Exhibits

The nurse is assessing the client to update the plan of care.

Choose the most likely options for the information missing from the statement by selecting from the lists of options provided.

The nurse determines that the client's is experiencing
dropdown
, and the blood pressure changes are the result of
dropdown

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"A"}

Blank 1: Adverse drug reaction: The client’s symptoms of dizziness, headache, burning sensation, redness, flushing, hives, and itching after the administration of vancomycin indicate a severe allergic reaction, likely "Red Man Syndrome," which is an adverse drug reaction.

Blank 2: Antibiotic: The blood pressure changes (initial drop to 108/46 mmHg) are most likely due to the adverse reaction to the vancomycin infusion. The hypotension occurred as a direct result of the antibiotic administration.

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Correct Answer is ["A","C","D","E","F","H"]

Explanation

A. (The dose of insulin drawn up in the syringe): Ensures the correct dosage is being administered, which is critical to avoid under- or overdosing.
B. The site for the insulin administration is not typically double-checked with another nurse, as they are part of the nurse's standard assessment and practice.
C. (The type of insulin to be administered): Confirms that the correct insulin type (e.g., insulin lispro) is being given, as administering the wrong type could lead to improper glucose control.
D. (The sliding scale insulin lispro prescription): Verifies the correct sliding scale dosing, ensuring it matches the client's current blood glucose level.
E. (The insulin concentration): Ensures the insulin concentration is appropriate and aligns with the prescribed dose.
F. (The insulin vial for color and clarity): Confirms that the insulin is not compromised; any discoloration or cloudiness could indicate that the insulin is not safe to use.
H. (The expiration date on the insulin vial): Ensures the insulin is within its expiration date and effective.
G. The history and physical with the diabetes diagnosis listed are not typically double-checked with another nurse, as they are part of the nurse's standard assessment and practice.

A. Coronary artery disease. B. Irritable bowel syndrome. C. Seasonal allergic rhinitis. D. Type 2 diabetes mellitus.

Correct Answer is A

Explanation

A. Sumatriptan is a triptan used to treat migraines, but it can cause vasoconstriction, which may exacerbate coronary artery disease. Therefore, it is crucial to assess for a history of this condition before administration.
B. Irritable bowel syndrome does not significantly impact the use of sumatriptan.
C. Seasonal allergic rhinitis is not a contraindication for sumatriptan use.
D. Type 2 diabetes mellitus is not a contraindication for sumatriptan use, though blood glucose levels should be monitored as part of overall management.

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Naxlex Comprehensive Predictor Exams

Exhibits The nurse prepares to give 2 units of insulin lispro. Which should the nurse double check with a second nurse? Select all that apply.

Correct Answer is ["A","C","D","E","F","H"]

Explanation

Before administering the initial dose of sumatriptan succinate to a client with a migraine headache, it is most important to determine if the client's history includes which problem?

Correct Answer is A

Explanation

Based on a client's serum digoxin level, the client is diagnosed with digoxin toxicity. Which action should the nurse expect to implement?

Ferrous sulfate elixir is prescribed for a client with iron deficiency anemia. Which instruction should the nurse provide this client about taking the liquid medication?

Exhibits Review H and P, nurse's notes, laboratory values, flow sheet, and prescriptions. Click to mark whether the assessment finding represents a therapeutic result of the mannitol administered, a non-therapeutic side effect, or an unrelated finding. Each row must have one option selected.

The nurse is planning discharge teaching for a client with type 2 diabetes mellitus who has a new prescription for insulin glargine. Which action should the nurse plan to include in the discharge teaching?

A young adult female client who is planning to become pregnant asks the nurse if she can continue taking isotretinoin for cystic acne. Which information is most important for the nurse to provide this client?

A client who is receiving pregabalin for fibromyalgia complains of tremors in the hands. Which action should the nurse implement?

The nurse is administering sucralfate to a client with stomatitis secondary to chemotherapy. The client wants to take the medication after breakfast. How should the nurse respond?

A client with a history of smoking cigarettes for many years arrives at the clinic and expresses a desire to stop smoking. The client receives a prescription for bupropion to reduce nicotine cravings. Which information should the nurse include in the discharge teaching?