A nurse administered ketorolac 30 mg IM to a client who is postoperative.
Which of the following information should the nurse document? (Select all that apply)

Gauge and length of needle.

Medication expiration date.

Dose of medication administered.

Site of injection.

Time of administration.

Answer and Explanation

Correct Answer : A,C,D,E

Choice A rationale:

The gauge and length of needle used for an IM injection are important to document. This information can help track which supplies were used and can be useful for future reference.

Choice B rationale:

While it’s important to check the medication expiration date before administration, it’s not typically documented after administering medication.

Choice C rationale:

The dose of medication administered should always be documented. This helps ensure accurate medical records and allows healthcare providers to track how much of a medication a patient has received.

Choice D rationale:

The site of injection should be documented. This can help prevent complications such as repeated use of the same injection site.

Choice E rationale:

The time of administration should be documented. This helps keep track of when the patient received their medication, which is crucial for medications that need to be given at specific intervals.

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Correct Answer is B

Explanation

Choice A rationale:

Hypernatremia (high sodium levels) is not a common side effect of spironolactone. Spironolactone is a potassium-sparing diuretic and does not typically affect sodium levels.

Choice B rationale:

Hyperkalemia (high potassium levels) is a potential adverse effect of spironolactone. As a potassium-sparing diuretic, spironolactone can cause an increase in serum potassium levels.

Choice C rationale:

Hypophosphatemia (low phosphate levels) is not typically associated with spironolactone use.

Choice D rationale:

Hypocalcemia (low calcium levels) is also not a common side effect of spironolactone.

A. Female clients must have a negative mammogram prior to beginning therapy. B. Clients must have a Papanicolaou test every 6 months during treatment. C. Clients must begin a daily supplement of vitamin A for 1 month prior to initiating therapy. D. Sexually active female clients must use two forms of birth control during treatment.

Correct Answer is D

Explanation

Choice A rationale:

A negative mammogram is not a requirement of the iPLEDGE program. Mammograms are used to screen for breast cancer and are not related to isotretinoin therapy.

Choice B rationale:

Regular Papanicolaou tests, which screen for cervical cancer, are not a requirement of the iPLEDGE program. These tests are not related to isotretinoin therapy.

Choice C rationale:

There is no requirement for clients to begin a daily supplement of vitamin A prior to initiating therapy. In fact, taking additional vitamin A while on isotretinoin can increase the risk of vitamin A toxicity.

Choice D rationale:

Sexually active female clients must use two forms of birth control during treatment. This is because isotretinoin can cause severe birth defects.

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A nurse administered ketorolac 30 mg IM to a client who is postoperative.Which of the following information should the nurse document? (Select all that apply)

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A nurse is administering spironolactone at 0800 to a client who has heart failure.The nurse should monitor the client for which of the following adverse effects?

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Explanation

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Correct Answer is D

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A nurse administered ketorolac 30 mg IM to a client who is postoperative.
Which of the following information should the nurse document? (Select all that apply)