A nurse is preparing to administer 0800 medications to a client. The medication administration record (MAR) states "phenobarbital" and the medication the pharmacy supplied is pentobarbital. Which of the following actions should the nurse take?

Check the prescription in the client's medical record.

Ask the client if she has any allergies.

Ask the client what medication she took yesterday

Check the client's MAR to see what the client received the day before.

Answer and Explanation

The Correct Answer is A

A.   Checking the prescription in the client's medical record can help confirm the correct medication and dosage prescribed by the healthcare provider. It allows the nurse to verify the intended medication and compare it with what was supplied by the pharmacy.
B.   While asking the client about allergies is important for medication safety, it may not directly address the discrepancy between the listed medication (phenobarbital) and the supplied medication (pentobarbital). Allergies are relevant to ensuring the safety of the medication administration, but they may not provide immediate clarification of the discrepancy.
C.   This action may provide some context about the client's medication history, but it does not directly address the discrepancy between the listed medication and the supplied medication. The focus should be on confirming the correct medication for administration according to the client's current prescription.
D.   This action may provide information about the client's previous medication administration history, but it does not directly address the discrepancy between the listed medication and the supplied medication. The nurse's primary concern should be to verify the correct medication to be administered at the current time.

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Free Nursing Study Resources

Correct Answer is B

Explanation

B. Weight gain can indicate that methimazole is effectively managing the thyroid imbalance. Methimazole is commonly used to treat hyperthyroidism by inhibiting the production of thyroid hormones. Weight gain may occur as a result of restoring thyroid hormone levels to normal, which can lead to a decrease in metabolism and an improvement in symptoms associated with hyperthyroidism, such as unintended weight loss.
A. Increased libido is not typically associated with the effectiveness of methimazole in treating thyroid imbalance. Thyroid dysfunction, whether hyperthyroidism or hypothyroidism, can affect libido, but improvement in libido would not specifically indicate the effectiveness of methimazole.
C. Decreased menstrual flow is not a typical indicator of the effectiveness of methimazole in treating thyroid imbalance. Thyroid dysfunction can affect menstrual cycles, with hyperthyroidism often associated with lighter or irregular menstrual periods. However, improvement in menstrual flow alone would not necessarily indicate the effectiveness of methimazole.
D. Clear breath sounds are not specific to the effectiveness of methimazole in treating thyroid imbalance. While methimazole can help manage symptoms of hyperthyroidism, such as palpitations and shortness of breath, clear breath sounds do not directly indicate thyroid function improvement.

A. Mix the medications in a 3-mL syringe. B. Inject air into the regular vial first. C. Administer the medications in two separate syringes. D. Withdraw the NPH insulin last.

Correct Answer is D

Explanation

D. Drawing the NPH last ensures that it does not contaminate the short acting insulin. The regular insulin should be drawn first.
A. Regular and NPH insulin should not be mixed together in a single syringe prior to administration. Mixing them could alter their action profiles and affect their effectiveness.
B. While injecting air into the vial before withdrawing medication helps prevent negative pressure and facilitates easy withdrawal of the medication, it should be done for each vial individually, not specifically for the regular insulin vial.
C. The medication should be drawn up into the same syringe before administration to the patient.

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A nurse is preparing to administer 0800 medications to a client. The medication administration record (MAR) states "phenobarbital" and the medication the pharmacy supplied is pentobarbital. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who has been taking methimazole for 2 months for the treatment of a thyroid imbalance. Which of the following findings indicates that the medication is effective?

Correct Answer is B

Explanation

A nurse is preparing to administer regular and NPH insulin to a client. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

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