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 C

Explanation

Choice A rationale:

Ringing in the ears is not typically associated with clozapine.

Choice B rationale:

Diarrhea is not a common adverse effect of clozapine.

Choice C rationale:

Clozapine can cause agranulocytosis, a serious condition involving a decrease in white blood cells. Fever can be a sign of infection, so clients taking clozapine should notify their provider if they develop a fever.

Choice D rationale:

Weight loss is not a common adverse effect of clozapine.

A. Warmer skin B. Increase in pulse rate C. Increased sleeping D. Weight loss

Correct Answer is C

Explanation

- A: Warmer skin is not expected as methimazole is used to reduce thyroid hormone production, which would decrease metabolism and heat production.
- B: An increase in pulse rate is unlikely because methimazole decreases thyroid hormone levels, leading to a potential decrease in heart rate.
- C: Increased sleeping is expected as methimazole reduces hyperthyroid symptoms, including insomnia, thus normalizing sleep patterns.
- D: Weight loss is not expected; instead, weight stabilization or gain may occur as the metabolism normalizes with treatment.

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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 clozapine. Which of the following statements should the nurse include in the teaching?

Correct Answer is C

Explanation

A client who has Graves' disease is prescribed methimazole. Which of the following effects should the nurse expect to see after the client has taken the medication for 2 months?

Correct Answer is C

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.)