Nokea
For which of the following adverse effects should the nurse monitor a client who is prescribed metoclopramide following bowel surgery?
- A. Muscle weakness
- B. Sedation
- C. Tinnitus
- D. Peripheral edema
Correct Answer: B
Rationale: The correct answer is B: Sedation. Metoclopramide is a medication that can cause sedation as a side effect. After bowel surgery, sedation can mask signs of postoperative complications such as abdominal pain or changes in vital signs. Muscle weakness (A), tinnitus (C), and peripheral edema (D) are not common adverse effects of metoclopramide and would not typically be monitored for in this situation. Sedation is the most relevant adverse effect to monitor for in a client post-bowel surgery, as it can impact the assessment and management of their recovery.
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A nurse is preparing to administer medication to a client who has gout. The nurse discovers that an error was made during the previous shift and the client received atenolol instead of allopurinol. Which of the following actions should the nurse take first?
- A. Obtain the client's blood pressure
- B. Contact the client's provider
- C. Inform the charge nurse
- D. Complete an incident report
Correct Answer: A
Rationale: The correct answer is A: Obtain the client's blood pressure. The nurse's first priority is to assess the client's current condition and potential adverse effects of atenolol. Atenolol is a beta-blocker that can lower blood pressure and heart rate. Obtaining the client's blood pressure will help determine if any immediate interventions are needed. Contacting the provider (B) can be done after assessing the client's condition. Informing the charge nurse (C) is important but not the first priority. Completing an incident report (D) is necessary but should follow immediate client assessment. Other choices are not relevant to the immediate safety and well-being of the client.
How many mg should the nurse administer per dose to a child weighing 44 lbs if the prescribed dose is 15 mg/kg every 12 hours?
- A. 150 mg
- B. 200 mg
- C. 300 mg
- D. 350 mg
- E. 400 mg
Correct Answer: C
Rationale: To calculate the correct dose, we first convert the child's weight from pounds to kilograms (44 lbs ÷ 2.2 = 20 kg). Then, we multiply the weight by the prescribed dose (20 kg x 15 mg/kg = 300 mg). Therefore, the nurse should administer 300 mg per dose. Choice A is too low, choices B and D are higher than the correct answer, and choice E is significantly higher, exceeding the calculated dose.
A nurse is preparing to administer medication to a client who has gout. The nurse discovers that an error was made during the previous shift and the client received atenolol instead of allopurinol.Which of the following actions should the nurse take first when discovering a medication error in which atenolol was given instead of allopurinol to a client with gout?
- A. Obtain the client's blood pressure
- B. Contact the client's provider
- C. Inform the charge nurse
- D. Complete an incident report
Correct Answer: A
Rationale: The correct action for the nurse to take first in this situation is to obtain the client's blood pressure (Choice A). This is important because atenolol is a beta-blocker that can lower blood pressure, and giving it to a client with gout instead of allopurinol can potentially result in adverse effects or exacerbate the underlying condition. By obtaining the client's blood pressure, the nurse can assess if there have been any significant changes since the administration of the incorrect medication. This immediate assessment allows the nurse to monitor for any potential adverse effects and take appropriate action if necessary. Contacting the client's provider (Choice B) would be important, but assessing the immediate impact on the client's health by checking the blood pressure takes precedence. Informing the charge nurse (Choice C) and completing an incident report (Choice D) are important steps to take after addressing the immediate health concern of the client.
Which of the following medications for pain relief can be taken concurrently with enoxaparin?
- A. Ibuprofen
- B. Naproxen sodium
- C. Acetaminophen
- D. Aspirin
Correct Answer: C
Rationale: Correct Answer: C (Acetaminophen)
Rationale:
1. Acetaminophen is a non-steroidal anti-inflammatory drug (NSAID) that does not affect platelet function.
2. Enoxaparin is an anticoagulant that works by inhibiting blood clot formation.
3. Taking acetaminophen with enoxaparin does not increase the risk of bleeding.
4. Choices A, B, and D (Ibuprofen, Naproxen sodium, Aspirin) are NSAIDs that can increase the risk of bleeding when taken with enoxaparin.
Which of the following actions should the nurse take when observing infiltration of fluid into the tissue surrounding an IV insertion site?
- A. Flush the IV catheter
- B. Apply pressure to the IV site
- C. Elevate the extremity
- D. Slow the infusion rate
Correct Answer: C
Rationale: The correct answer is C: Elevate the extremity. Elevating the extremity helps to reduce swelling and minimize further infiltration of fluid into the surrounding tissue. By elevating the extremity, gravity assists in draining the fluid away from the IV site. This action helps to prevent tissue damage and potential complications.
Incorrect choices:
A: Flushing the IV catheter will not address the infiltration and may worsen the situation.
B: Applying pressure to the IV site can further damage the tissue and exacerbate the infiltration.
D: Slowing the infusion rate may not prevent further infiltration and does not address the existing issue effectively.