Nokea
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.
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The client diagnosed with Parkinson's disease is taking levodopa (L-dopa) and is experiencing an 'on/off' effect. Which action should the nurse take regarding this medication?
- A. Document the occurrence and take no action.
- B. Request the HCP to increase the dose of medication.
- C. Discuss the client's imminent death as a result of this complication.
- D. Explain this is a desired effect of the medication.
Correct Answer: A
Rationale: The on/off effect is a known levodopa issue; documenting monitors progression without immediate action. Increasing dose, death discussions, or calling it desired are incorrect.
The nurse is assessing a 7 year-old after several days of treatment for a documented strep throat. Which of the following statements suggests that further teaching is needed?
- A. Sometimes I take my medicine with fruit juice.'
- B. My mother makes me take my medicine right after school.'
- C. Sometimes I take the pills in the morning and other times at night.'
- D. I am feeling much better than I did last week.'
Correct Answer: C
Rationale: Sometimes I take the pills in the morning and other times at night.' Inconsistency in taking the prescribed medication indicates more teaching is needed.
A toddler who has swallowed several adult aspirin is admitted to the emergency room. When admitted, the child is breathing but is difficult to arouse. What is the immediate priority of care?
- A. Administration of syrup of ipecac
- B. Cardiopulmonary resuscitation
- C. Ventilatory support
- D. Gastric lavage
Correct Answer: D
Rationale: Gastric lavage is the priority to remove aspirin from the stomach, preventing further absorption, given the child is breathing but unresponsive.
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 use of atropine for treatment of symptomatic bradycardia is contraindicated for a client with which of the following conditions?
- A. Urinary incontinence
- B. Glaucoma
- C. Increased intracranial pressure
- D. Right sided heart failure
Correct Answer: B
Rationale: Glaucoma. Atropine is contraindicated in clients with angle-closure glaucoma because it can cause pupillary dilation with an increase in aqueous humor, leading to a resultant increase in optic pressure.