A nurse is preparing to administer fentanyl 100 mcg via IV bolus to a client who is postoperative and is currently receiving 0.9% sodium chloride by continuous IV infusion. Which of the following actions should the nurse take?

Flush the port with heparin prior to administering the medication.

Inject the medication into the port closest to the client.

Pinch the tubing below the injection port prior to administration.

Administer the medication over 10 seconds.

Answer and Explanation

The Correct Answer is B

A. Flush the port with heparin prior to administering the medication. Heparin is not typically used to flush the port before administering IV medications; saline is generally used for flushing.
B. Inject the medication into the port closest to the client. This ensures the medication is delivered quickly and effectively, minimizing dilution and maximizing its effect.
C. Pinch the tubing below the injection port prior to administration. Pinching the tubing can help ensure the medication goes into the client quickly but should be done only if specified by protocol.
D. Administer the medication over 10 seconds. Fentanyl should be administered slowly over 1-2 minutes to prevent rapid administration-related side effects like hypotension or respiratory depression.

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Correct Answer is B

Explanation

A. Older adults have difficulty maintaining friendships. This statement is not universally true and can be misleading. While some older adults may face challenges in maintaining friendships due to health issues or mobility limitations, many continue to have active social lives.
B. Older adults are completing Erikson's developmental task of integrity vs despair. According to Erikson’s stages of psychosocial development, older adults (65 years and older) face the challenge of reflecting on their lives and achieving a sense of integrity versus despair.
C. Older adults are less involved in political and community activities. This statement is not necessarily true. Many older adults remain active in political and community activities.
D. Older adults are in Piaget's developmental stage of concrete operations. The concrete operational stage is part of Piaget’s theory of cognitive development and typically applies to children aged 7 to 11 years.

A. "Websites that sell health care products provide the most unbiased health information." B. "The most credible and efficient websites for locating scholarly health information end in .com." C. "Dependable websites containing health information keep their commercial sponsors anonymous." D. "My provider is responsible for showing me how to evaluate health information on the Internet."

Correct Answer is D

Explanation

A. "Websites that sell health care products provide the most unbiased health information." Websites that sell products may have a conflict of interest and may not provide the most unbiased information.
B. "The most credible and efficient websites for locating scholarly health information end in .com." Credible health information is more commonly found on websites ending in .gov, .edu, or .org, rather than .com.
C. "Dependable websites containing health information keep their commercial sponsors anonymous." Transparency about commercial sponsors is important for credibility; anonymous sponsorships may indicate a lack of transparency.
D. "My provider is responsible for showing me how to evaluate health information on the Internet." This is correct. Providers can guide patients on evaluating the credibility and reliability of health information found online.

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A nurse is preparing to administer fentanyl 100 mcg via IV bolus to a client who is postoperative and is currently receiving 0.9% sodium chloride by continuous IV infusion. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse manager is preparing an educational program for newly licensed nurses about psychosocial changes associated with aging. Which of the following information should the nurse manager include in the teaching?

Correct Answer is B

Explanation

A nurse is teaching a client about the use of electronic resources to research health information. Which of the following client responses indicates an understanding of the teaching?

Correct Answer is D

Explanation

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