A client who has dysphagia after a cerebral vascular accident (CVA) receives a new prescription for lansoprazole capsules via nasogastric tube (NGT). Which action should the nurse implement prior to administering the medication?

Mix the capsule granules with water.

Request the pharmacist to provide tablets.

Open the capsule to crush the granules.

Sprinkle the granules in applesauce.

Answer and Explanation

The Correct Answer is A

A. Mix the capsule granules with water: Lansoprazole capsules contain granules that are typically not intended to be crushed or chewed. The appropriate method for administering these granules via an NGT is to mix them with water to ensure they are delivered properly. This approach aligns with the medication’s guidelines for administration through a tube.
B. Request the pharmacist to provide tablets: While tablets might be a suitable alternative, it is not the immediate action required if the client already has capsules. The focus should be on appropriately administering the prescribed form.
C. Open the capsule to crush the granules: Crushing or opening capsules is generally not recommended unless specifically instructed by the manufacturer or pharmacist. This can alter the drug’s effectiveness and release properties.
D. Sprinkle the granules in applesauce: Lansoprazole granules are not meant to be mixed with food like applesauce. They should be mixed with water to ensure proper dissolution and administration.

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Correct Answer is D

Explanation

A. Administer both prescribed medications as scheduled: Given that the client's total calcium level is already elevated (14 mg/dL), administering additional calcium carbonate could exacerbate hypercalcemia. Calcitriol, a form of vitamin D, can also increase calcium levels, so administering it without addressing the high calcium level could worsen the condition.
B. Hold the calcium carbonate, but administer the calcitriol as scheduled: This option is not appropriate because calcitriol can further increase calcium levels, potentially worsening hypercalcemia. Both medications should be reviewed, and their administration should be adjusted according to the client's current calcium status.
C. Hold the calcitriol, but administer the calcium carbonate as scheduled: Holding calcitriol alone would not address the potential for further increasing calcium levels. Calcium carbonate should also be withheld since the client is already hypercalcemic.
D. Hold both medications until contacting the healthcare provider: This is the most appropriate action. The client's elevated calcium level indicates hypercalcemia, which requires careful management. The healthcare provider should be contacted to assess the situation and determine the appropriate course of action to avoid worsening hypercalcemia.

A. Warfarin. B. Vitamin K. C. Protamine sulfate. D. Diphenhydramine HCI.

Correct Answer is C

Explanation

A. Warfarin: Warfarin is an oral anticoagulant used for long-term anticoagulation, but it is not used for reversing the effects of heparin. They are different classes of anticoagulants with distinct reversal agents.
B. Vitamin K: Vitamin K is used to reverse the effects of warfarin, not heparin.
C. Protamine sulfate: Protamine sulfate is the specific antidote for heparin overdose. It neutralizes the effects of heparin and is used to quickly reverse its anticoagulant effects in case of an overdose or excessive bleeding.
D. Diphenhydramine HCl: Diphenhydramine is an antihistamine and has no role in reversing anticoagulants.

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A client who has dysphagia after a cerebral vascular accident (CVA) receives a new prescription for lansoprazole capsules via nasogastric tube (NGT). Which action should the nurse implement prior to administering the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Prior to administering oral doses of calcitriol and calcium carbonate to a client with hypoparathyroidism, the nurse notes that the client's total calcium level is 14 mg/dl (3.5 mmol/l) Which action should the nurse implement? Reference Range: Calcium 8.5 to 10.5 mg/dL (2.25 to 2.75 mmol/L)

Correct Answer is D

Explanation

The healthcare provider prescribes the anticoagulant heparin for a client with a pulmonary embolism. Before initiating the medication, the nurse should ensure that which drug is readily available in case of heparin overdose?

Correct Answer is C

Explanation

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