decreased cogwheel movements indicate effectiveness. Strength, levels, or BP are less specific.
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The client diagnosed with epilepsy is being discharged from the hospital with a prescription for phenytoin (Dilantin) by mouth. Which discharge instructions should the nurse discuss with the client?
- A. The client should purchase a self-monitoring Dilantin machine.
- B. The client should see the dentist at least every six (6) months.
- C. The client should never drive when taking this medication.
- D. The client should drink no more than one (1) glass of wine a day.
Correct Answer: B
Rationale: Phenytoin causes gingival hyperplasia; regular dental visits prevent complications. No self-monitoring machines exist, driving bans are not absolute, and alcohol limits are secondary.
The nurse is administering the long-acting insulin glargine (Lantus) to the client at 2200. The nurse asks the charge nurse to check the dosage. Which action should the charge nurse implement?
- A. Ask the nurse why the insulin is being given late.
- B. Check the MAR versus the dosage in the syringe.
- C. Instruct the nurse to complete a medication error form.
- D. Have the nurse notify the health-care provider.
Correct Answer: B
Rationale: Verifying MAR against syringe dosage ensures accuracy, per safety protocols. Timing questions, error forms, or HCP notification are unnecessary unless errors occur.
When administering eye drops, the nurse should administer the drops into which location?
- A. The pupil
- B. The conjunctival sac
- C. The inner canthus
- D. The cornea
Correct Answer: B
Rationale: Eye drops are administered into the conjunctival sac to ensure proper distribution and minimize corneal irritation.
A client is receiving erythromycin 500 mg IV every 6 hours to treat a pneumonia. Which of the following is the most common side effect of the medication?
- A. Blurred vision
- B. Nausea and vomiting
- C. Severe headache
- D. Insomnia
Correct Answer: B
Rationale: Nausea and vomiting. Nausea is a common side-effect of erythromycin in both oral and intravenous forms.
The nurse is to administer an IM injection to a 6-month-old child. What is the most appropriate site to use?
- A. Vastus lateralis
- B. Dorsal gluteal
- C. Ventral gluteal
- D. Iliac crest
Correct Answer: A
Rationale: Infants and small children do not have enough muscle in the gluteal area to use that site. The vastus lateralis is the appropriate site. The iliac crest is a site used for SC injections, not IM.