What assessment should the nurse make before administering beta-adrenergic blocking agents?
Weight and caloric intake
Pulse and blood pressure
Serum sodium level
Serum albumin level
The Correct Answer is B
A) Weight and caloric intake:
While weight and caloric intake are important aspects of overall health assessment, they are not directly related to the administration of beta-adrenergic blocking agents. These medications primarily affect cardiovascular function, so assessing pulse and blood pressure is more pertinent.
B) Pulse and blood pressure:
This is the correct answer. Before administering beta-adrenergic blocking agents, it is essential to assess the client's pulse rate and blood pressure. Beta blockers work by blocking the effects of adrenaline, leading to a decrease in heart rate and blood pressure. Monitoring these vital signs helps determine the appropriateness of administering the medication and allows for adjustments based on the client's current cardiovascular status.
C) Serum sodium level:
Assessing serum sodium level is not typically necessary before administering beta-adrenergic blocking agents. While electrolyte imbalances can occur as a result of certain medications or health conditions, beta blockers do not directly affect serum sodium levels.
D) Serum albumin level:
Assessing serum albumin level is not specifically indicated before administering beta-adrenergic blocking agents. Serum albumin levels may be assessed in clients with certain conditions such as liver or kidney disease, but it is not a routine assessment before administering beta blockers.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Increasing GI motility and promoting bowel movements:
Laxatives work by increasing gastrointestinal motility, which stimulates the movement of fecal matter through the intestines. This promotes bowel movements and helps alleviate constipation.
B) Preventing incontinent clients from soiling themselves:
Laxatives are not typically used to prevent incontinence. Their primary function is to relieve constipation by promoting bowel movements.
C) Reducing inflammation in the intestinal lining:
Laxatives do not have a direct effect on reducing inflammation in the intestinal lining. They primarily act on bowel motility to facilitate the passage of stool.
D) Suppressing the immune response that causes inflammation:
Laxatives do not suppress the immune response or treat inflammation. They are specifically designed to relieve constipation by promoting bowel movements."
Correct Answer is ["675"]
Explanation
1. Convert client weight from pounds to kilograms (kg):
We know 1 kg = 2.205 pounds.
Client weight (kg) = 198 lb / 2.205 lb/kg = 90 kg (round to nearest whole number for this calculation).
2. Calculate the total daily dosage:
Prescribed dosage per kg per day: 15 mg/kg/day
Client weight (kg): 90 kg (rounded value from step 1)
Total daily dosage (mg): Dosage (mg/kg/day) x Client weight (kg)
Total daily dosage (mg): 15 mg/kg/day x 90 kg = 1350 mg/day
3. Since the dosage is divided equally every 12 hours, calculate the amount per dose:
Frequency of administration: Every 12 hours
Total daily dosage (mg): 1350 mg/day
Dosage per dose (mg) = Total daily dosage (mg) / Frequency (doses/day)
Dosage per dose (mg) = 1350 mg/day / 2 doses/day
Dosage per dose (mg) = 675 mg/dose (round to nearest whole number as requested)
Therefore, the nurse should administer approximately 675 mg of vancomycin with each dose.
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