A patient is scheduled for a diagnostic test the following day and to be kept NPO (nothing by mouth) after midnight. What is the best nursing action?

Call the health-care provider to see if intravenous fluids are needed.

Increase fluid intake prior to midnight to make sure the patient remains hydrated.

Remove the patient's water pitcher at the bedside shortly before midnight.

This is an example of a STAT order and should be documented in the patient's chart.

Answer and Explanation

The Correct Answer is C

A. Call the health-care provider to see if intravenous fluids are needed: This is not usually necessary unless the patient has a condition that requires it. It's more important to ensure NPO status is maintained.

B. Increase fluid intake prior to midnight to make sure the patient remains hydrated: This could be done, but it is less important than ensuring the patient follows the NPO instructions.

C. Remove the patient's water pitcher at the bedside shortly before midnight: This is the correct answer. Removing the pitcher helps prevent the patient from accidentally drinking water and violating NPO status.

D. This is an example of a STAT order and should be documented in the patient's chart: NPO orders are not STAT orders; they are routine orders related to the preparation for a procedure.

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Correct Answer is C

Explanation

A. Upset stomach: An upset stomach is not typically associated with anaphylaxis. It could be a symptom of many other less severe conditions.

B. Hallucinations: Hallucinations are not a common symptom of anaphylaxis. They might occur in other medical conditions or as a side effect of certain drugs.

C. Wheezing: Wheezing is a classic sign of anaphylaxis, indicating airway constriction due to a severe allergic reaction.

D. Bleeding gums: Bleeding gums are not a sign of anaphylaxis. They may indicate a different medical issue, such as a blood clotting disorder.

A. Therapeutic level B. therapeutic index C. Toxic level D. Therapeutic range

Correct Answer is A

Explanation

A. Therapeutic level: This is the correct answer. It refers to the concentration of a drug in the bloodstream at which it achieves the desired effect without causing toxicity.

B. Therapeutic index: This is a ratio that compares the toxic dose to the therapeutic dose of a drug. It does not refer to the point of optimal effect.

C. Toxic level: This refers to the concentration of a drug at which it becomes harmful or toxic. It is not associated with the desired effect.

D. Therapeutic range: This refers to the range between the minimum effective concentration and the toxic concentration of a drug. It does not pinpoint the optimal effect but indicates the safe range.

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A patient is scheduled for a diagnostic test the following day and to be kept NPO (nothing by mouth) after midnight. What is the best nursing action?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Explanation

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