When the nurse is about to administer nystatin, which has been prescribed by the physician for a client with an oral candida infection that includes the roof of the mouth and the back of the throat, what should be the first step?

Measure the correct dosage using the provided device.

Record the amount that has been administered.

Instruct the client to swish the nystatin around their mouth.

Vigorously shake the nystatin bottle.

Answer and Explanation

The Correct Answer is D

Choice A rationale
While measuring the correct dosage is an important step in administering nystatin, it is not the first step. The first step should always be to ensure that the medication is properly mixed to ensure an even distribution of the medication.
Choice B rationale
Recording the amount of medication administered is an important step in medication administration, but it is not the first step. The first step should be to ensure that the medication is properly mixed.
Choice C rationale
Instructing the client to swish the nystatin around their mouth is an important part of the administration process, but it is not the first step. The first step should be to ensure that the medication is properly mixed.
Choice D rationale
Vigorously shaking the nystatin bottle is the first step in administering nystatin. This ensures that the medication is properly mixed and that the patient will receive the correct dosage.

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Correct Answer is B

Explanation

Choice A rationale
This choice suggests that the nurse would administer 4.5 units of insulin for the carbohydrates consumed. However, this is not accurate. The carbohydrate ratio is 1:10, meaning 1 unit of insulin is needed for every 10 grams of carbohydrates. The client consumed 57 grams of carbohydrates (45g from rice + 12g from broccoli). Therefore, the calculation would be 57g ÷ 10 = 5.7 units of insulin. This choice underestimates the amount of insulin needed, which could lead to hyperglycemia, or high blood sugar.
Choice B rationale
This choice is correct. The client’s carbohydrate ratio is 1:10, meaning 1 unit of insulin is needed for every 10 grams of carbohydrates. The client consumed 57 grams of carbohydrates (45g from rice + 12g from broccoli). Therefore, the calculation would be 57g ÷ 10 = 5.7 units of insulin. This amount of insulin would help to properly metabolize the carbohydrates consumed and maintain the client’s blood sugar within the target range.
Choice C rationale
This choice suggests that the nurse would administer 6.2 units of insulin for the carbohydrates consumed. However, this is not accurate. The carbohydrate ratio is 1:10, meaning 1 unit of insulin is needed for every 10 grams of carbohydrates. The client consumed 57 grams of carbohydrates (45g from rice + 12g from broccoli). Therefore, the calculation would be 57g ÷ 10 = 5.7 units of insulin. This choice overestimates the amount of insulin needed, which could lead to hypoglycemia, or low blood sugar.
Choice D rationale
This choice suggests that the nurse would administer 7.1 units of insulin for the carbohydrates consumed. However, this is not accurate. The carbohydrate ratio is 1:10, meaning 1 unit of insulin is needed for every 10 grams of carbohydrates. The client consumed 57 grams of carbohydrates (45g from rice + 12g from broccoli). Therefore, the calculation would be 57g ÷ 10 = 5.7 units of insulin. This choice significantly overestimates the amount of insulin needed, which could lead to hypoglycemia, or low blood sugar.

A. Ibuprofen B. Diphenhydramine C. Loratadine D. Acetaminophen.

Correct Answer is C

Explanation

Choice A rationale
Ibuprofen does not have a significant interaction with erythromycin18.
Choice B rationale
Diphenhydramine does not have a significant interaction with erythromycin18.
Choice C rationale
Loratadine should be avoided while on erythromycin. Erythromycin can increase the concentration of loratadine, which can lead to an increased risk of side effects, including heart rhythm abnormalities18.
Choice D rationale
Acetaminophen does not have a significant interaction with erythromycin18. Nystatin Nystatin Explore

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When the nurse is about to administer nystatin, which has been prescribed by the physician for a client with an oral candida infection that includes the roof of the mouth and the back of the throat, what should be the first step?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

A patient is prescribed erythromycin for an infection. What medication should the nurse instruct the patient to avoid while on erythromycin?

Correct Answer is C

Explanation

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