A charge nurse is orienting a newly licensed nurse to the unit-dose medication system. Which of the following information should the charge nurse include in the teaching?

The pharmacist restocks the medication drawer each day.

The nursing supervisor unlocks the medication drawer at the beginning of each shift.

Limit controlled substances in the medication drawer to one dose.

Opened medication in the medication drawer must be disposed of at the end of each shift.

Answer and Explanation

The Correct Answer is A

A. The pharmacist typically restocks the medication drawer each day to ensure that medications are available and up-to-date. This is an essential component of the unit-dose medication system.

B. The nursing supervisor does not usually unlock the medication drawer; this is typically done by the nurse in charge or the individual administering the medications.

C. While it is important to limit the number of controlled substances, the medication drawer is usually stocked in a manner that allows for easy access to necessary medications, and there are regulations that govern this process.

D. Opened medications should not necessarily be disposed of at the end of each shift; they may be retained if they are still within their stability period and are properly stored according to protocols.

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Correct Answer is B

Explanation

A. Mostly cloudy: This option does not refer to a medication and is therefore irrelevant in this context.

B. Acyclovir: This is the correct medication for treating varicella-zoster virus, as it is an antiviral drug effective in managing symptoms and reducing the duration of the infection.

C. Vancomycin: This antibiotic is used to treat serious bacterial infections and is not indicated for viral infections like varicella-zoster.

D. Gentamicin: This is an aminoglycoside antibiotic that is ineffective against viral infections and is used primarily for bacterial infections.

E. Quinine: This medication is used to treat malaria and is not relevant for varicella-zoster virus treatment.

A. Apply a warming blanket prior to administration. B. Infuse the medication over 1 hr. C. Administer diphenhydramine prior to administration. D. Monitor vital signs once per hour following administration.

Correct Answer is C

Explanation

A. Applying a warming blanket is not appropriate, as it may exacerbate the client's reaction to the infusion and is not a standard pre-medication strategy.

B. Infusing amphotericin B deoxycholate over 1 hour is too rapid; it is typically infused over 2-6 hours to minimize adverse effects.

C. Administering diphenhydramine prior to the administration of amphotericin B can help prevent or alleviate infusion-related reactions such as fever and chills, which the client experienced during previous infusions.

D. Monitoring vital signs once per hour following administration is insufficient; vital signs should be monitored more frequently during and immediately after the infusion to promptly detect and address any adverse reactions.

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A charge nurse is orienting a newly licensed nurse to the unit-dose medication system. Which of the following information should the charge nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has varicella-zoster virus. Which of the following medications should the nurse expect to administer?

Correct Answer is B

Explanation

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Correct Answer is C

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