A nurse is caring for a 50-year-old female client in the emergency department.
For each prescriber prescription, click to specify if the prescription is anticipated or contraindicated for this client.
Clindamycin 600 mg IV every 8 hours
Albuterol 2.5 mg/3 mL aerosol
Acetaminophen 325 mg PO
Piperacillin-tazobactam 4500 mg IV
Oxygen via nasal cannula at 8 L/min
0.9% sodium chloride (NaCl) at 200 mL/hr
The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"A"},"F":{"answers":"A"}}
Indicated Actions:
Clindamycin 600 mg IV every 8 hours: This is an appropriate antibiotic choice for someone with a penicillin allergy. Clostridium infections and Streptococcus species can be treated with clindamycin.
Albuterol 2.5 mg/3 mL aerosol: This medication is used to relieve dyspnea by bronchodilation, which is beneficial for a client with chronic obstructive pulmonary disease.
Acetaminophen 325 mg PO: This is used to manage fever. The client's temperature is elevated at 38.7°C (101.7°F), so this prescription is indicated.
Oxygen via nasal cannula at 8 L/min: The client's SpO₂ level has dropped to 87% on room air, indicating the need for supplemental oxygen to maintain adequate oxygen saturation.
0.9% sodium chloride (NaCl) at 200 mL/hr: Intravenous fluid administration is necessary to maintain hydration and improve blood pressure in a client with hypotension.
Not Indicated Action:
Piperacillin-tazobactam 4500 mg IV: This antibiotic is contraindicated due to the client's documented penicillin allergy. Piperacillin is a penicillin derivative, and administering it could trigger a severe allergic reaction.
Each of these actions has been considered carefully based on the client's medical history, current condition, and standard medical practices.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Leuprolide, a gonadotropin-releasing hormone agonist, decreases testosterone production by downregulating the pituitary gland, which in turn reduces the stimulation of the testes to produce testosterone.
Choice B rationale
Leuprolide does not directly kill cells at all stages of cellular division. Its primary action is to reduce hormone levels, particularly testosterone, which can influence cancer cell growth.
Choice C rationale
Leuprolide does not increase estrogen levels in the body. Its function is to decrease androgen (testosterone) levels, which are implicated in the growth of prostate cancer cells.
Choice D rationale
Leuprolide does not suppress the production of growth hormone. Its main effect is on the pituitary-gonadal axis, leading to decreased production of sex hormones like testosterone. .
Correct Answer is ["B","D"]
Explanation
Choice A rationale
"QD" is an abbreviation for "once daily" but is not recommended due to potential misinterpretation as "QID" (four times daily), increasing the risk of medication errors.
Choice B rationale
"PO" is an accepted abbreviation for "by mouth" and is widely understood in medical practice, minimizing the risk of misinterpretation and ensuring clear communication of the administration route.
Choice C rationale
"APAP" is an abbreviation for acetaminophen but is not widely recognized and can lead to confusion, especially among patients and healthcare providers unfamiliar with the term.
Choice D rationale
"qhs" is an accepted abbreviation for "at bedtime" and is commonly used in medical practice, ensuring clear communication of the medication's timing without risk of significant misinterpretation. .
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