A nurse is preparing to administer a medication to a client for the first time and needs to know about potential food and medication interactions. Which of the following actions should the nurse take?
Have the client take the medication on an empty stomach to avoid interactions.
Consult a drug reference guide for possible interactions.
Ask another nurse if they are aware of potential interactions.
Check the client's medical record for medication and food interactions.
The Correct Answer is B
A) Have the client take the medication on an empty stomach to avoid interactions:
This action may not be appropriate as taking medications on an empty stomach can sometimes increase the risk of adverse effects or decrease medication effectiveness. The decision to take medication with or without food depends on the specific medication and its instructions. It does not address the broader scope of potential interactions with other medications or foods.
B) Consult a drug reference guide for possible interactions:
This is the most appropriate action. Drug reference guides, such as the Physicians' Desk Reference (PDR) or online databases, provide comprehensive information about medications, including potential interactions with other drugs and foods. Consulting a reliable drug reference guide allows the nurse to make informed decisions about medication administration and identify any potential interactions that may affect the client's safety and treatment outcomes.
C) Ask another nurse if they are aware of potential interactions:
While seeking advice from colleagues can sometimes be helpful, relying solely on another nurse's knowledge may not provide comprehensive information about potential interactions. Additionally, the accuracy and reliability of the information obtained from another nurse may vary. Consulting a drug reference guide or other reliable resources is a more systematic approach to ensuring medication safety.
D) Check the client's medical record for medication and food interactions:
While the client's medical record may contain valuable information about their current medications and medical history, it may not always include detailed information about potential interactions with specific foods. Additionally, relying solely on the medical record may overlook recent changes in the client's medication regimen or newly prescribed medications. Consulting a drug reference guide provides more comprehensive and up-to-date information about potential interactions.
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Related Questions
Correct Answer is C
Explanation
A) Massage the injection site after administering the medication:
Massaging the injection site after administering enoxaparin or any other medication is not recommended. It could potentially disrupt the absorption of the medication or cause tissue damage at the injection site. Therefore, this action is incorrect.
B) Hold the skin taut at the injection site while administering the medication:
Holding the skin taut at the injection site is not necessary for administering enoxaparin. Unlike some intramuscular injections, enoxaparin is typically administered subcutaneously, and holding the skin taut may not be required. This action is unnecessary and not part of the standard procedure for administering enoxaparin.
C) Administer the medication into the anterolateral or posterolateral abdominal area:
This is the correct action. Enoxaparin is usually administered subcutaneously into the anterolateral or posterolateral abdominal area. These sites have a layer of adipose tissue that allows for absorption of the medication. Administering enoxaparin into these areas helps minimize the risk of injury to underlying structures and ensures optimal absorption of the medication.
D) Expel the air bubble from the syringe prior to administering the medication:
While expelling air bubbles from the syringe is a standard practice when preparing medications for injection, it is not specifically related to the administration of enoxaparin. However, ensuring that the syringe is free of air bubbles before injection is still important to prevent air embolism or inaccurate dosing. Therefore, while this action is generally appropriate, it does not address the specific administration technique for enoxaparin.
Correct Answer is D
Explanation
A. “Insomnia”: While insomnia can be a side effect of many medications, it is not typically associated with carbamazepine. Carbamazepine, an anticonvulsant, is used to control seizures and does not commonly cause insomnia.
B. “Tachypnea”: Tachypnea, or rapid breathing, is not a common side effect of carbamazepine. Carbamazepine does not typically affect the respiratory system in this way.
C. “Metallic taste”: A metallic taste is not a common side effect of carbamazepine. This side effect is more commonly associated with certain antibiotics or antifungal medications.
D. “Blurred vision”: This is the correct answer. Blurred vision is a known side effect of carbamazepine. If a client experiences this side effect, they should notify their healthcare provider as it may indicate a need for dosage adjustment or a change in medication. It’s important for clients to be aware of this potential side effect so they can monitor for it and seek medical attention if it occurs.
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