In discussing the safe use of drugs in the institutional setting, what duty is performed by the nurse? (Select all that apply.)

administering drugs

monitoring clients for drug effects

prescribing drugs

evaluating clients for toxic effects

educating clients/caregivers about drugs

Answer and Explanation

Correct Answer : A,B,D,E

A. Administering drugs is a fundamental duty of the nurse, ensuring that medications are given safely and according to protocols.

B. Monitoring clients for drug effects is crucial for assessing the effectiveness of medications and identifying any adverse reactions or complications.

C. Prescribing drugs is not a duty performed by nurses, as this responsibility typically falls under the purview of licensed practitioners such as physicians or nurse practitioners.

D. Evaluating clients for toxic effects is part of the nurse's responsibility to ensure patient safety and to respond to any signs of medication toxicity.

E. Educating clients/caregivers about drugs is a vital role for nurses, as it helps patients understand their medications and the importance of adherence to prescribed regimens.

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Correct Answer is D

Explanation

A. Sodium levels are important to monitor, but they are not the primary concern with furosemide treatment.

B. Bone marrow function is not a direct concern related to furosemide therapy.

C. Calcium levels are less critical compared to potassium when monitoring a client on furosemide.

D. Potassium levels are correct because furosemide is a loop diuretic that can lead to significant potassium loss, putting the client at risk for hypokalemia, which can have serious cardiac implications.

A. A 47-year-old female with hypertension B. A 52-year-old male with adult-onset diabetes C. A 17-year-old female with symptoms of an upper respiratory infection D. A 62-year-old male with gout

Correct Answer is A

Explanation

A. Phenylephrine is a decongestant that can raise blood pressure, making it contraindicated for individuals with hypertension. Advising a patient with hypertension to avoid phenylephrine is essential to prevent potential cardiovascular complications.

B. While patients with diabetes should be cautious about certain medications, phenylephrine is not specifically contraindicated in this condition.

C. A 17-year-old female with an upper respiratory infection typically does not have contraindications for phenylephrine unless there are underlying conditions not mentioned.

D. Gout does not have a direct contraindication for phenylephrine use, so the patient may not need to avoid it unless other health issues are present.

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In discussing the safe use of drugs in the institutional setting, what duty is performed by the nurse? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client who is experiencing pulmonary edema. The client is treated with furosemide. What will the nurse monitor most closely?

Correct Answer is D

Explanation

Which patient should be advised by the nurse to avoid over-the-counter cold and allergy preparations that contain phenylephrine?

Correct Answer is A

Explanation

Interpret and spell the abbreviation: supp_____ Enter the full word below.

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The nurse is administering an antibiotic to a client with a diagnosis of cellulitis of the left leg. Which client condition would have the greatest effect on the drug's distribution?