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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) Monitor the client's thyroid function levels: This action is not directly relevant to the administration error involving metformin instead of metoprolol. Metformin is not known to affect thyroid function levels. Monitoring thyroid function levels may be appropriate for clients taking certain medications, but it is not indicated in this situation.
B) Check the client's glucose level: Metformin is a medication commonly used to treat type 2 diabetes by lowering blood glucose levels. In this scenario, administering metformin instead of metoprolol could lead to hypoglycemia in the client if they do not have diabetes. Checking the client's glucose level is essential to assess for hypoglycemia and initiate appropriate treatment if necessary.
C) Obtain the client's HDL level: HDL (high-density lipoprotein) level measurement is not directly related to the administration error involving metformin. Metformin is not typically associated with significant effects on HDL levels. Monitoring HDL levels may be relevant for clients with specific cardiovascular risk factors but is not the priority in this situation.
D) Collect the client's uric acid level: Monitoring uric acid levels is not directly relevant to the administration error involving metformin. Metformin is not known to significantly affect uric acid levels. Assessing uric acid levels may be indicated for clients with conditions like gout, but it is not the primary concern in this scenario where the client received the wrong medication.
Correct Answer is D
Explanation
A) Stroke volume: Stroke volume is the amount of blood ejected from the heart with each contraction, and it's an essential parameter in assessing cardiac function. However, when titrating a nitroprusside infusion, the primary goal is to manage blood pressure rather than directly targeting stroke volume. Nitroprusside is primarily used as a vasodilator to lower blood pressure in hypertensive emergencies. While changes in blood pressure may indirectly affect stroke volume, blood pressure itself is the primary parameter for titration.
B) Cardiac output: Cardiac output, which is the volume of blood pumped by the heart per minute, may be affected by nitroprusside due to its vasodilatory effects. However, like stroke volume, cardiac output is not typically the primary parameter for titrating a nitroprusside infusion. Blood pressure is a more direct indicator of the drug's effect on vascular tone and perfusion pressure.
C) Urine output: Monitoring urine output is crucial for assessing renal function and fluid status, but it is not the primary parameter used to titrate a nitroprusside infusion. While nitroprusside may affect renal blood flow and urine output indirectly, blood pressure remains the immediate indicator of the drug's hemodynamic effects.
D) Blood pressure: Nitroprusside is a potent vasodilator commonly used to lower blood pressure in hypertensive emergencies. Therefore, the primary assessment parameter for titrating a nitroprusside infusion is blood pressure. The nurse should monitor the client's blood pressure frequently and adjust the infusion rate accordingly to achieve the desired therapeutic effect while avoiding hypotension or excessive lowering of blood pressure.
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