A nurse is preparing to administer medication to a client who has a new prescription. Which of the following actions should the nurse take first?

Validate the prescription with the available medication.

Calculate the correct amount of the medication

Document the time of the medication administration.

Identify the client using two means of identification

Answer and Explanation

The Correct Answer is D

D. Before administering any medication, the nurse should positively identify the client using at least two unique identifiers (e.g., name, date of birth, medical record number). Positive identification helps prevent medication errors and ensures that the medication is administered to the intended recipient.
A. Validating the prescription with the available medication is an important step to ensure that the correct medication is being administered. However, before doing so, it's essential to confirm the identity of the client and the correct time for administration.
B. Calculating the correct amount of medication is necessary to ensure that the client receives the appropriate dose. However, before performing this calculation, it's essential to confirm the identity of the client and the correct time for administration.
C. Documenting the time of medication administration is important for maintaining an accurate record of the client's medication administration history. However, before documenting, it's crucial to confirm the identity of the client and the correct time for administration.

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Correct Answer is D

Explanation

D. Dizziness and lightheadedness may be indicative of hypotension, which can occur as a side effect of ramipril, particularly with the first dose or with dose adjustments. Administering an IV fluid bolus can help increase intravascular volume, improve blood pressure, and alleviate symptoms of hypotension.
A. Administering carbohydrates is not indicated for dizziness and lightheadedness associated with ramipril administration. Carbohydrates are typically used to treat hypoglycemia in clients with diabetes. Dizziness and lightheadedness in this scenario are unlikely to be caused by hypoglycemia.
B. Diphenhydramine is an antihistamine commonly used to treat allergic reactions, itching, and insomnia. It is not indicated for dizziness and lightheadedness associated with ramipril administration. Administering diphenhydramine may not address the underlying cause of the symptoms.
C. Naloxone is a medication used to reverse opioid overdose by blocking the effects of opioids at receptor sites. It is not indicated for dizziness and lightheadedness associated with ramipril administration. Naloxone would not be appropriate in this situation.

A. Lorazepam B. Fluoxetine C. Carbamazepine D. Methylphenidate

Correct Answer is C

Explanation

C. Carbamazepine is the drug of choice for managing trigeminal neuralgia pain. It is effective in reducing the frequency and severity of painful episodes associated with the condition.
A. Lorazepam is a benzodiazepine medication used to treat anxiety and certain seizure disorders. It is not typically used as a first-line treatment for trigeminal neuralgia pain.
B. Fluoxetine is a selective serotonin reuptake inhibitor (SSRI) antidepressant medication used to treat depression, anxiety disorders, and certain other conditions. It is not indicated for the management of trigeminal neuralgia pain.
D. Methylphenidate is a central nervous system stimulant medication commonly used to treat attention deficit hyperactivity disorder (ADHD) and narcolepsy. It is not indicated for the management of trigeminal neuralgia pain.

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A nurse is preparing to administer medication to a client who has a new prescription. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is administering the first dose of ramipril to a client who has hypertension. The client reports feeling dizzy and lightheaded. Which of the following should the nurse administer?

Correct Answer is D

Explanation

A nurse is planning to administer medications to a client who has trigeminal neuralgia. Which of the following medications should the nurse plan to administer to manage the client's pain?

Correct Answer is C

Explanation

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