When administering 0900 medications to four clients, which prescription should the nurse administer first?

An antibiotic, to be administered every 6 hours starting at 0900.

A diuretic, to be administered every 12 hours, at 0900 and 2100.

An antianxiety agent, to be administered every day at 0900.

An analgesic topical patch, to be replaced every 24 hours at 0900

Answer and Explanation

The Correct Answer is A

A. An antibiotic, to be administered every 6 hours starting at 0900: Timely administration of antibiotics is critical to maintain therapeutic blood levels and combat infection effectively. Delays can reduce efficacy and contribute to resistance, making it the priority.

B. A diuretic, to be administered every 12 hours, at 0900 and 2100: While timing is important for diuretics to manage fluid balance, they are less time-sensitive than the initial dose of an antibiotic.

C. An antianxiety agent, to be administered every day at 0900: Antianxiety medications provide symptom relief, but delayed administration typically does not cause immediate harm compared to time-sensitive medications like antibiotics.

D. An analgesic topical patch, to be replaced every 24 hours at 0900: Pain control is important, but a brief delay in patch replacement is unlikely to result in abrupt symptom worsening. It is not as critical as initiating an antibiotic regimen on schedule.

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Correct Answer is B

Explanation

A. Offer assurance that this particular immunization is less painful than imagined: Minimizing the client’s fear may come across as dismissive and does not address the adolescent’s expressed concern about pain, which may increase anxiety rather than reduce it.

B. Use distraction to redirect the client's attention while the nurse gives the injection: Distraction techniques are effective in reducing perceived pain and anxiety during injections. Shifting the client’s focus away from the procedure helps manage the emotional response and improves the overall experience.

C. Review the importance of receiving the immunization as a protection from disease: Providing education is important, but focusing solely on the rationale does not address the immediate emotional distress related to fear of pain. It may seem unempathetic in the moment.

D. Invite the client to use the syringe on a dummy before receiving the immunization: This action might heighten the adolescent's anxiety by drawing more attention to the needle and procedure. It is not a standard or effective strategy for managing fear of injections.

A. Methods used to practice safe sex. B. Information about alternative ways to express sexuality. C. Intercourse positions that can help prevent tears. D. The importance of using vaginal lubricants.

Correct Answer is A

Explanation

A. Methods used to practice safe sex: Safe sex practices are essential to prevent sexually transmitted infections (STIs), especially in older adults who may underestimate their risk. Teaching about protection methods like condoms is critical, particularly after unprotected intercourse and a physical injury.

B. Information about alternative ways to express sexuality: While helpful for enhancing intimacy and reducing physical strain, this is not the priority teaching point given the client’s report of unprotected sex and risk of STI exposure.

C. Intercourse positions that can help prevent tears: Positioning may help reduce discomfort or injury, but it does not address the broader and more urgent issue of safe sex practices, especially after reported trauma.

D. The importance of using vaginal lubricants: Lubricants can prevent tissue damage in postmenopausal women, but the primary concern here is the client’s safety related to unprotected sex and STI prevention.

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When administering 0900 medications to four clients, which prescription should the nurse administer first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An adolescent is scheduled to receive a required immunization injection. The client reports being afraid of injections because "shots hurt.” Which action should the nurse take?

Correct Answer is B

Explanation

An older adult woman comes to the clinic because of vaginal bleeding. The healthcare provider finds a vaginal tear, which the client reports is likely to have occurred during unprotected sexual intercourse. Which content is most important for the nurse to include in this client's teaching plan?

Correct Answer is A

Explanation

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