A nurse is preparing to administer a medication to a client for the first time and needs to know about potential food and medication interactions. Which of the following actions should the nurse take?

Check the client’s medical record for medication and food interactions.

Consult a drug reference guide for possible interactions.

Ask another nurse if they are aware of potential interactions.

Have the client take the medication on an empty stomach to avoid interactions.

Answer and Explanation

The Correct Answer is B

A. Check the client’s medical record for medication and food interactions is important, but it may not provide comprehensive information about all potential interactions.
B. Consult a drug reference guide for possible interactions is the best action. Drug reference guides provide detailed and up-to-date information about potential food and medication interactions, ensuring safe administration.
C. Ask another nurse if they are aware of potential interactions can be helpful, but it should not be the primary source of information. It is better to rely on authoritative drug reference guides.
D. Have the client take the medication on an empty stomach to avoid interactions is not always appropriate. Some medications need to be taken with food to enhance absorption or reduce gastrointestinal side effects.

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Correct Answer is C

Explanation

A. Bradypnea is not a common adverse effect of amiodarone. Respiratory effects are less common compared to cardiac effects.
B. Fever can occur with amiodarone but is not the most common or critical adverse effect.
C. Bradycardia is a well-known adverse effect of amiodarone. Amiodarone can slow the heart rate significantly, leading to bradycardia, which requires monitoring and potential intervention.
D. Hypertension is not typically associated with amiodarone. Amiodarone is more likely to cause hypotension rather than hypertension.

A. Keep the solution refrigerated until 1 hr before infusion. B. Check the client’s WBC count daily. C. Change the solution every 36 hr. D. Obtain the client’s weight three times a week.

Correct Answer is A

Explanation

A. Keep the solution refrigerated until 1 hr before infusion. This action is correct because total parenteral nutrition (TPN) solutions should be kept refrigerated to maintain their stability and prevent bacterial growth. The solution should be removed from the refrigerator about one hour before infusion to allow it to reach room temperature, which helps to reduce the risk of discomfort and complications during administration.
B. Check the client’s WBC count daily. This action is not typically required specifically for TPN administration. While monitoring the client’s overall health is important, daily WBC counts are not a standard part of TPN management unless there is a specific concern for infection.
C. Change the solution every 36 hr. This action is incorrect because TPN solutions are usually changed every 24 hours to reduce the risk of infection and ensure the client receives the correct nutrient composition.
D. Obtain the client’s weight three times a week. This action is not directly related to the immediate administration of TPN. While monitoring the client’s weight is important to assess nutritional status and fluid balance, it is not a step in the preparation or administration of TPN.

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A nurse is preparing to administer a medication to a client for the first time and needs to know about potential food and medication interactions. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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