A nurse is caring for four clients for whom she has to administer oral medications in the morning. The nurse should administer which of the following medications before breakfast?
Levothyroxine
Digoxin
Divalproex
Mycostatin mouthwash
The Correct Answer is A
A. Levothyroxine
Correct Answer: Levothyroxine should be administered before breakfast.
Explanation: Levothyroxine is a synthetic thyroid hormone used to treat hypothyroidism. It needs to be taken on an empty stomach, at least 30 minutes before eating, to ensure proper absorption. Food can interfere with its absorption, especially foods containing calcium, iron, and fiber.
B. Digoxin
Incorrect Explanation: Digoxin does not need to be administered before breakfast.
Explanation: Digoxin is a medication used to treat heart conditions like congestive heart failure and atrial fibrillation. It doesn't have specific instructions regarding administration in relation to meals. It's important to administer digoxin consistently at the same time every day, but it doesn't need to be taken specifically before or after breakfast.
C. Divalproex
Incorrect Explanation: Divalproex does not need to be administered before breakfast.
Explanation: Divalproex is used to treat conditions like epilepsy and bipolar disorder. It can be taken with or without food. While taking it with food might reduce the likelihood of stomach upset, there's no requirement to take it specifically before breakfast.
D. Mycostatin Mouthwash
Incorrect Explanation: Mycostatin mouthwash is not related to breakfast timing.
Explanation: Mycostatin is an antifungal medication used to treat fungal infections in the mouth (oral thrush). Its administration is not linked to meal times. It's typically swished around in the mouth and then swallowed or spit out, depending on the specific instructions provided by the healthcare provider.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Elevate the head of the bed 15 to 30 degrees with head maintained a midline position.
Correct Explanation: This intervention is appropriate for a child with an acute head injury.
Explanation: Elevating the head of the bed helps reduce intracranial pressure by facilitating venous drainage from the head. However, it's important to keep the head in a midline position to prevent neck flexion, which can obstruct venous flow. Elevating the head 15 to 30 degrees is a standard approach for managing intracranial pressure in patients with head injuries.
B. Maintain an active stimulating environment.
Incorrect Explanation: Maintaining an active stimulating environment is not suitable for a child with an acute head injury.
Explanation: A child with an acute head injury should be in a quiet and calm environment. Overstimulation can worsen the condition by increasing intracranial pressure. It's important to minimize stimuli to allow the brain to heal.
C. Perform active chest percussion and suctioning every 1 to 2 hours.
Incorrect Explanation: Chest percussion and suctioning are not relevant interventions for an acute head injury.
Explanation: Active chest percussion and suctioning are typically used to manage respiratory conditions. While maintaining good respiratory function is important for overall patient care, it's not a primary intervention for an unconscious child with a head injury.
D. Instruct child on performing active range of motion.
Incorrect Explanation: Instructing the child on performing active range of motion is not appropriate for an unconscious child with a head injury.
Explanation: An unconscious child cannot actively perform range of motion exercises. Additionally, it's not a priority intervention in the acute phase of head injury management.
Correct Answer is C
Explanation
A. Place a pillow under the child's head.
Explanation: While providing comfort is important, the priority in this scenario is to ensure the child's safety. Placing a pillow under the head can be considered after addressing immediate safety concerns.
B. Clear the area of hazards.
Explanation: Correct Choice. Ensuring the area is clear of hazards is the nurse's priority. During a seizure, the child can experience uncontrolled movements, and having hazards around can lead to injuries. Clearing the area helps prevent harm. But priority is to position the child side lying.
C. Position the child side-lying.
Explanation: Correct Choice. Placing the child in a side-lying position helps prevent choking and aspiration due to vomiting during the seizure. It also minimizes the risk of airway obstruction and helps manage secretions.
D. Loosen restrictive clothing.
Explanation: While loosening restrictive clothing can facilitate breathing, the priority in this situation is addressing safety concerns related to the seizure and vomiting. Ensuring a clear and safe environment takes precedence.
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