A nurse is caring for a client on a medical-surgical unit.
Click to highlight the findings below of the prescriptions that the nurse should clarify with the provider prior to administering the medications. To deselect a finding, click on the finding again.
1300:
Potassium Chloride 20 mEq PO daily
HCTZ 25mg QD
Amlodipine 10 mg QOD
Clonidine .1 mg PO TID PRN blood pressure > 180 systolic
HCTZ 25mg QD
QOD
.1 mg
> 180 systolic
Amlodipine
The Correct Answer is ["A","B","C","D"]
When analyzing cues, the nurse should identify HCTZ, QD, QOD .1 mg, and >180mg systolic as error-prone abbreviations. Medications names, such as hydrochlorothiazide, should be spelled out. QD should be written as daily and QOD should be written as every other day. Decimal points should be written using a leading zero and greater than and less than should be written out rather than using symbols.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Increase in subcutaneous tissue. Aging is associated with a decrease in subcutaneous fat, especially in the face, hands, and lower extremities, leading to thinner and more fragile skin.
B. Decrease in pigmentation. While some areas may lose pigmentation (e.g., hair turning gray), the skin often develops age spots or hyperpigmentation due to prolonged sun exposure.
C. Increase in moisture levels. Aging skin produces less sebum, leading to dryness rather than increased moisture.
D. Decrease in elasticity. Collagen and elastin fibers in the skin break down over time, leading to decreased skin elasticity, which contributes to wrinkles and sagging.
Correct Answer is ["A","B","E"]
Explanation
A. Turn on the bed alarm. A bed alarm alerts staff when the client attempts to get up, helping prevent falls.
B. Maintain the bed in the lowest position. Keeping the bed low reduces the risk of injury in case the client attempts to get up unassisted.
C. Place the client in a vest restraint. Restraints should be used only as a last resort after less restrictive measures fail. They can cause distress and increase agitation in clients with dementia.
D. Administer a sedative. Sedatives can increase confusion, risk of falls, and respiratory depression, making them an inappropriate first-line intervention.
E. Encourage the family to stay with the client. Having familiar caregivers present can provide reassurance and reduce agitation, making it a beneficial intervention.
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