Nokea
Which action will the nurse take if a dosage is unclear on a health care provider's order?
- A. Ask the patient what dosage was given in the past.
- B. Ask another physician to determine the correct dosage.
- C. Tell the patient that the medication will not be given.
- D. Contact the health care provider to verify the correct dosage.
Correct Answer: D
Rationale: Any questionable orders should be verified by the health care provider who wrote the orders. The patient is not a reliable source of verification. The physician who wrote the order should verify it. It would be a medication error to withhold the dose instead of verifying it.
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Tuberculin purified protein derivative:
- A. Is administered to patients who are known tuberculin-positive reactors
- B. May be administered to patients who are on immunosuppressives
- C. May be administered 2 to 3 weeks after an MMR or varicella vaccine
- D. May be administered the same day as the MMR and/or varicella vaccine
Correct Answer: D
Rationale: TB skin test can be given same-day as MMR/varicella; prior positives or immunosuppression complicate interpretation.
A nurse is caring for a hospitalized client who is receiving IV heparin for a deep-vein thrombosis. The client begins vomiting blood. After the heparin has been stopped, which of the following medications should the nurse prepare to administer?
- A. Vitamin k1
- B. Atropine
- C. Protamine
- D. Calcium gluconate
Correct Answer: C
Rationale: Protamine reverses heparin's anticoagulant effect in bleeding emergencies.
Beta-blockers - aside from their cardiovascular indications - are also used in the treatment of which condition?
- A. Gout
- B. Glaucoma
- C. Reynaud's phenomenon
- D. Asthma
Correct Answer: B
Rationale: Beta-blockers (e.g., timolol) are used in glaucoma to reduce intraocular pressure.
A nurse is monitoring a client who is receiving spironolactone. Which of the following findings should the nurse report to the provider?
- A. Serum Sodium 144 mEq/L
- B. Urine output 120 mL in 4 hr
- C. Serum Potassium 5.2 mEq/L
- D. Blood Pressure 140/90 mm Hg
Correct Answer: C
Rationale: Hyperkalemia (5.2 mEq/L, C) is a serious side effect of spironolactone, a potassium-sparing diuretic.
The client with small cell lung cancer is being treated with etoposide (VePesid). The nurse who is assisting in caring for the client during its administration understands that which side effect is specifically associated with this medication?
- A. Alopecia
- B. Chest pain
- C. Pulmonary fibrosis
- D. Orthostatic hypotension
Correct Answer: D
Rationale: A side effect specific to etoposide is orthostatic hypotension. The client's blood pressure is monitored during the infusion. Hair loss occurs with nearly all the antineoplastic medications. Chest pain and pulmonary fibrosis are unrelated to this medication.