A nurse should have a patient remain in the office for 15 minutes following the administration of which of the following medications? Select all that apply.

allergy shot

b12 shot

antibiotics

immunizations

Answer and Explanation

Correct Answer : A,C,D

A. Allergy shot: Patients should be observed for at least 15 minutes after receiving an allergy shot because of the risk of anaphylactic reactions, which can be life-threatening if not treated promptly.

B. B12 shot: Observation after a B12 shot is not typically necessary as it is generally well tolerated and does not carry a high risk of immediate allergic reactions.

C. Antibiotics: Some antibiotics, especially when given by injection, can cause allergic reactions, including anaphylaxis. Therefore, it’s prudent to observe the patient for 15 minutes after administration.

D. Immunizations: Like allergy shots, immunizations can sometimes cause allergic reactions or anaphylaxis, so patients are often observed for 15 minutes following administration.

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Correct Answer is D

Explanation

A. "What do the pills look like?" This is a critical question because identifying the medication will guide the nurse in determining the appropriate course of action. However, it should not be the initial response because emergency services should be alerted immediately if the child's life is potentially at risk.

B. “Ask if there is medication to induce vomiting in the household.” Inducing vomiting is not recommended without knowing the specific substance ingested, as it could cause more harm, particularly if the substance is caustic or can lead to aspiration. This is not the best initial action.

C. "Have the child drink a glass of milk." While milk may sometimes be recommended to coat the stomach, this advice is not universally appropriate, particularly without knowing the substance ingested. Milk could interfere with the absorption of some medications or exacerbate the condition.

D. "I'm calling emergency personnel for you now." This is the best response as it ensures immediate medical help is on the way. Time is critical in poisoning cases, and the child may need immediate intervention from professionals.

A. Ensure that the skin is clean and dry. B. Don gloves prior to administration. C. Take the patient's vital signs. D. Apply to non irritated areas of the skin.

Correct Answer is A

Explanation

A. Ensure that the skin is clean and dry. Cleaning and drying the skin removes dirt, oils, and moisture that could impede the absorption of the medication. This is the first step to ensure maximum efficacy of the topical ointment.

B. Don gloves prior to administration. While wearing gloves is important for infection control and personal protection, it does not directly facilitate the absorption of the ointment into the patient's skin.

C. Take the patient's vital signs. Checking vital signs is a general nursing practice but is unrelated to the application of topical ointments and does not affect absorption.

D. Apply to non-irritated areas of the skin. Applying to non-irritated skin is important to avoid exacerbating skin issues, but it’s not the first step to facilitate absorption. Ensuring the skin is clean and dry takes precedence.

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A nurse should have a patient remain in the office for 15 minutes following the administration of which of the following medications? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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