A client has been prescribed nifedipine for angina. What is the priority assessment for the nurse to make prior to giving this medication?

Sulfa allergy

aPTT

Hemoglobin

Blood pressure

Answer and Explanation

The Correct Answer is D

Choice A reason: This choice is incorrect because sulfa allergy is not a priority assessment for the nurse to make prior to giving nifedipine. Sulfa allergy is a hypersensitivity reaction to drugs that contain sulfonamide, such as antibiotics, diuretics, or antidiabetic agents. Sulfa allergy can cause symptoms such as rash, itching, fever, or anaphylaxis. Nifedipine does not contain sulfonamide and does not cross-react with sulfa drugs. The nurse should ask the client about any drug allergies and document them, but sulfa allergy is not relevant to nifedipine.

Choice B reason: This choice is incorrect because aPTT is not a priority assessment for the nurse to make prior to giving nifedipine. aPTT stands for activated partial thromboplastin time, which is a measure of how long it takes the blood to clot. It is used to monitor the effect of anticoagulant drugs, such as heparin, that prevent blood clots. Nifedipine does not affect the blood clotting time and does not interact with anticoagulant drugs. The nurse should check the aPTT only if the client is taking anticoagulant drugs and has signs of bleeding or clotting.

Choice C reason: This choice is incorrect because hemoglobin is not a priority assessment for the nurse to make prior to giving nifedipine. Hemoglobin is a protein in the red blood cells that carries oxygen to the tissues and organs of the body. Hemoglobin levels can be affected by conditions such as anemia, dehydration, or blood loss. Nifedipine does not affect the hemoglobin levels or the oxygen delivery. The nurse should monitor the hemoglobin levels and the signs of anemia, such as fatigue, pallor, or shortness of breath, but they are not related to nifedipine.

Choice D reason: This choice is correct because blood pressure is the priority assessment for the nurse to make prior to giving nifedipine. Nifedipine is a calcium channel blocker that lowers blood pressure and relaxes the blood vessels. It is used to treat conditions such as hypertension, angina, and Raynaud's phenomenon. However, nifedipine can cause side effects such as hypotension (low blood pressure), dizziness, headache, flushing, and edema (swelling). The nurse should check the client's blood pressure before giving nifedipine and withhold the dose if the blood pressure is too low. The nurse should also monitor the client's blood pressure and the signs of hypotension, such as fainting, weakness, or chest pain.

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Free Nursing Study Resources

Correct Answer is ["15"]

Explanation

To calculate the amount of the amoxicillin liquid suspension that the nurse should administer, we can use the following formula:

Amount to administer (mL) = (Desired dose in mg) / (Amount of drug in 1 mL)

Given:

Desired dose = 750 mg

Amount of drug in 1 mL = 250 mg/5 mL = 50 mg/mL

Now, let's calculate the amount to administer:

Amount to administer (mL) = 750 mg / 50 mg/mL

Amount to administer (mL) = 15 mL

Rounding to the nearest whole number, the nurse should administer 15 mL of the amoxicillin liquid suspension.

A. Fentanyl 25 mcg/hr transdermal patch B. Meloxicam 15 mg PO daily C. Regular insulin 8 units subcutaneous before meals D. Docusate sodium 200 mg PO at bedtime

Correct Answer is C

Explanation

Choice A reason: This is incorrect because fentanyl 25 mcg/hr transdermal patch is a common and appropriate dose for chronic pain management. Fentanyl is a potent opioid analgesic that delivers a steady amount of medication through the skin over 72 hours.

Choice B reason: This is incorrect because meloxicam 15 mg PO daily is a standard and safe dose for treating inflammation and pain caused by arthritis. Meloxicam is a nonsteroidal anti-inflammatory drug (NSAID) that reduces the production of prostaglandins, which are involved in inflammation.

Choice C reason: This is correct because regular insulin 8 units subcutaneous before meals is a vague and potentially dangerous prescription. Regular insulin is a short-acting insulin that lowers blood glucose levels by facilitating the uptake of glucose into the cells. The dose of insulin should be individualized based on the client's blood glucose level, carbohydrate intake, and activity level. The nurse should contact the provider for clarification on how to adjust the dose according to the client's needs.

Choice D reason: This is incorrect because docusate sodium 200 mg PO at bedtime is a usual and effective dose for preventing constipation. Docusate sodium is a stool softener that works by increasing the amount of water in the stool, making it easier to pass.

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A client has been prescribed nifedipine for angina. What is the priority assessment for the nurse to make prior to giving this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer amoxicillin 750 mg PO. Available is amoxicillin liquid suspension 250 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["15"]

Explanation

A nurse is reviewing medications prescribed for a client. For which of the following prescriptions should the nurse contact the provider for clarification?

Correct Answer is C

Explanation

Which of the following clients would the nurse question an order for labetalol 50 mg PO?

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Which of the following would the nurse recognize as ACE inhibitors? SELECT ALL THAT APPLY

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