A nurse is reviewing the medication administration records from the previous shift. Which of the following findings should indicate to the nurse a need for an incident report?
A client received crushed bupropion XL tablet mixed with applesauce.
A nurse injected Demerol 1M into the vastus lateralis site of adult.
A nurse used a 25-gauge inch needle to administer heparin injection.
A client received gentamicin intermittent IV bolus over I hr.
The Correct Answer is A
Bupropion XL tablets should be taken whole. Crushing the tablet interferes with the pharmacokinetics of the drug leading to reduced efficacy and increased risk of toxicity. Administering bupropion XL inappropriately could result in harm to the client and should prompt the nurse to file an incident report to document the error and ensure appropriate follow-up and monitoring.
B. Meperidine is a commonly administered opioid analgesic and can be given intramuscularly in appropriate doses and sites.
C. Selection of the needle length and gauge depend on the route of administration and individual client's characteristics
D. Gentamicin can be administered by intermittent IV bolus over a prolonged period as part of its dosing regimen.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Status asthmaticus is an acute, life threatening exacerbation of asthma causes by bronchospasm on exposure to a trigger. Status asthmaticus can lead to respiratory failure. Short acting beta 2 agonists bind to beta 2 receptors on the airway epithelium causing bronchodilation and promotes air flow. They are used as first line due to their short onset of action.
A. Administering an inhaled glucocorticoid is used for long term control of inflammation in asthma but has no role in acute attacks
B. Identification of triggers is important but not a priority in status asthmaticus.
C. Obtaining a peak flow reading is useful but not a priority.
Correct Answer is A
Explanation
Grapefruit juice interacts with cyclosporine slowing down it's metabolism and excretion which can lead to increase blood levels potentially leading to toxicity. Clients taking cyclosporine should avoid consuming grapefruit juice.
B, C, D- smoked salmon, pepperoni, and orange juice do not typically have significant interactions with cyclosporine.
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