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?
Have the client take the medication on an empty stomach to avoid interactions.
Consult a drug reference guide for possible interactions.
Ask another nurse if they are aware of potential interactions.
Check the client's medical record for medication and food interactions.
The Correct Answer is B
A) Have the client take the medication on an empty stomach to avoid interactions:
This action may not be appropriate as taking medications on an empty stomach can sometimes increase the risk of adverse effects or decrease medication effectiveness. The decision to take medication with or without food depends on the specific medication and its instructions. It does not address the broader scope of potential interactions with other medications or foods.
B) Consult a drug reference guide for possible interactions:
This is the most appropriate action. Drug reference guides, such as the Physicians' Desk Reference (PDR) or online databases, provide comprehensive information about medications, including potential interactions with other drugs and foods. Consulting a reliable drug reference guide allows the nurse to make informed decisions about medication administration and identify any potential interactions that may affect the client's safety and treatment outcomes.
C) Ask another nurse if they are aware of potential interactions:
While seeking advice from colleagues can sometimes be helpful, relying solely on another nurse's knowledge may not provide comprehensive information about potential interactions. Additionally, the accuracy and reliability of the information obtained from another nurse may vary. Consulting a drug reference guide or other reliable resources is a more systematic approach to ensuring medication safety.
D) Check the client's medical record for medication and food interactions:
While the client's medical record may contain valuable information about their current medications and medical history, it may not always include detailed information about potential interactions with specific foods. Additionally, relying solely on the medical record may overlook recent changes in the client's medication regimen or newly prescribed medications. Consulting a drug reference guide provides more comprehensive and up-to-date information about potential interactions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. “Take a tablet every 10 minutes until the pain subsides.”: This is not correct. Nitroglycerin tablets are typically taken at the first sign of an angina attack. If the pain is not relieved within 5 minutes, a second tablet may be taken. If the pain still persists after another 5 minutes, a third tablet may be taken. However, if the pain continues after a total of 3 tablets in 15 minutes, emergency medical help should be sought.
B. “Place the tablet under the tongue until dissolved.”: This is the correct answer. Nitroglycerin sublingual tablets should be placed under the tongue and allowed to dissolve. This allows for rapid absorption of the medication into the bloodstream through the mucous membranes of the mouth.
C. “Store the tablets in a refrigerator in a plastic container.”: This is not correct. Nitroglycerin tablets should be stored at room temperature, away from light and moisture. They should not be stored in a refrigerator or a plastic container as this can cause the tablets to lose their effectiveness.
D. “Call 911 if pain persists 30 minutes after taking one tablet.”: This is not correct. If chest pain is not relieved within 5 minutes after taking a nitroglycerin tablet, a second tablet should be taken. If the pain still persists after another 5 minutes, a third tablet may be taken. However, if the pain continues after a total of 3 tablets in 15 minutes, emergency medical help should be sought. Waiting 30 minutes could delay necessary medical treatment.
Correct Answer is ["50"]
Explanation
Let's break down the steps:
Total volume to be delivered: We know the volume of the sodium chloride solution is 100 ml.
Concentration of cefazolin: The concentration is given as 1 gram of cefazolin in 100 ml of solution. Therefore, the concentration is 1 g / 100 ml = 0.01 g/ml.
Delivery time: The infusion needs to be delivered over 30 minutes, which is 0.5 hours (since 1 hour = 60 minutes).
Drop factor: The drop factor is 15 gtt/ml, which tells us how many drips it takes to deliver 1 ml of fluid.
Now, we can calculate the rate (flow rate) of the infusion in gtt/min:
Rate = (Total volume) / (Delivery time)
Rate = (100 ml) / (0.5 hours) = 200 ml/hour
Since we know the drop factor, we can convert the rate from ml/hour to gtt/min:
Rate (gtt/min) = Rate (ml/hour) * Drop factor (gtt/ml)
Rate (gtt/min) = 200 ml/hour * 15 gtt/ml = 3000 gtt/hour
Finally, round the rate to the nearest whole number:
Rate (rounded gtt/min) = 3000 gtt/hour ≈ 50 gtt/min
Therefore, the nurse should set the manual IV infusion to deliver approximately 50 gtt/min.
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