A client receives a new prescription for somatropin. Which information provided by the client indicates a need for further education by the nurse?
Store unused vials at room temperature.
Rotate injection sites to minimize discomfort.
Discard the medication if the solution is cloudy.
Administer the medication subcutaneously.
The Correct Answer is A
Choice A reason: Storing unused vials at room temperature is incorrect information that indicates a need for further education by the nurse, because somatropin is a growth hormone that should be stored in the refrigerator (2°C to 8°C) until use. Exposure to heat or light can degrade the medication and reduce its effectiveness.
Choice B reason: Rotating injection sites to minimize discomfort is correct information that does not indicate a need for further education by the nurse, because somatropin is administered subcutaneously and repeated injections at the same site can cause skin irritation, bruising, or infection.
Choice C reason: Discarding the medication if the solution is cloudy is correct information that does not indicate a need for further education by the nurse, because somatropin is a clear and colorless solution that should not be used if it appears cloudy, discolored, or contains particles. This may indicate contamination or degradation of the medication.
Choice D reason: Administering the medication subcutaneously is correct information that does not indicate a need for further education by the nurse, because somatropin is a growth hormone that is given by subcutaneous injection using a syringe or a pen device. Subcutaneous injection allows for better absorption and bioavailability of the medication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["167"]
Explanation
To find the answer, we can use the following formula:
(mL of fluid / hours of infusion) = mL/hr
Substituting the values from the question, we get:
(500 mL / 3 hours) = 166.67 mL/hr
Rounding to the nearest whole number, we get 167 mL/hr.
Therefore, the nurse should program the infusion pump to deliver 167 mL/hr of dextrose in 5% water IV.
Correct Answer is D
Explanation
Choice A reason: Trouble sleeping is not a relevant information for administering pyridostigmine, which is a cholinesterase inhibitor that improves muscle strength and function in patients with myasthenia gravis. Trouble sleeping may be caused by other factors, such as stress, pain, or medication side effects.
Choice B reason: Difficulty with urination is not a pertinent information for administering pyridostigmine, which does not affect urinary function or bladder control. Difficulty with urination may indicate a urinary tract infection, prostate enlargement, or kidney stones.
Choice C reason: Unexplained weight loss is not a significant information for administering pyridostigmine, which does not affect metabolism or appetite. Unexplained weight loss may be a sign of an underlying condition, such as hyperthyroidism, diabetes, or cancer.
Choice D reason: Recent oral intake is the correct information for administering pyridostigmine, which should be taken on an empty stomach or before meals to enhance its absorption and effectiveness. Pyridostigmine can also help prevent or reduce dysphagia (difficulty swallowing), which is a common symptom of myasthenia gravis.
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