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Senior Practicum Medication and I.V Administration Questions With Complete Solutions
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Senior Practicum Medication and I.V Administration Questions With Complete Solutions
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Senior Practicum Medication and I.V AdministrationQuestions With Complete Solutions
A child has been prescribed a 3-day treatment of gentamicin
sulfate. Which of the following manifestations would indicate
that the child is developing toxicity? Correct Answers
Decreased renal output
Explanation:
Gentamicin sulfate is an antibiotic that can cause ototoxicity and
nephrotoxicity. Therefore, a decrease in renal output would be
concerning. Electrolyte and visual disturbances and joint
discomfort would not be indicative of gentamicin toxicity.
A client begins taking haloperidol. After a few days, he
experiences severe tonic contractures of muscles in his neck,
mouth, and tongue. The nurse should recognize this as: Correct
Answers dystonia.
Explanation:
These symptoms describe dystonia, which commonly occurs
after a few days of treatment with haloperidol. Mistaking the
symptoms for psychotic symptoms can lead to misdiagnosis.
Parkinsonism results in muscle rigidity, shuffling gait, stooped
posture, flat-faced affect, tremors, and drooling. Signs and
symptoms of akathisia are restlessness, pacing, and inability to
sit still.
A client begins taking haloperidol. After a few days, he
experiences severe tonic contractures of muscles in his neck,
,mouth, and tongue. The nurse should recognize this as: Correct
Answers dystonia.
Explanation:
These symptoms describe dystonia, which commonly occurs
after a few days of treatment with haloperidol. Mistaking the
symptoms for psychotic symptoms can lead to misdiagnosis.
Parkinsonism results in muscle rigidity, shuffling gait, stooped
posture, flat-faced affect, tremors, and drooling. Signs and
symptoms of akathisia are restlessness, pacing, and inability to
sit still.
A client has a nasogastric (NG) tube. How should the nurse
administer oral medication to this client? Correct Answers
Crush the tablets and prepare a liquid form; then insert the liquid
into the NG tube.
Explanation:
To administer oral medication through an NG tube, the nurse
must reproduce the disintegration and dissolution processes by
crushing the tablets and preparing a liquid form. Making sure
not to crush sustained-release tablets or empty capsules, she then
inserts the liquid into the NG tube. Heating the tablets may
destroy or alter the drug's action. Washing cut tablets or crushed
powder down the tube may cause the medication to stick to the
sides of the tube, possibly providing inaccurate dosing and
clogging the tube.
A client has a patient a controlled analgesia (PCA) infusion to
manage postoperative pain. In spite of receiving a dose of pain
medication, the client rates the pain at 8 on a 0 to 10 pain scale.
,What should the nurse do first? Correct Answers Inspect the
infusion site.
Explanation:
The nurse should first check the infusion site to be sure the site
has not infiltrated. Next, the nurse should check the PCA pump
to determine if it is functioning properly. Assessing vital signs
would be important to provide additional data about the possible
cause of pain, but is not the first action at this time. It is not
necessary to notify the health care provider (HCP) unless the
infusion site or pump is malfunctioning and other methods of
managing the pain are required.
A client has a patient a controlled analgesia (PCA) infusion to
manage postoperative pain. In spite of receiving a dose of pain
medication, the client rates the pain at 8 on a 0 to 10 pain scale.
What should the nurse do first? Correct Answers Inspect the
infusion site.
Explanation:
The nurse should first check the infusion site to be sure the site
has not infiltrated. Next, the nurse should check the PCA pump
to determine if it is functioning properly. Assessing vital signs
would be important to provide additional data about the possible
cause of pain, but is not the first action at this time. It is not
necessary to notify the health care provider (HCP) unless the
infusion site or pump is malfunctioning and other methods of
managing the pain are required.
A client has been diagnosed with hypothyroidism and started on
synthetic levothyroxine for thyroid replacement therapy. Which
, of the following is the most important effect to report to the
physician? Correct Answers Palpitations and chest pain on
exertion
Explanation:
Assessment of the effects of severe hypothyroidism on the
circulatory system is important. Serum cholesterol levels are
also elevated in clients with hypothyroidism. As the metabolic
rate increases with the thyroid replacement therapy, there is
more demand on the heart, and angina and palpitations may
occur. All of the choices are expected effects once the
replacement hormone is started. There is an increase in
temperature, a loss in weight, and increased energy levels.
A client has developed a hospital-acquired pneumonia. When
preparing to administer cephalexin 500 mg, the nurse notices
that the pharmacy sent cefazolin. What should the nurse do?
Select all that apply. Correct Answers - Verify the medication
order as written by the by the health care provider. (HCP).
-Contact the pharmacy and speak to a pharmacist.
-Request that cephalexin be sent promptly.
-Return the cefazolin to the pharmacy.
Explanation:
One of the "five rights" of drug administration is "right
medication." Cefazolin was not the medication prescribed. The
pharmacist is the professional resource and serves as a check to
ensure that clients receive the right medication. Returning
unwanted medications to the pharmacy will decrease the
opportunity for a medication error by the nurse who follows the
current nurse.
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