Nokea
Which prescriptions for these clients does the nurse question? Select all that apply.
- A. Client with Clostridium difficile colitis, prescribed vancomycin 125 mg PO
- B. Client with diabetes and elevated mealtime glucose, prescribed lispro insulin scale 6 units subcutaneously
- C. Client with gastrointestinal bleed and nasogastric tube, prescribed pantoprazole 40 mg intravenous
- D. Client with hypertension and blood pressure (BP) 94/40 mm Hg, prescribed metoprolol succinate SR 50 mg PO
- E. Client with otitis media and penicillin allergy, prescribed ampicillin 500 mg PO
Correct Answer: D,E
Rationale: Metoprolol is contraindicated with a BP of 94/40 mm Hg due to risk of worsening hypotension. Ampicillin, a penicillin derivative, is unsafe for a client with a penicillin allergy. Vancomycin, lispro insulin, and pantoprazole are appropriate for the respective conditions.
You may also like to solve these questions
The 24-hour day-night cycle is known as:
- A. circadian rhythm.
- B. infradian rhythm.
- C. ultradian rhythm.
- D. non-REM rhythm.
Correct Answer: A
Rationale: The circadian rhythm governs the 24-hour day-night cycle, regulating sleep and other physiological processes. The other terms refer to different biological rhythms. Basic Care and Comfort
A chemical reaction between drugs prior to their administration or absorption is known as:
- A. a drug incompatibility.
- B. a side effect.
- C. an adverse event.
- D. an allergic response.
Correct Answer: A
Rationale: Drug incompatibility refers to chemical reactions between drugs before administration, like precipitation in IV lines. Side effects, adverse events, and allergic responses occur post-administration. Pharmacological Therapies
A client has just been prescribed allopurinol for chronic gout. Which instruction is most important for the nurse to reinforce to the client?
- A. Report for periodic laboratory tests for kidney, liver, and blood functions
- B. Store the medication in a cool, dry place away from direct heat and light
- C. Take the medication after a meal to prevent gastric distress
- D. Take the medication with a full glass of water and increase fluids during the day
Correct Answer: A
Rationale: Allopurinol can affect kidney, liver, and bone marrow function, so periodic lab tests are critical to monitor for toxicity. Storage instructions, taking with food, and fluid intake are important but less critical than ensuring organ function safety.
The nurse is teaching a client about the use of Rifampin for prophylaxis after an exposure to meningitis. What change in bodily functions should the nurse advise the client about?
- A. The client's urine might turn blue.
- B. The client remains infectious to others for 48 hours.
- C. The client's contact lenses might be stained orange.
- D. The client's skin might take on a crimson glow.
Correct Answer: C
Rationale: Rifampin causes body fluids to turn orange, potentially staining soft contact lenses permanently. The other effects are not associated with Rifampin. Safety and Infection Control
A wrong committed by one person against another (or against the property of another) that might result in a civil trial is:
- A. a tort.
- B. a crime.
- C. a misdemeanor.
- D. a felony.
Correct Answer: A
Rationale: A tort is a civil wrong, like negligence, that may lead to a civil trial. Crimes, including misdemeanors and felonies, are offenses against the public, often prosecuted criminally. Coordinated Care