A client is admitted with reports of shortness of breath, dyspnea on exertion, and chest pressure. The healthcare provider prescribes a medication that is unfamiliar to the nurse. When checking the drug handbook, the nurse reads that the prescribed amount is an unusually large dose. Which action should the nurse take?

Give the dosage recommended in the drug handbook.

Consult pharmacist for dose clarification.

Administer the medication as prescribed.

Verify the prescribed dosage with healthcare provider.

Answer and Explanation

The Correct Answer is D

D. When encountering a medication dosage that appears unusually large or different from what is expected, the nurse should always verify the prescription with the healthcare provider before administering the medication. This step ensures patient safety and helps prevent medication errors.

A. Giving the dosage recommended in the drug handbook may not be appropriate if the prescribed dosage differs significantly from the usual or recommended dosage due to patient- specific factors or other considerations.

B. In situations where the prescribed dosage seems unusually large or different from the usual guidelines, it is essential to confirm with the healthcare provider who wrote the prescription to ensure accuracy and appropriateness for the specific patient.

C. Administering the medication as prescribed without further clarification could potentially lead to harm if the prescribed dosage is incorrect or inappropriate for the patient's condition.

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Correct Answer is B

Explanation

A. Emptying the sample into the 24-hour container would mix the previously voided urine with the new collection, leading to inaccurate results.

B. The nurse should discard the urine that was collected earlier and start the collection process anew with the next void. This ensures that the entire 24-hour urine output is collected accurately.

C. The collection can be started immediately with the next void, even if it's a few hours after the original start time.

D. Observing the sample for sediment does not address the need for a complete 24-hour collection.

A. Observe the client's skin and mucous membranes. B. Palpate the client's pedal pulse volume bilaterally. C. Auscultate the bowel sounds in all four quadrants. D. Determine the elasticity of the client's skin turgor.

Correct Answer is A

Explanation

A. During nasopharyngeal suctioning, the nurse should primarily focus on observing the client's skin and mucous membranes for signs of oxygenation and perfusion. This includes assessing for cyanosis, pallor, or any other signs of inadequate oxygenation.

B. Palpating the client's pedal pulses, which are pulses in the feet, is not directly relevant to nasopharyngeal suctioning. Pedal pulses are typically assessed to evaluate peripheral vascular status and circulation in the lower extremities.

C. Auscultating bowel sounds is not directly relevant to nasopharyngeal suctioning. Bowel sounds are typically assessed to evaluate gastrointestinal function and motility.

D. Assessing skin turgor elasticity is not directly relevant to nasopharyngeal suctioning. Skin turgor is typically assessed to evaluate hydration status, with decreased skin turgor often indicating dehydration.

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Naxlex Comprehensive Predictor Exams

The healthcare provider prescribes a 24-hour urine specimen to be collected for creatinine clearance. The client is eager to go home and tells the nurse that the first sample was put in the urinal 2 hours ago. Which action should the nurse implement?

Correct Answer is B

Explanation

Which client assessment should the nurse perform during nasopharyngeal suctioning?

Correct Answer is A

Explanation

The nurse is demonstrating three-point gait crutch walking to an older adult client who broke a foot while playing soccer with the grandchildren. Which behavior indicates that the client understands proper crutch walking?

The nurse observes a practical nurse (PN) performing oral care on an unconscious client. Which action by the PN indicates to the nurse the need for additional training?

A client's spouse has just learned of the client's terminal illness. The spouse is sitting in the corner of the client's room crying, and says to the nurse, "I feel as if I'm already so alone." Which action should the nurse take first?

A nurse administers an opioid analgesic to a postoperative client who also has severe obstructive sleep apnea (OSA). Which intervention is most important for the nurse to implement before leaving the client alone?

When assuming care of a client at 1900, the nurse learns in report that a client with a urinary tract infection had an indwelling urinary catheter removed during the previous shift. Which information is most important for the nurse to obtain?

The nurse observes that a client is using accessory muscles. Which vital sign should the nurse obtain first?

A client receives a prescription for dextromethorphan 30 mg every 6 to 8 hours PO as needed for cough. The bottle is labeled "Dextromethorphan for Oral Suspension, USP 30 mg per 15 mL." How many tablespoons should the nurse instruct the client to take with each dose? (Enter numerical value only.)

A client tells the nurse about starting an aerobic workout program to lose weight and help with insomnia. The client states that it still takes over an hour to fall asleep at night. Which action should the nurse implement?