The nurse is administering medications to a group of clients. Which client(s) warrant(s) the nurse's special attention when considering pharmacokinetics? The client(s) who has (have) a medical diagnosis of: (SELECT ALL THAT APPLY)

renal impairment.

muscle sprain.

hearing impairment.

vaginal infection.

liver failure.

Answer and Explanation

Correct Answer : A,E

Choice A rationale: Renal impairment can affect drug excretion and clearance, impacting pharmacokinetics.

Choice B rationale: Muscle sprain is not directly related to pharmacokinetics. Choice C rationale: Hearing impairment is not directly related to pharmacokinetics.

Choice D rationale: Vaginal infection may not have a direct impact on pharmacokinetics unless it is systemic.

Choice E rationale: Liver failure can affect drug metabolism, leading to altered pharmacokinetics.

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Correct Answer is C

Explanation

Choice A rationale: Heat therapy is generally contraindicated for a wound that is bleeding, as it can increase bleeding.

Choice B rationale: Heat therapy may not be appropriate for a client with impaired sensation due to the risk of burns.

Choice C rationale: The client who is experiencing spasms of the calf muscles can benefit from heat therapy, which can help relax the muscles and reduce pain. Heat therapy increases blood flow and oxygen delivery to the affected area, which promotes healing and reduces inflammation.

Choice D rationale: Heat therapy is contraindicated for the client who has an active, localized inflammation (D), because heat can worsen the inflammation and increase the risk of infection.

A. inject air into the regular insulin, then into the NPH. B. inject air into both vials and withdraw the regular insulin first. C. Inject air into and withdraw the NPH immediately. D. withdraw the regular insulin first.

Correct Answer is B

Explanation

Choice A rationale: Injecting air into the regular insulin and then into the NPH is not the correct sequence.

Choice B rationale: Injecting air into both vials and withdrawing the regular insulin first is the correct sequence when drawing up a combination of short-acting and intermediate- acting insulins.

Choice C rationale: Injecting air into and withdrawing the NPH immediately is not the correct sequence.

Choice D rationale: Withdrawing the regular insulin first is not the correct sequence when preparing a mixed insulin injection.

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The nurse is administering medications to a group of clients. Which client(s) warrant(s) the nurse's special attention when considering pharmacokinetics? The client(s) who has (have) a medical diagnosis of: (SELECT ALL THAT APPLY)

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Naxlex Comprehensive Predictor Exams

The nurse recognizes that the application of heat therapy is appropriate for which client? The client who:

Correct Answer is C

Explanation

The nurse is preparing an Injection of 10 units of regular Insulin and 5 units of NPH insulin from two vials. The nurse should:

Correct Answer is B

Explanation

The nurse is administering medications to a group of clients. Which client(s) warrant(s) the nurse's special attention when considering pharmacokinetics? The client(s) who has (have) a medical diagnosis of: (SELECT ALL THAT APPLY)

A nurse is caring for a client being treated for hypernatremia. Which of the following are appropriate nursing interventions? (SELECT ALL THAT APPLY)

A nursing instructor is observing a nursing student prepare and administer medications to adult clients. Which action by the nursing student requires intervention by the Instructor?

The nursing assessment finding that represents the most serious indication of a client's deteriorating oxygenation status is:

The client asks the nursing student to crush her medications and put them in apple sauce. Even before the student researches the medications, he knows that the tablet he cannot deliver in this manner is:

The nurse notes that a diuretic is listed on the client's medication administration record (MAR). It is most important for the nurse to report to the physician a serum:

A client is recently diagnosed with pneumonia. The nurse observes the client sitting upright in the bed and assesses a respiratory rate of 26. The client states, "I can't catch my breath." Which abbreviation would be used to document this presentation?

The best way for the nurse to assess a client's level of dyspnea is to: