A nurse is administering a powdered medication to a client. Which of the following actions should the nurse take first?

Determine the client's response to the medication.

Document that the medication was administered.

Check the client for allergies.

Mix the medication at the client's bedside.

Answer and Explanation

The Correct Answer is C

A. Determining the client's response to the medication is important but should occur after ensuring the safety of administering the medication.
B. Documenting medication administration is necessary but should follow the safe administration process.
C. Checking the client for allergies is the first step to ensure the client can safely receive the medication, preventing adverse reactions.
D. Mixing the medication at the client's bedside may be necessary for some medications but is not the initial step in ensuring safe administration.

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Correct Answer is B

Explanation

A. Flushing the tube with water is necessary after checking residual stomach contents to clear the tube, but measuring stomach contents comes first to ensure the tube is clear for proper medication administration.
B. Measuring stomach contents is crucial before administering enteral medication to confirm the tube's placement and ensure medication reaches the stomach appropriately, preventing complications such as aspiration.
C. Elevating the head of the bed is important during and after enteral feeding to prevent aspiration, but it is not the first action before medication administration.
D. Returning gastric content into the gastrostomy tube may be necessary after assessing and managing residual stomach contents, but it is not the initial step in medication administration.

A. Nausea B. Dry oral mucous membranes C. White coating in the mouth D. Tremors

Correct Answer is C

Explanation

A. Nausea is a less common side effect of beclomethasone MDI and may not require immediate reporting unless severe or persistent.
B. Dry oral mucous membranes are a common side effect of beclomethasone MDI but may not require immediate reporting unless severe or persistent.
C. White coating in the mouth can be indicative of oral thrush, a fungal infection that can occur as an adverse effect of inhaled corticosteroids like beclomethasone MDI.
D. Tremors are a less common adverse effect of beclomethasone MDI.

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A nurse is administering a powdered medication to a client. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer enteral medication to a client who has a gastrostomy tube. Which of the following actions should the nurse take first?

Correct Answer is B

Explanation

A nurse is reinforcing discharge instructions for a client who has asthma and is about to start using beclomethasone MDI. For which of the following findings should the nurse instruct the client to monitor and report to the provider as an adverse effect of the medication?

Correct Answer is C

Explanation

A nurse is reviewing discharge teaching with a client who has a new prescription for diphenhydramine for allergic rhinitis. The nurse should instruct the client to monitor for which of the following adverse reactions? (Select all that apply)

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A provider prescribes a sublingual medication for a client who has an NG tube in place. Which of the following actions should the nurse take?

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A nurse is preparing to administer a liquid medication to a 10-month-old infant who is crying. Which of the following actions should the nurse take to minimize the possibility of aspiration?

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