What is an important consideration for a nurse when administering pain medications?
Ensuring the client has an empty bladder
Checking the client's blood pressure
Assessing for allergies
Ensuring the client is fasting
The Correct Answer is C
A. An empty bladder is not generally necessary when administering pain medications unless specific procedures or medications require it.
B. While blood pressure monitoring may be important for certain medications (e.g., opioids that can cause hypotension), it is not a universal first consideration for all pain medications.
C. Assessing for allergies is a critical safety step before administering any medication, including analgesics, to prevent adverse or life-threatening allergic reactions.
D. Fasting is not required for most pain medications; many can be taken with or without food, although some may need food to reduce gastrointestinal irritation.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Increasing the digoxin dose is inappropriate in digoxin toxicity, as it would worsen the condition and increase the risk of life-threatening arrhythmias.
B. Anticoagulation therapy is not directly related to the management of digoxin toxicity and does not address the primary problem.
C. Administering potassium supplements may be necessary if hypokalemia is present, but it is not the primary action associated with using lidocaine.
D. Decreasing the digoxin dose is an important step in managing digoxin toxicity, particularly when arrhythmias occur. Lidocaine is used as an antiarrhythmic agent to treat ventricular arrhythmias caused by digoxin toxicity, and reducing digoxin helps prevent further toxicity while managing cardiac effects.
Correct Answer is D
Explanation
A. Massaging the injection site after heparin administration is inappropriate because it can cause bruising or hematoma formation due to the anticoagulant effect.
B. A 22-gauge needle is too large for subcutaneous heparin injections; smaller needles (25–27 gauge) are recommended to minimize tissue trauma.
C. A 1-inch needle is generally too long for subcutaneous injections and increases the risk of intramuscular injection; a ⅜- to ⅝-inch needle is preferred.
D. The abdomen above the iliac crest is the preferred site for subcutaneous heparin injections because it provides adequate subcutaneous tissue, allows for proper absorption, and reduces the risk of bleeding or bruising compared to other sites.
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