A nurse is planning care for a client who has a prescription for erythromycin lactobionate IV bolus.
Which of the following actions should the nurse include in the plan of care?

Monitor the client for hearing loss.

Implement a high-fiber diet to prevent constipation.

Administer the medication over 10 min.

Reconstitute the medication with a 5% dextrose solution.

Answer and Explanation

The Correct Answer is A

The nurse should monitor the client for hearing loss because it is a potential adverse effect of erythromycin.

Choice B is wrong because a high-fiber diet to prevent constipation is not mentioned as a necessary action when administering erythromycin lactobionate IV bolus.

Choice C is wrong because erythromycin lactobionate IV bolus should not be administered over 10 min; bolus injection (IV push) is contraindicated.

Choice D is wrong because erythromycin lactobionate should not be reconstituted with a 5% dextrose solution; it should be reconstituted with sterile water for injection.

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Correct Answer is D

Explanation

Long-term use of prednisone can lead to a decrease in bone density and an increased risk of osteoporosis.

Consuming a diet high in calcium can help to maintain bone health and reduce the risk of osteoporosis.

Choice A is wrong because while it is important for individuals taking prednisone to receive immunizations, they should not receive live vaccines due to the immunosuppressive effects of prednisone.

Choice B is wrong because prednisone can cause hypertension, not hypotension.

Choice C is wrong because prednisone can cause hyperglycemia, not hypoglycemia.

A. Avoid massaging the site after injection. B. Inject the medication into the abdomen. C. Administer the medication through clothing if necessary. D. Aspirate prior to administration of the medication.

Correct Answer is C

Explanation

The nurse should instruct the client to administer the medication through clothing if necessary.

In an emergency, an epinephrine auto-injector can be given through clothing.
Choice A is wrong because massaging the site after injection is not mentioned as something to avoid in the instructions for using an epinephrine auto-injector.
Choice B is wrong because the medication should be injected into the outer thigh, not the abdomen.
Choice D is wrong because aspiration prior to administration of the medication is not mentioned as a necessary step in the instructions for using an epinephrine auto-injector.

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A nurse is planning care for a client who has a prescription for erythromycin lactobionate IV bolus. Which of the following actions should the nurse include in the plan of care?

Nursing Test Bank

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A nurse is planning care for a client who has a prescription for erythromycin lactobionate IV bolus.
Which of the following actions should the nurse include in the plan of care?