Which intervention is most important for the nurse to implement when administering medications?

Elevate the head of the bed to at least 45 degrees.

Use at least two different methods to identify the client.

Provide a fresh glass of water for taking the medications.

Recheck the prepared medications against the medication administration record (MAR).

Answer and Explanation

The Correct Answer is B

A. Elevating the head of the bed is important for swallowing and preventing aspiration but is secondary to ensuring correct patient identification.
B. Using at least two different methods to identify the client is the most important step to prevent medication errors. This ensures that the correct medication is given to the correct patient.
C. Providing water is helpful but not as critical as ensuring the correct patient is identified.
D. Rechecking the medications against the MAR is important but should be done in conjunction with proper patient identification.

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Correct Answer is C

Explanation

A. While additional sleep may be helpful, it does not address the root cause of the hangover effect from temazepam.
B. A benzodiazepine antagonist is typically used in cases of overdose, not for managing next-day drowsiness.
C. Temazepam is a benzodiazepine, and sudden discontinuation can lead to withdrawal symptoms. The nurse should advise the client to taper off the medication gradually under medical supervision to prevent withdrawal symptoms and minimize the "hangover" effect.
D. Stopping the medication abruptly can lead to withdrawal symptoms and is not recommended.

A. "Antibiotics cause significant fluctuations in blood glucose, which are controlled with insulin." B. "The infection and the steroid medications you are taking can increase your blood sugar." C. "You may need to take insulin when you go home since your oral agent is no longer sufficient." D. "The use of insulin is easier to control your blood sugars while you are hospitalized."

Correct Answer is B

Explanation

A. While antibiotics can influence blood glucose, the primary reason for insulin in this context is the effect of steroids and infection on blood glucose levels.
B. Methylprednisolone, a steroid, can increase blood glucose levels, necessitating the use of insulin to manage elevated glucose levels during illness.
C. The need for insulin is related to the current hospitalization and medication effects, not necessarily a long-term change in diabetes management.
D. The ease of control is less relevant compared to the fact that steroids and infection can significantly impact blood glucose levels, necessitating insulin during hospitalization.

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Which intervention is most important for the nurse to implement when administering medications?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client taking temazepam informs the nurse of plans to quit taking the medication due to feelings of "hungover" the next day. Which action should the nurse implement?

Correct Answer is C

Explanation

Correct Answer is B

Explanation

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