A nurse is preparing to administer a hazardous IV medication to a client. Which of the following actions should the nurse take?

Wear gloves when handling the medication.

Administer the medication in a negative pressure room.

Administer the medication while wearing protective footwear.

Wear an N95 respiratory mask when administering the medication.

Answer and Explanation

The Correct Answer is A

A) Wear gloves when handling the medication: This is the correct action to take when preparing to administer a hazardous IV medication. Wearing gloves helps protect the nurse from direct contact with the medication, reducing the risk of exposure to potentially harmful substances.

B) Administer the medication in a negative pressure room: While some hazardous medications may require administration in a negative pressure room to prevent the spread of airborne contaminants, this is not a standard precaution for administering IV medications. Negative pressure rooms are typically used for airborne infection isolation rather than for medication administration.

C) Administer the medication while wearing protective footwear: While wearing appropriate footwear is important for general safety in healthcare settings, it is not specifically required for administering hazardous IV medications. Protective footwear may be necessary in certain situations, such as when handling biohazardous materials or when there is a risk of spills, but it is not directly related to IV medication administration.

D) Wear an N95 respiratory mask when administering the medication: While respiratory protection may be necessary when handling certain hazardous substances, such as those that produce airborne particles or aerosols, it is not typically required for administering IV medications. N95 masks are primarily used for respiratory protection in situations where there is a risk of inhaling airborne contaminants, such as infectious agents or hazardous chemicals.

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Correct Answer is C

Explanation

Lansoprazole: Lansoprazole is a proton pump inhibitor commonly used to reduce stomach acid production and treat conditions like gastroesophageal reflux disease (GERD) and ulcers. There are no significant contraindications or interactions between lansoprazole and nitroglycerin. Therefore, it is not contraindicated for use with nitroglycerin.

B) Diazepam: Diazepam is a benzodiazepine medication used to treat anxiety, muscle spasms, and certain seizure disorders. While caution may be necessary when using diazepam concurrently with nitroglycerin due to the potential for additive hypotensive effects, it is not typically contraindicated. However, close monitoring of blood pressure and signs of hypotension is prudent when these medications are used together.

C) Sildenafil: Sildenafil is a phosphodiesterase type 5 (PDE5) inhibitor used to treat erectile dysfunction and pulmonary arterial hypertension. Concomitant use of sildenafil with nitroglycerin is contraindicated due to the risk of profound hypotension, which can result in cardiovascular collapse. Both medications have vasodilatory effects, and their combination can lead to severe hypotension, syncope, and even myocardial infarction. Therefore, sildenafil is contraindicated for use with nitroglycerin.

D) Gemfibrozil: Gemfibrozil is a lipid-lowering medication used to reduce triglyceride levels in individuals with hypertriglyceridemia. There are no significant contraindications or interactions between gemfibrozil and nitroglycerin. Therefore, it is not contraindicated for use with nitroglycerin.

A. Increased urinary output B. Reduced dizziness C. Absence of peripheral neuropathy D. Decreased nausea

Correct Answer is D

Explanation

A) Increased urinary output: Ondansetron is a 5-HT3 receptor antagonist commonly used to prevent and treat nausea and vomiting, particularly in chemotherapy-induced nausea and vomiting and postoperative nausea and vomiting. While increased urinary output may be indicative of improved hydration status or renal function, it is not a direct indicator of ondansetron's effectiveness in controlling nausea and vomiting. Therefore, it is not the most appropriate finding to assess the effectiveness of ondansetron.

B) Reduced dizziness: Ondansetron primarily targets nausea and vomiting by blocking serotonin receptors in the gastrointestinal tract and the chemoreceptor trigger zone. While dizziness may sometimes accompany nausea and vomiting, its reduction may not directly correlate with the effectiveness of ondansetron. Additionally, dizziness can have various causes beyond nausea and vomiting, such as orthostatic hypotension or vestibular dysfunction. Therefore, reduced dizziness alone may not reliably indicate the effectiveness of ondansetron.

C) Absence of peripheral neuropathy: Peripheral neuropathy refers to damage or dysfunction of peripheral nerves, commonly resulting in symptoms such as numbness, tingling, or weakness in the extremities. Ondansetron is not indicated for the treatment of peripheral neuropathy, and its effectiveness in controlling nausea and vomiting would not directly influence the presence or absence of peripheral neuropathy. Therefore, this finding is unrelated to the effectiveness of ondansetron in managing nausea and vomiting.

D) Decreased nausea: Ondansetron is primarily prescribed to alleviate nausea and vomiting associated with various conditions. Therefore, a decrease in nausea would indicate that ondansetron is effective in achieving its therapeutic goal. Assessing the client's level of nausea and observing a reduction in nausea symptoms after administering ondansetron is a direct and appropriate way to evaluate its effectiveness in controlling nausea and vomiting. Thus, decreased nausea is the most accurate indicator of ondansetron's effectiveness among the options provided.

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A nurse is preparing to administer a hazardous IV medication to a client. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the list of current medications for a client who has a new prescription for nitroglycerin. The nurse should identify that which of the following client medications is contraindicated for use with nitroglycerin?

Correct Answer is C

Explanation

A nurse is caring for a client who is receiving ondansetron IV. Which of the following findings is an indication that the ondansetron is effective?

Correct Answer is D

Explanation

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