A nurse is caring for a toddler.
The nurse’s observations are as follows: Heart rate: 150/min, Temperature: 38.9°C (102°F), Respiratory rate: 28/min, Oxygen saturation: 96% on room air, Blood Pressure: 90/43 mm Hg. What should the nurse do next?

Monitor the toddler’s vital signs closely.

Administer supplemental oxygen.

Notify the healthcare provider.

Reassess the toddler in 15 minutes.

Answer and Explanation

The Correct Answer is A

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Correct Answer is D

Explanation

Choice A rationale

Vitamin K is not the antidote for heparin. It is used to reverse the effects of warfarin, which is a vitamin K antagonist.

Choice B rationale

Iron is not related to the reversal of heparin. It is a mineral that is crucial for many bodily functions, including the transport of oxygen in the blood.

Choice C rationale

Glucagon is a hormone that raises the level of glucose in the blood. It is not used as an antidote for heparin.

Choice D rationale

Protamine is the correct choice. Protamine sulfate is a drug that reverses the anticoagulant effects of heparin by binding to it and forming a stable complex, thereby neutralizing its anticoagulant activity.

A. Hospital pharmacist B. Health care provider C. Medication sales representative D. Nurse manager

Correct Answer is A

Explanation

Choice A rationale

The hospital pharmacist is the most appropriate resource for a nurse to consult for information on medication compatibility. Pharmacists have specialized knowledge and access to resources that provide information on drug interactions, including those between ampicillin and gentamicin sulfate. They can provide accurate and up-to-date information on whether these two medications can be safely administered together.

Choice B rationale

While the health care provider prescribes the medication, they may not have the most current or detailed information on drug compatibility. It is the pharmacist’s role to have this specialized knowledge.

Choice C rationale

Medication sales representatives are primarily focused on promoting their company’s products. They may not have comprehensive knowledge of drug interactions, especially between drugs from different companies.

Choice D rationale

The nurse manager oversees the nursing staff and coordinates care, but they may not have specific knowledge about all drug interactions. The hospital pharmacist is the most appropriate resource for this information.

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A nurse is caring for a toddler.The nurse’s observations are as follows: Heart rate: 150/min, Temperature: 38.9°C (102°F), Respiratory rate: 28/min, Oxygen saturation: 96% on room air, Blood Pressure: 90/43 mm Hg. What should the nurse do next?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a patient who is receiving heparin by continuous IV infusion.Which of the following medications should the nurse plan to administer in the event of an overdose?

Correct Answer is D

Explanation

A nurse is preparing to infuse ampicillin and gentamicin sulfate intravenously.Which resource should the nurse first consult for information on medication compatibility?

Correct Answer is A

Explanation

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A nurse is caring for a toddler.
The nurse’s observations are as follows: Heart rate: 150/min, Temperature: 38.9°C (102°F), Respiratory rate: 28/min, Oxygen saturation: 96% on room air, Blood Pressure: 90/43 mm Hg. What should the nurse do next?