A nurse is caring for a client who is receiving an IV medication and has a prescription for peak and trough blood levels with the next dose scheduled for 1800. The nurse should expect the lab to draw blood samples at which of the following times?
1630 and 1930
1100 and 1700
1400 and 2200
1745 and 1830
The Correct Answer is A
A. 1630 and 1930: Peak and trough levels are used to monitor drug effectiveness and prevent toxicity. Trough levels (lowest drug concentration) are drawn right before the next dose-1745 would be slightly too late. Peak levels (highest drug concentration) are drawn 30-60 minutes after administration (for IV drugs). Since the next dose is at 1800, the trough should be drawn just before the dose (1630) and the peak should be drawn 30-60 minutes after the dose (1930).
B. 1100 and 1700- Incorrect timing, not close to dose administration.
C. 1400 and 2200- Too far from the scheduled 1800 dose.
D. 1745 and 1830- Trough is too close to administration, peak is too early.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "The list obtained from the client does not need to list medications that are not prescribed by the client's provider." All medications must be documented, including over-the-counter drugs, herbal supplements, and non-prescribed medications to avoid drug interactions.
B. "A nurse should write a verbal order in the medical record for medications the client was taking at home." Verbal orders should be avoided unless in an emergency, and reconciliation should be based on a review of documented prescriptions and client reports rather than nurse-written orders.
C. "Complete the reconciliation process one time only when the client is first admitted to the hospital." Medication reconciliation must be repeated at every transition of care, including admission, transfer between units, and discharge.
D. "A comprehensive list of medications is reviewed upon admission/transfer and provided for the client at the time of discharge." Medication reconciliation is a critical process to ensure continuity of care and prevent medication errors. It must be conducted at every transition of care (admission, transfer, and discharge) to compare the client’s home medications with hospital prescriptions and make adjustments as needed.
Correct Answer is ["108"]
Explanation
The proportion of specialized nurses is 45 out of 100, or 45%.
To find how many in 240 graduates would specialize:
( 240×45)÷100=108
- Thus, 108 nurses would be expected to specialize.
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