A nurse is preparing to administer the first dose of cefazolin via intermittent Ivrder and refuses to take their medication. Which of the following nurse take first?
Assess the IV for patency.
Check the compatibility of cefazolin with the client's existing IV fluids.
Review the client's allergy history.
Obtain the reconstituted antibiotic from the pharmacy.
The Correct Answer is C
A. Assessing IV patency is important but comes after confirming the client is not allergic.
B. Checking compatibility ensures safe administration but is not the first priority.
C. Reviewing the client's allergy history is the priority to prevent a potentially life-threatening allergic reaction.
D. Obtaining the medication is necessary but only after confirming it is safe for the client.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Immobility more commonly leads to orthostatic hypotension rather than increased blood pressure.
B. Immobility typically leads to increased calcium levels due to bone demineralization.
C. A swollen area on the calf may indicate a deep vein thrombosis (DVT), a serious complication of immobility.
D. Urinary stasis and retention, rather than frequency, are common complications of immobility.
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}
Explanation
Answers: Hypoxemia; Oxygen saturation
Rationale:
Hypoxemia: The client’s oxygen saturation is 88% on room air, which is below the normal range (≥ 95%). Hypoxemia is the most immediate and life-threatening concern as it affects oxygen delivery to vital organs.
Oxygen saturation: Low oxygen saturation is a direct indicator of impaired gas exchange, commonly seen in conditions like pneumonia. The priority intervention is to improve oxygenation, as outlined in the provider's prescription to administer oxygen at 2 L/min via nasal cannula.
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