The nurse must monitor the trough level of medication.
When would the nurse order the trough level?
4 hours before the next scheduled dose.
24 hours after the drug was given.
30 minutes before the administration of the drug.
1 hour after the medication has been infused.
The Correct Answer is C
Choice A rationale
Ordering a trough level 4 hours before the next scheduled dose would likely result in an inaccurate reading. The trough level represents the lowest concentration of a drug in the bloodstream, typically occurring just before the next dose, ensuring that the drug concentration remains within the therapeutic range to exert its pharmacological effect.
Choice B rationale
Obtaining a trough level 24 hours after the drug was given is too late and would not provide an accurate assessment of the drug's lowest concentration before the subsequent dose. By this time, depending on the drug's half-life, the concentration may be significantly lower or undetectable, making it irrelevant for therapeutic monitoring.
Choice C rationale
The trough level of a medication is measured to ensure that the drug concentration remains above the minimum effective concentration and below toxic levels. Collecting the blood sample 30 minutes before the administration of the next dose allows the drug to reach its lowest concentration in the systemic circulation, providing an accurate representation of the drug's true trough level.
Choice D rationale
Measuring the drug level 1 hour after the medication has been infused would represent a concentration much closer to the peak level, not the trough. The peak level indicates the maximum drug concentration, typically occurring shortly after administration or infusion, and is used to assess for potential toxicity or adequate absorption.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
While palpation is a critical skill, this statement does not directly complete the given sentence which defines palpation as a technique. The existing sentence establishes the "what" of palpation, and the completion should elaborate on "how" it's performed or its direct characteristics.
Choice B rationale
Palpation certainly helps identify abnormalities, but this statement describes a benefit or outcome of the technique, not the core method itself as described in the initial sentence. The sentence sets up the physical action, not its diagnostic utility.
Choice C rationale
This choice logically completes the sentence by explaining the *methodology* of palpation, directly following the description of the senses involved and what is being assessed. It specifies that the technique involves "careful and systematic touching of the body," which directly relates to the physical act of assessment.
Choice D rationale
Proper palpation technique ensures accurate examinations, but this statement focuses on the *quality* of the technique rather than describing the technique itself. The initial sentence defines the technique; the completion should expand on its execution, not its outcome. .
Correct Answer is A
Explanation
Choice A rationale
The vastus lateralis muscle is the preferred intramuscular injection site for infants and children due to its large muscle mass and lack of major nerves or blood vessels, minimizing the risk of injury. This site is easily accessible and provides a safe area for medication absorption in developing musculature.
Choice B rationale
The ventrogluteal site is generally considered safe and effective for intramuscular injections, but it requires precise anatomical landmark identification, which can be challenging in infants and young children, increasing the risk of sciatic nerve injury if landmarks are not accurately identified.
Choice C rationale
The dorsogluteal site is contraindicated for intramuscular injections in infants and children due to the risk of sciatic nerve damage. The sciatic nerve runs through this area, and the muscle mass is not fully developed in younger patients, making it a hazardous site.
Choice D rationale
The deltoid muscle is too small and underdeveloped in infants and young children to safely accommodate intramuscular injections. Its limited muscle mass increases the risk of injury to underlying nerves and blood vessels, and absorption capacity is reduced.
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