A nurse is preparing to administer ceftriaxone via continuous IV Infusion to a client who has pelvic inflammatory disease. When preparing the infusion, the nurse should identify which of the following diluents as incompatible with this medication?

Dextrose 5% in water

Lactated Ringer's

0.9% sodium chloride

Sterile water

Answer and Explanation

The Correct Answer is B

A. Dextrose 5% in water: D5W is compatible with ceftriaxone for IV infusion. It is often used as a diluent for many IV antibiotics, including cephalosporins, and does not pose a risk of harmful interaction with this medication.

B. Lactated Ringer's: Ceftriaxone is incompatible with calcium-containing IV solutions like Lactated Ringer’s. The calcium in LR can bind with ceftriaxone and form precipitates, especially in neonates, posing a risk of embolism or organ damage.

C. 0.9% sodium chloride: Normal saline is compatible with ceftriaxone for reconstitution and infusion. It is commonly used as a safe diluent that does not cause chemical interaction with this antibiotic.

D. Sterile water: Sterile water is often used for initial reconstitution of IV medications. While it lacks electrolytes for large-volume infusions, it does not chemically interact with ceftriaxone in small reconstitution volumes.

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Correct Answer is A

Explanation

A. Padded clamp: A padded (or rubber-tipped) clamp should be kept at the bedside of a client with a chest tube. It can be used to momentarily clamp the chest tube when assessing for air leaks or before changing the drainage system, and in emergencies to prevent air entry if the system becomes disconnected.

B. Wire cutters: Wire cutters are necessary for clients with wired jaw fixation, not for those with chest tubes. They are used to release the jaw in case of emergency airway obstruction, not in thoracotomy care.

C. Tracheostomy tray: A tracheostomy tray is appropriate for clients with tracheostomies or at risk of upper airway obstruction. It is not a routine part of thoracotomy or chest tube postoperative care unless a tracheostomy is also performed.

D. Montgomery straps: Montgomery straps are adhesive devices used to secure large dressings, often for abdominal wounds. They are not relevant to chest tube management orthoracic incisions.

A. "If his parents agree by phone that you may give consent, we'll need you to sign the form." B. "Because he is 16 and this is an emergency, he has to sign the consent form." C. "We cannot take him to the surgical suite until one of his parents signs the consent form." D. "The doctor will provide consent because his parents are not with him."

Correct Answer is A

Explanation

A. "If his parents agree by phone that you may give consent, we'll need you to sign the form.":In emergency situations, verbal parental consent over the phone can be legally acceptable. If the parent delegates authority to the grandparent, written or verbal permission can authorize the grandparent to sign the consent.

B. "Because he is 16 and this is an emergency, he has to sign the consent form.":Most 16-year-olds are still considered minors and cannot independently provide legal consent for surgery unless they are emancipated or the procedure falls under minor-consent laws, which don’t include appendectomy.

C. "We cannot take him to the surgical suite until one of his parents signs the consent form.":In true emergencies, surgery can proceed without parental consent if delaying care would pose serious harm. While obtaining consent is ideal, it’s not always legally required in life-threatening situations.

D. "The doctor will provide consent because his parents are not with him.":Healthcare providers do not give legal consent for procedures. In emergencies, treatment can proceed without consent under implied consent laws, but the provider does not "sign" on the patient’s behalf.

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A nurse is preparing to administer ceftriaxone via continuous IV Infusion to a client who has pelvic inflammatory disease. When preparing the infusion, the nurse should identify which of the following diluents as incompatible with this medication?

Nursing Test Bank

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A nurse is planning postoperative care for a client who is scheduled for a thoracotomy with chest tube placement. Which of the following pieces of equipment should the nurse plan to have at the client's bedside?

Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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