The nurse is administering promethazine via an IV pump and notices that the IV has infiltrated and the patient reports a burning sensation at the injection site.

What should be the nurse’s priority action?

Notify the healthcare provider

Add promethazine to the allergy list

Continue to monitor the site

Stop the IV infusion .

Answer and Explanation

The Correct Answer is D

Choice A rationale
While notifying the healthcare provider is an important step when an IV has infiltrated, it is not the immediate priority action.
Choice B rationale
Adding promethazine to the allergy list would not be appropriate unless the patient had an allergic reaction to the medication.
Choice C rationale
Continuing to monitor the site would not be the immediate priority action. The nurse should first stop the IV infusion to prevent further damage.
Choice D rationale
The nurse’s priority action should be to stop the IV infusion. This prevents further infiltration and potential tissue damage. After stopping the infusion, the nurse can then take further steps such as notifying the healthcare provider and assessing the patient’s condition.

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Correct Answer is B

Explanation

Choice A rationale
While staying hydrated is generally good advice, drinking at least 2 liters of water a day is not specifically related to preventing antibiotic resistance.
Choice B rationale
Taking antibiotics on-time around the clock is crucial for maintaining therapeutic levels of the medication in the body. This helps to effectively kill the bacteria and prevent them from developing resistance.
Choice C rationale
Eating a serving of yogurt every day can help maintain gut health during antibiotic treatment, but it does not directly prevent antibiotic resistance.
Choice D rationale
Stopping antibiotics when symptoms resolve can actually contribute to antibiotic resistance. Even if symptoms have improved, bacteria may still be present. Stopping treatment early gives these bacteria a chance to survive and develop resistance.

A. Long-term use of these drugs can lead to hypermagnesemia. B. Long-term use may contribute to osteoporosis. C. Proton pump inhibitors can cause diarrhea. D. Proton pump inhibitors cause drowsiness.

Correct Answer is B

Explanation

Choice A rationale
Hypermagnesemia, or high levels of magnesium in the blood, is not a common side effect of proton pump inhibitors. These medications do not contain magnesium and do not cause the body to produce more magnesium.
Choice B rationale
Long-term use of proton pump inhibitors may contribute to osteoporosis. Some studies have suggested that these medications can interfere with calcium absorption, potentially leading to bone loss and an increased risk of fractures.
Choice C rationale
While some people may experience diarrhea as a side effect of proton pump inhibitors, it is not one of the most common side effects.
Choice D rationale
Drowsiness is not a typical side effect of proton pump inhibitors. These medications work by reducing the amount of acid produced in the stomach, but they do not typically affect alertness or energy levels.

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The nurse is administering promethazine via an IV pump and notices that the IV has infiltrated and the patient reports a burning sensation at the injection site. What should be the nurse’s priority action?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

The nurse is teaching a patient who will be taking a proton pump inhibitor as long-term therapy about potential side effects. Which statement should the nurse include in the education to the patient?

Correct Answer is B

Explanation

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The nurse is administering promethazine via an IV pump and notices that the IV has infiltrated and the patient reports a burning sensation at the injection site.

What should be the nurse’s priority action?