A nurse is preparing to administer medications to a group of clients.
Which of the following prescriptions should the nurse clarify with the provider before administering?
Tetracycline 1 g orally every 6 hr.
Warfarin 100 units subcutaneously daily.
Penicillin G 5,000,000 units intramuscularly every 4 hr.
Zoledronate 5 mg intravenously x 1 dose.
The Correct Answer is B
Warfarin is an oral anticoagulant medication and is not administered subcutaneously.
The nurse should clarify this prescription with the provider before administering it.
Choice A is wrong because tetracycline can be prescribed in doses of 1 g orally every 6 hours.
Choice C is wrong because Penicillin G can be prescribed in doses of 5,000,000 units intramuscularly every 4 hours.
Choice D is wrong because Zoledronate can be prescribed as a single intravenous dose of 5 mg.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale: Administering filgrastim after chemotherapy is a standard practice to boost white blood cell count. However, filgrastim should not be given within 24 hours before or after chemotherapy, as it can affect the efficacy and increase the risk of side effects. Administering the medication 12 hours after chemotherapy falls within this contraindicated window, necessitating an incident report.
Choice B rationale: Filgrastim can be stored at room temperature for short periods, and 2 hours is generally within acceptable limits for stability.
Choice C rationale: An absolute neutrophil count of 2,500/mm³ is within the normal range, and there is no contraindication for administering filgrastim.
Choice D rationale: Flushing the client's IV line with dextrose 5% in water before and after administering filgrastim is not appropriate, as this medication is typically administered with saline solution. Using an incorrect flushing solution could affect the medication's efficacy or compatibility, necessitating an incident report.
Correct Answer is B
Explanation
Anaphylaxis is a severe, potentially life-threatening allergic reaction that can occur within seconds or minutes of exposure to an allergen, such as penicillin.
One of the symptoms of anaphylaxis is wheezing, which is caused by the constriction of the airways and a swollen tongue or throat.
Choice A is wrong because hypertonia (increased muscle tone) is not a known symptom of anaphylaxis.
Choice C is wrong because urinary retention (inability to completely empty the bladder) is not a known symptom of anaphylaxis.
Choice D is wrong because increased blood pressure is not a known symptom of anaphylaxis; in fact, anaphylaxis can cause a sudden drop in blood pressure.
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