A nurse is caring for a female client in a clinic.

Exhibits

A nurse is planning to provide teaching to the client about the new prescription. For each teaching statement made by the nurse, click to specify if the teaching statement is indicated or contraindicated for the client.

“It is expected for your stools to be black while taking this medication.”

“Take this medication with an antacid if you experience heartburn from the medication.”

“Drinking orange juice with this medication decreases the absorption of the medication.”

“You can take this medication with meals if you experience discomfort when taking it on an empty stomach.”

Answer and Explanation

The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"B"},"D":{"answers":"A"}}

Here are the indications for each teaching statement:

“It is expected for your stools to be black while taking this medication.”
- Indicated: This is a common side effect of iron supplements like ferrous sulfate.
“Take this medication with an antacid if you experience heartburn from the medication.”
- Contraindicated: Antacids can interfere with the absorption of iron. It’s better to take the iron supplement with vitamin C or a source of vitamin C to enhance absorption.
“Drinking orange juice with this medication decreases the absorption of the medication.”
- Contraindicated: This statement is incorrect. Vitamin C, found in orange juice, actually enhances the absorption of iron.
“You can take this medication with meals if you experience discomfort when taking it on an empty stomach.”
- Indicated: Taking iron supplements with food can help reduce gastrointestinal discomfort, although it may slightly reduce absorption.

Teaching Statement	Indicated	Contraindicated
It is expected for your stools to be black while taking this medication.	✓
Take this medication with an antacid if you experience heartburn from the medication.		✓
Drinking orange juice with this medication decreases the absorption of the medication.		✓
You can take this medication with meals if you experience discomfort when taking it on an empty stomach.

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Correct Answer is C

Explanation

Choice A rationale
A standing prescription is an order that applies to all patients who meet certain criteria and is not specific to a single administration. It is used for routine treatments and does not apply to a one-time pre-transfusion medication.
Choice B rationale
A stat prescription is an urgent order that requires immediate administration, typically within minutes. It is used for emergency situations and does not apply to a pre-transfusion medication given one hour before the procedure.
Choice C rationale
A single prescription is a one-time order for a specific medication to be given at a specific time. In this case, diphenhydramine 50 mg by mouth once, one hour prior to transfusion, fits the definition of a single prescription.
Choice D rationale
A PRN (pro re nata) prescription is an order for medication to be given as needed based on the patient’s condition. It is not applicable to a scheduled pre-transfusion medication. .

A. Contact the provider. B. Report the error to the charge nurse. C. Place an incident report in the client’s chart. D. Auscultate the client’s lungs. E. Check the client for peripheral edema.

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

Explanation

Choice A rationale
Contacting the provider is essential to inform them of the error and receive further instructions on managing the client’s condition.
Choice B rationale
Reporting the error to the charge nurse is necessary for proper documentation and to ensure that corrective actions are taken to prevent future errors.
Choice C rationale
Incident reports should not be placed in the client’s chart. They are for internal use to improve safety and quality of care.
Choice D rationale
Auscultating the client’s lungs is important to check for signs of fluid overload, such as crackles or wheezing.
Choice E rationale
Checking for peripheral edema helps assess the extent of fluid overload and its impact on the client’s condition.

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A nurse is caring for a female client in a clinic. Exhibits A nurse is planning to provide teaching to the client about the new prescription. For each teaching statement made by the nurse, click to specify if the teaching statement is indicated or contraindicated for the client.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who requires a transfusion of one unit of packed RBCs. The nurse receives the following prescription: “Diphenhydramine 50 mg by mouth once, one hour prior to transfusion.”. The nurse should identify this as which of the following types of prescription?

Correct Answer is C

Explanation

A nurse is caring for a client who received excessive IV fluids in error. Which of the following actions should the nurse take? (Select all that apply.)

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

Explanation

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A nurse is caring for a female client in a clinic.

Exhibits

A nurse is planning to provide teaching to the client about the new prescription. For each teaching statement made by the nurse, click to specify if the teaching statement is indicated or contraindicated for the client.