A patient is scheduled to receive intravenous acyclovir.

What should the nurse do first before administering the scheduled dose?

Infuse the medication slowly, over a period of 60-90 minutes.

Dilute the acyclovir in 1 liter of normal saline.

Check the intravenous site for any signs of redness, heat, or swelling.

Examine the patient for any open herpetic lesions.

Answer and Explanation

The Correct Answer is C

Choice A rationale
Infusing the medication slowly over a period of 60-90 minutes is a common practice for many intravenous medications to prevent adverse reactions. However, this is not the first step a nurse should take before administering intravenous acyclovir.
Choice B rationale
While diluting certain medications in a liter of normal saline can be a part of the preparation process, it is not the first step a nurse should take before administering intravenous acyclovir.
Choice C rationale
Checking the intravenous site for any signs of redness, heat, or swelling is the correct first step before administering any intravenous medication. This is to ensure that the IV site is not infected or inflamed, which could lead to complications such as phlebitis or infiltration.
Choice D rationale
Examining the patient for any open herpetic lesions is important when administering acyclovir, as the medication is used to treat herpes infections. However, this is not the first step a nurse should take before administering the medication.

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Correct Answer is D

Explanation

Choice A rationale
While taking the antibiotic with food can help reduce gastric irritation for some antibiotics, this is not the most important information for the patient prescribed doxycycline.
Choice B rationale
Antacids should not be taken one hour before taking doxycycline. Antacids can interfere with the absorption of doxycycline, making it less effective.
Choice C rationale
Consuming the medication with yogurt is not necessary to prevent superinfection. While yogurt is often recommended to restore normal flora during antibiotic treatment, it is not the most crucial information for a patient taking doxycycline.
Choice D rationale
Taking the medication with a full glass of water is the most important information for a patient prescribed doxycycline. This is to ensure that the medication reaches the stomach and does not cause irritation or ulcers in the esophagus.

A. Misoprostol B. Ranitidine C. Sucralfate D. Esomeprazole .

Correct Answer is A

Explanation

Choice A rationale
Misoprostol is a medication that can help protect the stomach lining and reduce the risk of gastric irritation and ulcers caused by NSAIDs.
Choice B rationale
Ranitidine is a type of antacid that can help reduce stomach acid and relieve symptoms of heartburn, but it does not specifically protect the stomach lining from the effects of NSAIDs.
Choice C rationale
Sucralfate is a medication that can help treat and prevent ulcers in the stomach and intestines, but it does not specifically protect the stomach lining from the effects of NSAIDs.
Choice D rationale
Esomeprazole is a proton pump inhibitor that can reduce stomach acid and relieve symptoms of gastroesophageal reflux disease (GERD), but it does not specifically protect the stomach lining from the effects of NSAIDs. Prednisone Prednisone Explore

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A patient is scheduled to receive intravenous acyclovir. What should the nurse do first before administering the scheduled dose?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient has been prescribed the antibiotic doxycycline. What is the most important information for the nurse to include when educating the patient?

Correct Answer is D

Explanation

The nurse is caring for a patient with rheumatoid arthritis who is on high doses of nonsteroidal anti-inflammatory drugs (NSAIDs) for joint pain relief. The patient expresses concerns about gastric irritation. What medication could the nurse suggest to the physician to alleviate gastric irritation?

Correct Answer is A

Explanation

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A patient is scheduled to receive intravenous acyclovir.

What should the nurse do first before administering the scheduled dose?