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

Use a 10-mL syringe for administration

Administer the medication over 5 seconds

Flush the IV line with 20 mL of normal saline

Check the compatibility of the medication

Answer and Explanation

The Correct Answer is D

Choice A reason: A 10-mL syringe may be too large for IV push medications, risking rapid administration. Smaller syringes (e.g., 3–5 mL) allow precise dosing, but compatibility is the priority, making this incorrect.

Choice B reason: Administering over 5 seconds is too fast for most IV push medications, risking adverse reactions. Medications require specific administration rates, but compatibility must be confirmed first, making this secondary.

Choice C reason: Flushing with 20 mL of normal saline ensures patency but is excessive for IV push. Compatibility checks prevent precipitation or inactivation, making flushing a follow-up action, not the priority.

Choice D reason: Checking medication compatibility with IV fluids or drugs prevents adverse reactions like precipitation. This ensures safe administration, making it the priority action before giving an IV push medication.

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Correct Answer is D

Explanation

Choice A reason: Imagery involves visualizing specific scenes or outcomes to reduce stress, not focusing on physical sensations like breathing or muscle relaxation. The group’s focus on body awareness and sequential relaxation aligns with progressive relaxation, making this an incorrect description.

Choice B reason: Meditation typically involves mindfulness or mental focus, not systematic physical relaxation of body parts. The group’s structured progression through breathing and muscle groups is specific to progressive relaxation training, making meditation an incorrect term.

Choice C reason: Group biofeedback uses devices to monitor physiological signals (e.g., heart rate), not verbal guidance to focus on relaxation. The described activity relies on mental focus without equipment, aligning with progressive relaxation, making biofeedback incorrect.

Choice D reason: Progressive relaxation training involves systematically tensing and relaxing muscle groups while focusing on sensations, as described (e.g., breathing, left arm). This technique reduces stress and promotes relaxation, making it the correct description of the group’s activity.

A. Oranges B. Spinach C. Chicken breast D. White bread

Correct Answer is B

Explanation

Choice A reason: Oranges have minimal vitamin K, which does not significantly affect warfarin’s anticoagulant effect. They are safe for consumption, making this an incorrect food to avoid.

Choice B reason: Spinach is high in vitamin K, which counteracts warfarin by promoting clotting factor synthesis. Clients should limit such foods to maintain stable anticoagulation, making this the correct choice.

Choice C reason: Chicken breast is low in vitamin K and does not interfere with warfarin. It is a safe protein source, making it incorrect to include in foods to avoid.

Choice D reason: White bread contains negligible vitamin K, having no significant impact on warfarin efficacy. It is safe for consumption, making it incorrect for the teaching.

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

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Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

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Correct Answer is B

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