A client being discharged home is prescribed 5 mg of oral concentration of oxycodone 20 mg/mL for pain relief every 4 to 6 hours as needed. Which statement by the client indicates to the nurse the client understands the proper administration of this medication?

Add 0.25 mL of medication to 15 to 30 mL of liquid and drink solution immediately.

The medication can only be added to a clear liquid when being mixed for administration.

Shake previously prepared solution prior to administration.

A medication mixture of oxycodone/clear liquid (20 mg/90 mL) is good for use up to 24 hours.

Answer and Explanation

The Correct Answer is A

Rationale:
A. Add 0.25 mL of medication to 15 to 30 mL of liquid and drink solution immediately: The prescribed dose of 5 mg with a concentration of 20 mg/mL requires careful measurement (5 ÷ 20 = 0.25 mL). Diluting the small volume in 15–30 mL of liquid and consuming it immediately ensures accurate dosing and prevents loss of medication, demonstrating correct understanding.

B. The medication can only be added to a clear liquid when being mixed for administration: Oxycodone can generally be diluted in a variety of liquids for easier ingestion. Restricting to clear liquids is unnecessary and not required for proper administration.

C. Shake previously prepared solution prior to administration: Shaking is not required for this oral solution unless the manufacturer specifically instructs it. Incorrect shaking may lead to inaccurate dosing if medication has settled.

D. A medication mixture of oxycodone/clear liquid (20 mg/90 mL) is good for use up to 24 hours: Extending the use of a prepared mixture can compromise stability and potency. Immediate consumption after dilution is recommended to ensure the correct dose and safety.

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Correct Answer is B

Explanation

Rationale:
A. Position the client's head facing away from the site: While proper positioning can reduce infection risk and ensure comfort, it does not verify catheter patency or safety for medication administration.

B. Aspirate for the presence of a blood return: Before administering medication through a central venous catheter, the nurse must confirm patency by aspirating for a blood return. This ensures the catheter is in the vessel lumen and reduces the risk of extravasation or complications such as thrombosis.

C. Prepare a saline flush in a three mL syringe: While a saline flush is required, it should be administered only after patency is confirmed. Using a small syringe may reduce the risk of excessive pressure, but confirming blood return is the first step.

D. Initiate an infusion of 0.9% normal saline solution: Starting a saline infusion may maintain catheter patency, but it does not confirm that the line is safe for immediate medication administration. Patency verification must precede fluid or drug administration.

A. Microwave oven. B. Security wand. C. Toaster. D. Electric blanket.

Correct Answer is B

Explanation

Rationale:
A. Microwave oven: Microwaves do not generate electromagnetic interference strong enough to affect a pacemaker. The client can safely use a microwave without risk to the device’s function.

B. Security wand: Hand-held security wands used in airports or some buildings can emit electromagnetic fields that may interfere with pacemaker function. The client should avoid prolonged or close exposure and notify security personnel about the pacemaker.

C. Toaster: Household appliances such as toasters generate minimal electromagnetic interference and are safe for clients with pacemakers. Normal use does not affect device operation.

D. Electric blanket: Modern electric blankets produce low-level electromagnetic fields that are generally considered safe for pacemaker recipients. Brief, standard use does not interfere with pacemaker function.

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A client being discharged home is prescribed 5 mg of oral concentration of oxycodone 20 mg/mL for pain relief every 4 to 6 hours as needed. Which statement by the client indicates to the nurse the client understands the proper administration of this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When preparing to administer an intravenous medication through a client's triple lumen central venous catheter, the nurse observes that there are no continuous intravenous fluids infusing. Which action should the nurse take?

Correct Answer is B

Explanation

An older adult client is being discharged after implantation of a permanent pacemaker. The client should be instructed to avoid which item?

Correct Answer is B

Explanation

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