A nurse is preparing to administer digoxin orally to a client. Identify the sequence of steps the nurse should take.

(Move the steps placing them in the order of performance. Use all the steps.)

Remove the medication from the dispensing system.

Compare the client's wristband to the medication administration record.

Open the medication package.

Document administration of the medication.

Answer and Explanation

The Correct Answer is A,B,C,D

Choice A rationale:

The first step is to remove the medication from the dispensing system. This ensures that the nurse has the right medication and dose for the client. The nurse should also check the label of the medication against the medication administration record (MAR) at this point. Choice B rationale:

The second step is to compare the client's wristband to the MAR. This verifies the client's identity and prevents medication errors. The nurse should use two identifiers, such as name and date of birth, to confirm the client's identity.

Choice C rationale:

The third step is to open the medication package. This prepares the medication for administration and prevents contamination. The nurse should also check the expiration date of the medication before opening it.

Choice D rationale:

The fourth step is to document administration of the medication. This completes the medication administration process and provides a record of the client's care. The nurse should document the medication name, dose, route, time, and any relevant observations or outcomes.

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Correct Answer is B

Explanation

Choice A rationale:

Alopecia (hair loss) is not a common adverse effect of paroxetine.

Choice B rationale:

Drowsiness is a potential adverse effect of paroxetine, an antidepressant medication that can cause central nervous system effects.

Choice C rationale:

Tinnitus (ringing in the ears) is not commonly associated with paroxetine use.

Choice D rationale:

Peripheral edema is not a common adverse effect of paroxetine.

A. "Take this medication 2 hours before a meal." B. "Decrease your daily sodium intake." C. "Limit foods containing tyramine." D. "Report swelling of the feet to your provider."

Correct Answer is B

Explanation

Choice A rationale:

Lithium carbonate should be taken with meals to minimize gastrointestinal upset.

Choice B rationale:

Lithium levels can be affected by sodium intake, so decreasing sodium intake can help prevent lithium toxicity.

Choice C rationale:

Tyramine is not typically restricted in clients taking lithium.

Choice D rationale:

Swelling of the feet is not a common adverse effect of lithium carbonate.

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A nurse is preparing to administer digoxin orally to a client. Identify the sequence of steps the nurse should take. (Move the steps placing them in the order of performance. Use all the steps.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who has a new prescription for paroxetine. The nurse should instruct the client to monitor for which of the following adverse effects?

Correct Answer is B

Explanation

A nurse is providing teaching to a client who has a new prescription for lithium carbonate. Which of the following instructions should the nurse include?

Correct Answer is B

Explanation

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A nurse is preparing to administer digoxin orally to a client. Identify the sequence of steps the nurse should take.

(Move the steps placing them in the order of performance. Use all the steps.)