A nurse is preparing to administer nortriptyline 150 mg PO for a client who has depression. Available is chlorpromazine hydrochloride 75 mg tablets. How many tablets should the nurse administer with each dose? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
The Correct Answer is ["2"]
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. This option involves informing the healthcare provider about the lack of urinary output. This is important because it could indicate an obstruction or clot formation in the urinary catheter or drainage system, which may require immediate intervention.
B. Checking the patency of the urinary catheter tubing is crucial. The nurse should assess for any kinks, twists, or clots that may be obstructing urine flow. Flushing the catheter per protocol or irrigating it with sterile saline may help clear any obstruction.
C. Increasing oral fluids may help promote urine production once any obstruction or issue with the catheter is resolved. However, this action should come after addressing the immediate concern of no urinary output and ensuring the catheter's patency.
D. While pain management is important postoperatively, administering an analgesic is not the priority in this scenario where there is no urinary output. Pain from the procedure is typically managed with medications prescribed on a schedule or as needed, but it does not address the acute issue of urinary obstruction.
Correct Answer is C
Explanation
A. The tragus is a small projection of cartilage in front of the ear canal. Applying gentle pressure to the tragus after instilling ear drops helps to facilitate the passage of the drops into the ear canal. This action should not be avoided; rather, it is recommended to enhance the delivery of the medication.
B. Sterile gloves are not typically necessary for instilling ear drops unless the client has an open or infected ear canal. Using clean, non-sterile gloves or practicing proper hand hygiene is sufficient to maintain cleanliness during the procedure.
C. For an adult client, pulling the pinna (outer ear) upward and backward helps to straighten the ear canal. This allows the drops to flow easily into the ear canal rather than pooling in the outer ear or leaking out. This technique ensures that the medication reaches the target area effectively.
D. Chilling otic (ear) solutions is not recommended unless specifically instructed by the healthcare provider for therapeutic reasons (e.g., to soothe ear pain or inflammation). Cold solutions can cause discomfort or dizziness when instilled into the ear. Therefore, otic solutions are typically administered at room temperature to avoid these adverse effects.
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