What measure protects the nurse when preparing cytotoxic drugs?

Wearing protective equipment such as gloves, mask, and gown

Washing hands before preparation

Mixing medication in a 1-L bag

Administering medication IM

Answer and Explanation

The Correct Answer is A

A. Wearing protective equipment such as gloves, mask, and gown is essential when preparing cytotoxic drugs to protect the nurse from potential exposure to harmful substances.

B. While washing hands is important for general hygiene, it does not specifically protect against cytotoxic drug exposure.

C. Mixing medication in a 1-L bag does not offer specific protection to the nurse and is not a standard measure for safety.

D. Administering medication intramuscularly (IM) is a route of administration and does not relate to protection measures while preparing cytotoxic drugs.

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Correct Answer is ["A","B","C"]

Explanation

A. Auscultating bowel sounds is important because anticholinergic agents can decrease gastrointestinal motility, leading to reduced bowel sounds and potential constipation.

B. Monitoring urine output is crucial as anticholinergics can cause urinary retention, and assessing output helps identify any adverse effects on bladder function.

C. Monitoring heart rate is necessary since anticholinergic agents can cause tachycardia as a side effect, making it important to assess the client’s cardiovascular status.

D. Administering an antidiarrheal agent is not typically indicated, as anticholinergic agents often cause constipation rather than diarrhea.

E. Assessing deep tendon reflexes is not directly relevant to the effects of anticholinergic medications and is not typically prioritized in this context.

A. Sit up comfortably in the bed. B. Tilt the head slightly to the side. C. Insert the tip of the nose piece into one nostril. D. Hold the breath for a few seconds after administering the spray. E. Blow the nose 1 minute after administering the spray.

Correct Answer is ["B","C","D"]

Explanation

A. Sitting up comfortably in bed is not ideal for nasal spray administration; the client should be in an upright position, possibly sitting on the edge of a chair.

B. Tilting the head slightly to the side is correct; this position helps the medication to be delivered effectively to the nasal passages.

C. Inserting the tip of the nose piece into one nostril is correct; this ensures that the medication is delivered directly into the nasal cavity.

D. Holding the breath for a few seconds after administering the spray is correct; this allows for better absorption of the medication in the nasal mucosa.

E. Blowing the nose 1 minute after administering the spray is incorrect; the client should avoid blowing their nose for at least a few minutes after administration to allow the medication to be absorbed effectively.

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What measure protects the nurse when preparing cytotoxic drugs?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which would be important to perform for a client who has received an anticholinergic agent? (Select all that apply.)

Correct Answer is ["A","B","C"]

Explanation

The nurse is teaching a client how to use nasal spray. What will the nurse include in the teaching plan? (Select all that apply.)

Correct Answer is ["B","C","D"]

Explanation

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