A nurse is preparing to administer digoxin orally to a client. Identify the sequence of steps the nurse should take (Move the steps into the box on the right, placing them in the order of performance. Use all the steps)

Remove the medication from the dispensing system.

Compare the client’s wristband to the medication administration record.

Document administration of the medication.

Open the medication package.

Obtain the client’s apical heart rate.

Answer and Explanation

The Correct Answer is E, A, B, D, C

Before administering digoxin, the nurse should check the patient's apical heart rate. If the heart rate is below 60 beats per minute for an adult, or below the prescribed limit for a child, the nurse should hold the medication and notify the healthcare provider. This is the first step because the nurse needs to have the medication in hand before proceeding with the other steps. This step is crucial to ensure that the right medication is being given to the right patient. It's a part of the "five rights" of medication administration: right patient, right medication, right dose, right route, and right time. Once the nurse has confirmed the patient's identity and heart rate, the next step is to open the medication package. After administering the medication, the nurse should document it in the patient's medical record. This is important for maintaining an accurate record of the patient's medication history.

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Correct Answer is ["A","B","D","E"]

Explanation

Inhaled short acting beta agonists can should be administered up to 3 times until there the obstruction in managed. In the event that the nebulization fails to relieve the respiratory distress, other treatment options such as magnesium sulphate can be used.

Oxygen flow should also be titrated appropriately to achieve the targeted SPO2 levels. However, changing the modality of oxygen delivery is not necessary at this part.

Continuous vital signs monitoring allows for timely interventions at all times to prevent respiratory failure. Although not a primary measure, raising the head of the bed can increase comfort reducing the work of breathing.

While incentive spirometry may have a role in the management of asthma in certain situations, such as during the recovery phase after an acute exacerbation or in individuals with chronic asthma who have reduced lung function, it is not typically used as a primary intervention during the acute phase of an asthma attack.

A. Methotrexate has less harmful side effects than aspirin. B. Methotrexate helps to reduce the side effects of the aspirin therapy. C. Methotrexate enhances the effectiveness of the aspirin. D. Methotrexate slows the disease progression while aspirin controls the symptoms.

Correct Answer is D

Explanation

D Methotrexate is a disease-modifying antirheumatic drug (DMARD) commonly used in the treatment of RA to slow down the progression of joint damage and reduce inflammation. Aspirin, on the other hand, is often used to manage symptoms such as pain and inflammation. Combining these two medications addresses both the underlying disease process and symptom control, respectively, in the management of RA
A While both methotrexate and aspirin have potential side effects, they affect different aspects of rheumatoid arthritis treatment. Methotrexate is primarily used to slow disease progression, while aspirin is used for symptom management.
B Methotrexate and aspirin do not directly interact to reduce each other's side effects.
C While both methotrexate and aspirin have their own roles in the treatment of rheumatoid arthritis, there is no evidence to suggest that methotrexate enhances the effectiveness of aspirin. They work through different mechanisms and target different aspects of RA management.

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A nurse is preparing to administer digoxin orally to a client. Identify the sequence of steps the nurse should take (Move the steps into the box on the right, placing them in the order of performance. Use all the steps)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Patient Data Exhibits After administration of medication, the client remains short of breath. Wheezes are noted bilaterally. Oxygen saturation is 91% with supplemental oxygen. Which action(s) should the nurse take next? Select all that apply.

Correct Answer is ["A","B","D","E"]

Explanation

Methotrexate is prescribed for a client with rheumatoid arthritis (RA) who is also taking aspirin. Which is the best explanation for the nurse to provide as to why a second medication has been added?

Correct Answer is D

Explanation

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