The nurse is preparing to administer the first dose of an antibiotic to a patient admitted for pneumonia. What is the most important action to take prior to administering the antibiotic?

Collect a urine sample.

Ensure the patient is on a cardiac monitor.

Collect a blood culture sample.

Check baseline vital signs, including temperature.

Answer and Explanation

The Correct Answer is C

Choice A rationale
While collecting a urine sample can be important in diagnosing certain conditions, it is not the most important action to take prior to administering an antibiotic for pneumonia.
Choice B rationale
Ensuring the patient is on a cardiac monitor is not the most crucial action prior to administering an antibiotic for pneumonia. While it’s important to monitor the patient’s vital signs, it’s not specifically related to the administration of antibiotics.
Choice C rationale
Collecting a blood culture sample is the most important action to take prior to administering an antibiotic for pneumonia. This is to identify the specific bacteria causing the infection, which can help in selecting the most effective antibiotic.
Choice D rationale
Checking baseline vital signs, including temperature, is important but not the most crucial action prior to administering an antibiotic for pneumonia. It’s part of the overall assessment but does not directly impact the choice or effectiveness of the antibiotic.

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Correct Answer is A

Explanation

Choice A rationale
When a patient is administering both regular insulin and NPH insulin, it’s important to draw up the regular insulin first. This is because regular insulin is clear and NPH insulin is cloudy. If the NPH (cloudy) insulin were drawn up into the syringe first, it could contaminate the regular (clear) insulin when drawing it up second. This could affect the action of the regular insulin, which is meant to be fast-acting.
Choice B rationale
Mixing insulins in a vial before drawing them up is not recommended. This could lead to inaccurate dosing and potential contamination of one or both vials. It’s safer and more accurate to draw up each type of insulin separately into the syringe.
Choice C rationale
While it’s possible to administer insulin using separate syringes, it’s usually not necessary and can be more cumbersome for the patient. As long as the patient is careful to avoid contaminating the insulins and to draw them up in the correct order (regular before NPH), they can be administered together in the same syringe.
Choice D rationale
Drawing up the NPH insulin last is not correct. As mentioned earlier, the regular insulin should be drawn up first to avoid contaminating it with the NPH insulin.

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 preparing to administer the first dose of an antibiotic to a patient admitted for pneumonia. What is the most important action to take prior to administering the antibiotic?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is teaching a patient about home administration of insulin. The patient will receive regular insulin and NPH insulin at 0700 every day. What is important to teach the patient?

Correct Answer is A

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

A patient is being discharged on a home course of antibiotics. What education should the nurse provide as an effective way to prevent antibiotic resistance?

A patient is scheduled for surgery this morning and the nurse is administering the morning medications. Which scheduled morning medication should the nurse withhold and not administer on the morning of surgery?

A nurse is about to give a client amoxicillin but discovers that the client had a rash when taking penicillin in the past. What should the nurse’s next step be?

A laxative has been ordered for a patient. The nurse checks the patient’s medical history and would be concerned if which condition is present?

A patient calls the clinic and reports feeling unwell, with symptoms of rapid heart rate, severe headache, and light-headedness. The nurse notes that the patient was prescribed metronidazole a few days ago. What substance could likely be causing these symptoms?

A client comes to the clinic and reports that they stopped taking their prescribed steroids early because they felt much better. What side effect should the nurse anticipate in this client?

A patient with diabetes who is on oral hypoglycemic medication has been prescribed levofloxacin. What should the nurse include in the patient’s education?

A client is prescribed calcium carbonate for GERD. After reviewing the client’s chart, which potential risk does the nurse identify for the client?