The nurse is reconciling medications for a new client.

Given the current medications listed below, which assessment finding should the nurse be most concerned about? Current Home Medications: metoprolol 25 mg PO daily metformin 500 mg PO BID isoniazid 600 mg IM two times per week rifampin 600 mg PO Daily streptomycin 1 gram IM two times per week acetaminophen 1000 mg PO Q6 hours as needed for pain or fever

Fasting blood sugar level of 130 mg/dL.

Yellow discoloration of the sclera.

Positive result on the tuberculin skin test.

Blood pressure reading of 100/70 mmHg.

Answer and Explanation

The Correct Answer is B

Choice A rationale
While a fasting blood sugar level of 130 mg/dL is slightly elevated, it is not the most concerning finding given the current medications. Metformin is a medication used to control blood sugar levels in patients with diabetes, so this patient’s blood sugar is being managed.
Choice B rationale
Yellow discoloration of the sclera is a sign of jaundice, which can indicate liver damage. Given that this patient is taking several medications that can potentially cause liver damage (including isoniazid and acetaminophen), this finding is most concerning.
Choice C rationale
A positive result on the tuberculin skin test indicates exposure to tuberculosis, but it does not necessarily mean the patient has active tuberculosis. The patient is currently taking medications for tuberculosis (isoniazid and rifampin), indicating that this condition is being managed.
Choice D rationale
A blood pressure reading of 100/70 mmHg is within the normal range, so this would not be the most concerning finding. The patient’s metoprolol medication is used to manage blood pressure, indicating that this aspect of the patient’s health is being managed. Prednisone Prednisone Explore

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Correct Answer is C

Explanation

Choice A rationale
Infusing the medication slowly over a period of 60-90 minutes is a common practice for many intravenous medications to prevent adverse reactions. However, this is not the first step a nurse should take before administering intravenous acyclovir.
Choice B rationale
While diluting certain medications in a liter of normal saline can be a part of the preparation process, it is not the first step a nurse should take before administering intravenous acyclovir.
Choice C rationale
Checking the intravenous site for any signs of redness, heat, or swelling is the correct first step before administering any intravenous medication. This is to ensure that the IV site is not infected or inflamed, which could lead to complications such as phlebitis or infiltration.
Choice D rationale
Examining the patient for any open herpetic lesions is important when administering acyclovir, as the medication is used to treat herpes infections. However, this is not the first step a nurse should take before administering the medication.

A. Digoxin B. Furosemide C. Prednisolone D. Warfarin

Correct Answer is B

Explanation

Choice A rationale
Digoxin is a cardiac glycoside used to treat heart failure and atrial fibrillation. While it’s important to monitor digoxin levels in patients receiving gentamicin due to the risk of increased digoxin levels, it’s not the most concerning medication.
Choice B rationale
Furosemide is a loop diuretic that can cause ototoxicity, especially when used with aminoglycosides like gentamicin. Therefore, this is the medication the nurse should be most concerned about.
Choice C rationale
Prednisolone is a corticosteroid medication. While it’s important to monitor for potential interactions, it’s not the most concerning medication in this context.
Choice D rationale
Warfarin is an anticoagulant medication. While it’s important to monitor for potential interactions, it’s not the most concerning medication in this context.

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Naxlex Comprehensive Predictor Exams

A patient is scheduled to receive intravenous acyclovir. What should the nurse do first before administering the scheduled dose?

Correct Answer is C

Explanation

A patient has been newly prescribed gentamicin 120mg, IM, once. After reviewing the patient’s home medication list, which medication should the nurse be most concerned about?

Correct Answer is B

Explanation

A patient has been administered famotidine. Which observation would suggest that the medication has not had its intended effect?

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?

The nurse is to administer insulin to a diabetic client. The finger stick blood glucose is 128. The client has 4 units of insulin lispro scheduled with meals in addition to the following adjustments scale. How many units of insulin will the nurse administer?

A client who has recently been prescribed Sucralfate makes which statement that indicates they need more education about their medication?

A client with asthma has been taking prednisone daily for two years and is now in the emergency department complaining of back pain. An MRI of the spine shows a compression fracture of a vertebra. Which adverse effect of prednisone is most likely associated with these findings?

A patient is currently receiving chemotherapy and is experiencing nausea and vomiting. What should the nurse teach the patient to help reduce the nausea and vomiting?

A patient with liver failure has been admitted with hepatic encephalopathy and is prescribed lactulose every 2 hours. The patient is currently oriented and has had 6 loose, watery stools since 0700. The 1400 dose of lactulose is due. What should be the nurse’s next course of action?