A nurse is planning care for a client who has a prescription for erythromycin lactobionate IV bolus.
Which of the following actions should the nurse include in the plan of care?

Monitor the client for hearing loss.

Implement a high-fiber diet to prevent constipation.

Administer the medication over 10 min.

Reconstitute the medication with a 5% dextrose solution.

Answer and Explanation

The Correct Answer is A

The nurse should monitor the client for hearing loss because it is a potential adverse effect of erythromycin.

Choice B is wrong because a high-fiber diet to prevent constipation is not mentioned as a necessary action when administering erythromycin lactobionate IV bolus.

Choice C is wrong because erythromycin lactobionate IV bolus should not be administered over 10 min; bolus injection (IV push) is contraindicated.

Choice D is wrong because erythromycin lactobionate should not be reconstituted with a 5% dextrose solution; it should be reconstituted with sterile water for injection.

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Correct Answer is B

Explanation

Warfarin is an oral anticoagulant medication and is not administered subcutaneously.

The nurse should clarify this prescription with the provider before administering it.

Choice A is wrong because tetracycline can be prescribed in doses of 1 g orally every 6 hours.

Choice C is wrong because Penicillin G can be prescribed in doses of 5,000,000 units intramuscularly every 4 hours.

Choice D is wrong because Zoledronate can be prescribed as a single intravenous dose of 5 mg.

A. Propranolol. B. Isosorbide mononitrate. C. Pantoprazole. D. Montelukast.

Correct Answer is A

Explanation

The nurse should withhold the dose of propranolol and notify the provider.

Using propranolol together with albuterol may reduce the benefits of both medications, since they have opposing effects in the body.

In addition, propranolol can sometimes cause narrowing of the airways, which may worsen breathing problems or trigger severe asthmatic attacks.

Choice B is wrong because there is no known interaction between albuterol and isosorbide mononitrate.

Choice C is wrong because there is no known interaction between albuterol and pantoprazole.

Choice D is wrong because there is no known interaction between albuterol and montelukast.

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A nurse is planning care for a client who has a prescription for erythromycin lactobionate IV bolus. Which of the following actions should the nurse include in the plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer medications to a group of clients. Which of the following prescriptions should the nurse clarify with the provider before administering?

Correct Answer is B

Explanation

A nurse is interviewing a client who was newly admitted prior to administering medications. The client tells the nurse, "I forgot to tell the doctor I take albuterol for asthma." For which of the following medications should the nurse withhold the dose and notify the provider?

Correct Answer is A

Explanation

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A nurse is planning care for a client who has a prescription for erythromycin lactobionate IV bolus.
Which of the following actions should the nurse include in the plan of care?