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 D

Explanation

A. Facilitate a meeting between the HCP and the spouse: While communication is important, the issue involves an ethical and legal conflict that requires broader institutional support beyond a one-on-one discussion.

B. Document HCP’s refusal to honor client’s wishes: Documentation is essential, but it is not a sufficient intervention to resolve the conflict or advocate for the client’s legal rights.

C. Have resuscitation equipment readily available: Taking this step contradicts the client’s expressed wishes in the living will and does not reflect advocacy for patient autonomy.

D. Notify the hospital ethical committee to assist with client’s wishes: This is the most appropriate action. The ethics committee can mediate the conflict between the healthcare provider and the client’s legal advance directive, ensuring the client’s rights and preferences are honored.

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?

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Correct Answer is D

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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