A client is admitted to the hospital with a diagnosis of pneumonia. The client informs the nurse of having several drug allergies. The physician has ordered an antibiotic as well as several other medications for cough and fever. What should the nurse do prior to administering the medications?

Give the client one medicine at a time and observe for allergic reactions.

Administer the medications that the physician ordered.

Consult drug references to make sure the medicines do not contain substances to which the client is hypersensitive.

Call the pharmacy and let them know the client has several drug allergies.

Answer and Explanation

The Correct Answer is C

A. Give the client one medicine at a time and observe for allergic reactions: This approach is unsafe and reactive rather than preventive. Administering medications without confirming ingredients risks triggering a serious allergic reaction.
B. Administer the medications that the physician ordered: Medications should never be given without verifying they are safe for the client, especially when allergies are known. Doing so could result in a life-threatening hypersensitivity response.
C. Consult drug references to make sure the medicines do not contain substances to which the client is hypersensitive: This is the safest and most appropriate action. The nurse must verify all ordered medications to ensure they do not contain allergens. Cross-checking with reliable drug references ensures safe administration.
D. Call the pharmacy and let them know the client has several drug allergies: While notifying the pharmacy is helpful, the nurse is still responsible for verifying medication safety before administration. This action alone does not replace the need for direct confirmation of drug components.

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Correct Answer is ["A","B","E"]

Explanation

A. Take all antipsychotic medications as directed: Adherence is critical for managing symptoms and preventing relapse. Antipsychotics must be taken consistently and exactly as prescribed to maintain therapeutic effectiveness and minimize side effects.
B. Notify the health care provider if you have hypertension or severe muscle stiffness: These symptoms may indicate serious adverse effects, such as neuroleptic malignant syndrome. Prompt reporting allows for early intervention and prevention of life-threatening complications.
C. Double the next dose if you forget one dose: Doubling the dose increases the risk of overdose and severe side effects. Clients should be instructed to take the next dose as scheduled and never compensate for missed doses.
D. Stop the medication for any side effects: Suddenly stopping antipsychotics can lead to symptom rebound or withdrawal effects. Side effects should be discussed with the provider, who can adjust the dose or switch medications safely.
E. Report any rhythmic, involuntary movements of the tongue, face, mouth, jaw, or extremities immediately: These are signs of tardive dyskinesia, a potentially irreversible side effect of long-term antipsychotic use. Early detection is essential to prevent progression and guide changes in therapy.

A. Maintain activity restriction to bedrest. B. Limit interaction with visitors. C. Avoid heavy meals. D. Arrange personal care supplies nearby.

Correct Answer is A

Explanation

A. Maintain activity restriction to bedrest: Bedrest reduces the heart's workload by minimizing physical exertion, thereby decreasing myocardial oxygen demand. This is crucial in cardiogenic shock, where the heart's pumping ability is severely compromised.
B. Limit interaction with visitors: While excessive stimulation can be stressful, limiting social interaction has a minimal impact on myocardial oxygen consumption compared to physical activity. Emotional support from visitors can actually benefit the client’s overall well-being.
C. Avoid heavy meals: Heavy meals may cause postprandial increases in metabolic demand, but they are not as directly impactful on cardiac workload as restricting physical activity. Meal composition should still be considered, but it's not the most immediate priority.
D. Arrange personal care supplies nearby: Placing supplies within reach helps minimize exertion during ADLs, but this is a supportive measure. Complete activity restriction is a more direct and effective intervention to reduce cardiac oxygen demand in the acute phase.

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A client is admitted to the hospital with a diagnosis of pneumonia. The client informs the nurse of having several drug allergies. The physician has ordered an antibiotic as well as several other medications for cough and fever. What should the nurse do prior to administering the medications?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing discharge instructions to the client being prescribed antipsychotic medications. Which discharge instruction(s) should be included? Select all that apply.

Correct Answer is ["A","B","E"]

Explanation

The nurse is planning care for a client diagnosed with cardiogenic shock. Which nursing intervention is most helpful to decrease myocardial oxygen consumption?

Correct Answer is A

Explanation

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