A nurse is working in a pediatric special care unit. She recently transferred to this unit from an adult intensive care unit. The nurse is very cautious in administering medications because children are especially vulnerable to medication errors. Why is this true?

Children require more frequent dosing to achieve desired effects.

Children have less mature livers and kidneys than adults.

Children metabolize medications more quickly than adults.

Children excrete urine more quickly than adults.

Answer and Explanation

The Correct Answer is B

A. Children do not necessarily require more frequent dosing; the dosing schedule depends on the medication and the condition being treated.
B. Children have less mature livers and kidneys, affecting drug metabolism and excretion, making them more vulnerable to medication errors and adverse effects.
C. Children do not metabolize all medications more quickly; their metabolism can vary based on age and development.
D. Children may have different rates of urine excretion, but this is not the primary reason for their vulnerability to medication errors.

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Correct Answer is C

Explanation

A. Checking the pulse rate for 30 seconds and multiplying by 2 may not be accurate enough for a medication like digoxin, which requires precise monitoring.
B. Increasing sodium intake is not recommended for heart failure patients as it can worsen fluid retention and exacerbate symptoms.
C. Digoxin can cause bradycardia; therefore, it is crucial for clients to monitor their heart rate and contact their healthcare provider if it falls below 60/min to avoid adverse effects.
D. Taking digoxin with food can help with nausea but is not as critical as monitoring heart rate for potential toxicity.

A. Plan to take the medication at bedtime B. Expect increased swelling of the ankles C. Take your weight at the same time every day. D. Limit fluid intake in the morning

Correct Answer is C

Explanation

A. Hydrochlorothiazide should not be taken at bedtime as it is a diuretic and can cause nocturia.
B. Increased swelling of the ankles is not an expected effect of hydrochlorothiazide and could indicate worsening heart failure or other issues.
C. Taking weight at the same time every day helps monitor fluid status and the effectiveness of the diuretic.
D. Limiting fluid intake in the morning is not recommended, as adequate hydration is important while taking diuretics.

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A nurse is working in a pediatric special care unit. She recently transferred to this unit from an adult intensive care unit. The nurse is very cautious in administering medications because children are especially vulnerable to medication errors. Why is this true?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is reinforcing teaching with a client who has a new prescription for digoxin to treat heart failure. Which of the following instructions should the nurse include?

Correct Answer is C

Explanation

A nurse is reinforcing teaching with a client who has a new prescription for hydochlorothiazide. Which of the following information should the nurse include?

Correct Answer is C

Explanation

The nurse goes into a patient's room and administers her 0900 medications. When should the nurse document that the medications were given?

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A nurse is working in a pediatric special care unit. She recently transferred to this unit from an adult intensive care unit. The nurse is very cautious in administering medications because children are especially vulnerable to medication errors. Why is this true?

A nurse is documenting in a client's health record using the subjective, objective, assessment, and plan (SOAP) charting model. Which of the following information should be included in the subjective component?

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