At the start of the shift, the practical nurse (PN) reviews a client’s medication administration record and notes that a client has a new prescription for a diuretic to be administered at bedtime. Which action should the PN take?
Explain the purpose of the medication to the client just prior to giving the medication as scheduled
Review the prescription with the charge nurse to determine if a change in time of administration is needed
Withhold the medication until the next day for clarification when the healthcare provider (HCP) makes rounds
Administer the medication early in the day to reduce risk of disturbing the client’s nighttime sleep schedule
The Correct Answer is B
Choice A reason: Explaining the medication’s purpose is important but does not address the inappropriate bedtime dosing. Diuretics increase urination, causing nocturia and sleep disruption. Administering as scheduled without review risks client discomfort, making this choice less appropriate than verifying timing.
Choice B reason: Reviewing the prescription with the charge nurse is critical, as bedtime diuretic administration causes nocturia, disrupting sleep. Diuretics, like hydrochlorothiazide, increase urine production, and morning dosing aligns with daily activity, minimizing nighttime disturbance, ensuring safe and effective administration timing.
Choice C reason: Withholding the medication until the next day delays treatment, risking conditions like edema or hypertension. Consulting the charge nurse allows timely clarification of dosing time, ensuring therapeutic benefits without sleep disruption, making this choice overly cautious and unnecessary.
Choice D reason: Administering the diuretic early without confirmation violates protocol, as the prescription specifies bedtime. Unilateral changes risk errors, and morning dosing requires provider approval. Reviewing with the charge nurse is safer, ensuring alignment with clinical intent while addressing sleep concerns.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Famotidine, an H2 receptor blocker, reduces gastric acid production, alleviating epigastric pain caused by acid-related conditions like gastritis or ulcers. Decreased pain indicates the drug’s effectiveness in lowering acid levels, protecting the gastric mucosa, and promoting healing, making this the primary clinical outcome.
Choice B reason: Weight loss of 3 pounds is not a direct indicator of famotidine’s effectiveness. It may result from unrelated factors like diet or illness. Famotidine targets acid reduction, not weight, so this finding is irrelevant to assessing the drug’s therapeutic impact on gastric conditions.
Choice C reason: Decreased nighttime awakenings may occur with reduced pain but are not a specific measure of famotidine’s effectiveness. Awakenings could relate to other factors, like sleep disorders. Pain reduction is a more direct indicator of the drug’s action on acid-related symptoms.
Choice D reason: A positive stool antigen test indicates Helicobacter pylori infection, not famotidine’s effectiveness. Famotidine reduces acid but does not eradicate H. pylori, which requires antibiotics. This finding is unrelated to the drug’s primary role in acid suppression and symptom relief.
Correct Answer is B
Explanation
Choice A reason: Explaining the medication’s purpose is important but does not address the inappropriate bedtime dosing. Diuretics increase urination, causing nocturia and sleep disruption. Administering as scheduled without review risks client discomfort, making this choice less appropriate than verifying timing.
Choice B reason: Reviewing the prescription with the charge nurse is critical, as bedtime diuretic administration causes nocturia, disrupting sleep. Diuretics, like hydrochlorothiazide, increase urine production, and morning dosing aligns with daily activity, minimizing nighttime disturbance, ensuring safe and effective administration timing.
Choice C reason: Withholding the medication until the next day delays treatment, risking conditions like edema or hypertension. Consulting the charge nurse allows timely clarification of dosing time, ensuring therapeutic benefits without sleep disruption, making this choice overly cautious and unnecessary.
Choice D reason: Administering the diuretic early without confirmation violates protocol, as the prescription specifies bedtime. Unilateral changes risk errors, and morning dosing requires provider approval. Reviewing with the charge nurse is safer, ensuring alignment with clinical intent while addressing sleep concerns.
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