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.

Answer and Explanation

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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Correct Answer is C

Explanation

A history of gastric ulcers is a contraindication to the use of aspirin. Aspirin is a nonsteroidal anti-inflammatory drug (NSAID) that can irritate the stomach lining and increase the risk of gastrointestinal bleeding and ulcers. Therefore, in a client with a history of gastric ulcers, aspirin should be avoided to prevent exacerbation of the condition and potential complications.
A, B, D - Migraine headaches, glaucoma and amenorrhea are not contraindications to aspirin use

A. Grapefruit juice B. Smoked salmon C. Pepperoni D. Orange juice

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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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?

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Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is A

Explanation

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