The client asks why it takes so much longer for the PO pain medication to work, when the IV medication works almost immediately. Which would be the best response for the nurse to give?

It is psychological. People believe IV is better so they feel it works quicker.

Oral medications take longer to absorb into your system than IV medications.

There is absolutely no difference between IV and oral medications.

IV medication doses are always much higher than oral doses.

Answer and Explanation

The Correct Answer is B

Choice A reason: This statement is false. The nurse should not say that it is psychological, as this is not true and may offend the client. The difference between IV and oral medications is not based on the client's belief or perception, but on the pharmacokinetics of the drugs.

Choice B reason: This statement is true. The nurse's best response is to explain that oral medications take longer to absorb into the system than IV medications, as oral medications have to pass through the digestive tract and the liver before reaching the bloodstream. IV medications are injected directly into the vein and bypass the digestive tract and the liver. Therefore, IV medications have a faster onset of action and a higher bioavailability than oral medications.

Choice C reason: This statement is false. The nurse should not say that there is no difference between IV and oral medications, as this is not true and may confuse the client. IV and oral medications have different routes of administration, absorption, distribution, metabolism, and excretion. These factors affect the drug levels and effects in the body.

Choice D reason: This statement is false. The nurse should not say that IV medication doses are always higher than oral doses, as this is not true and may mislead the client. IV and oral medication doses are determined by the drug characteristics, the client's condition, and the desired outcome. Sometimes, IV medication doses are lower than oral doses, as IV medications have a higher bioavailability and a more potent effect than oral medications.

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Correct Answer is D

Explanation

Choice A reason: This statement is false. The nurse does not need to assess the client's sulfa allergy prior to giving nifedipine, as nifedipine is not a sulfa drug. Sulfa drugs are a group of antibiotics that contain the sulfonamide group and can cause allergic reactions in some people. Nifedipine is a calcium channel blocker that does not contain sulfonamide.

Choice B reason: This statement is false. The nurse does not need to assess the client's hemoglobin prior to giving nifedipine, as nifedipine does not affect the hemoglobin level. Hemoglobin is a protein in the red blood cells that carries oxygen to the tissues. Nifedipine is a calcium channel blocker that relaxes the blood vessels and improves the blood flow to the heart.

Choice C reason: This statement is false. The nurse does not need to assess the client's PTT prior to giving nifedipine, as nifedipine does not affect the blood clotting time. PTT stands for partial thromboplastin time, which is a test that measures how long it takes for the blood to clot. Nifedipine is a calcium channel blocker that does not interfere with the coagulation cascade.

Choice D reason: This statement is true. The nurse should assess the client's blood pressure prior to giving nifedipine, as nifedipine is a medication that lowers the blood pressure. The nurse should check the blood pressure and compare it with the baseline and the target values. The nurse should hold the nifedipine and notify the prescriber if the blood pressure is too low or too high. The nurse should also monitor the client's blood pressure after giving the nifedipine and report any changes.

A. Administer a laxative to avoid constipation. B. Place an NG tube to decompress the stomach. C. Call for respiratory to intubate the client. D. Attach the client to a cardiac monitor.

Correct Answer is D

Explanation

Choice A reason: This statement is false. The nurse does not need to administer a laxative to the client before giving amiodarone, as amiodarone is not known to cause constipation. Amiodarone is an anti-arrhythmic medication that slows down the electrical impulses in the heart and restores a normal heart rhythm. It does not affect the bowel function or the gastrointestinal motility.

Choice B reason: This statement is false. The nurse does not need to place an NG tube to the client before giving amiodarone, as amiodarone is not known to cause gastric distension. An NG tube is a nasogastric tube that is inserted through the nose and into the stomach to remove air or fluid. It is used for clients who have bowel obstruction, vomiting, or bleeding. Amiodarone does not cause any of these conditions.

Choice C reason: This statement is false. The nurse does not need to call for respiratory to intubate the client before giving amiodarone, as amiodarone is not known to cause respiratory depression. Intubation is a procedure that involves inserting a tube through the mouth and into the trachea to assist breathing. It is used for clients who have difficulty breathing, low oxygen levels, or airway obstruction. Amiodarone does not cause any of these conditions.

Choice D reason: This statement is true. The nurse should attach the client to a cardiac monitor before giving amiodarone, as amiodarone is an anti-arrhythmic medication that can affect the heart rate, rhythm, and conduction. A cardiac monitor is a device that records the electrical activity of the heart and displays it on a screen. It is used to detect and treat any abnormal heartbeats, such as arrhythmias, bradycardia, or tachycardia. The nurse should monitor the client's cardiac status closely and report any changes to the prescriber.

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The client asks why it takes so much longer for the PO pain medication to work, when the IV medication works almost immediately. Which would be the best response for the nurse to give?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

What action should the nurse take prior to administering an intravenous anti-arrhythmic medication such as amiodarone to a client?

Correct Answer is D

Explanation

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