A nurse is preparing to administer medications to a 68-year-old female client admitted to the cardiology unit.
On the second day following admission, which medication requires clarification prior to administration?
Complete the following sentence by using the list of options:
The nurse should clarify the prescription for
The Correct Answer is {"dropdown-group-1":"D","dropdown-group-2":"C"}
The nurse should clarify the prescription for Digoxin due to the client's Irregular heart rhythm.
Rationale for correct prescription: Digoxin requires clarification because it can cause or exacerbate irregular heart rhythms. The client's irregular heart rhythm could indicate digoxin toxicity or an inappropriate dose. Monitoring and adjusting the digoxin prescription can prevent complications. Digoxin is used to control atrial fibrillation but needs careful management. Clarification ensures safe and effective use.
Rationale for other options: Warfarin does not need immediate clarification as there is no indication of excessive bleeding risk. Metoprolol is unlikely to be the cause of irregular rhythm in this scenario. Atorvastatin, used for hyperlipidemia, does not affect heart rhythm. Reported dizziness can be due to various causes and is not specific to digoxin. Palpitations are common in atrial fibrillation and need broader management beyond digoxin adjustment. Irregular heart rhythm strongly points to potential issues with digoxin. Bleeding risk pertains to warfarin management, not relevant here.
Clarification of digoxin is the priority due to direct impact on heart rhythm and patient safety.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Hand hygiene is critical for preventing the spread of MRSA. Washing hands removes any bacteria that may have been picked up during contact with the infected client or surfaces in the room. Proper handwashing technique includes using soap and water or an alcohol-based hand sanitizer for at least 20 seconds.
Choice B rationale
Reusing unsoiled gloves is not recommended because MRSA can persist on surfaces and gloves for prolonged periods. Changing gloves each time entering the room ensures any contamination is not transferred to different areas or patients.
Choice C rationale
Wearing a gown protects the caregiver’s clothing from contamination when assisting with activities like bathing. Gowns act as a barrier to prevent MRSA from contacting the caregiver's skin or clothes and being carried outside the patient’s room.
Choice D rationale
Taking the client outside the room increases the risk of spreading MRSA to others. While a mask may protect against respiratory droplets, it does not prevent the transmission of MRSA via contact with contaminated surfaces or the patient’s skin.
Correct Answer is B
Explanation
Choice B rationale
Passing of flatus indicates that the gastrointestinal tract is functioning, which is an important sign after colostomy surgery.
Choice A rationale
A pinkish-red stoma indicates good blood supply, but does not confirm colostomy functionality alone.
Choice C rationale
Absent bowel sounds could indicate a potential postoperative ileus, which is a concern rather than a positive sign.
Choice D rationale
Tolerating a clear liquid diet indicates some gastrointestinal function but is not specific to colostomy functionality.
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