A nurse is preparing to administer the first dose of cefazolin via intermittent Ivrder and refuses to take their medication. Which of the following nurse take first?
Assess the IV for patency.
Check the compatibility of cefazolin with the client's existing IV fluids.
Review the client's allergy history.
Obtain the reconstituted antibiotic from the pharmacy.
The Correct Answer is C
A. Assessing IV patency is important but comes after confirming the client is not allergic.
B. Checking compatibility ensures safe administration but is not the first priority.
C. Reviewing the client's allergy history is the priority to prevent a potentially life-threatening allergic reaction.
D. Obtaining the medication is necessary but only after confirming it is safe for the client.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D","G"]
Explanation
|
System |
Findings |
|
General |
Adult child accompanying parent reports decline in client, expressing concern over memory and thought process, appetite, and self-care. Adult child states, "My sibling and I hired help at home for my parent. We thought that would help but it has not. I found the title to the car today, signed over to me." |
|
Physical |
Client makes poor eye contact, speaks in a monotone voice, and has a lack of facial expression. Client reports sleeping 7 hr a night and getting up "once or twice per night to go to the bathroom." Client reports not wanting to eat anymore. Client's child reports their parent has lost about 8 lb in the past month. Heart rate 68/min |
|
Affect |
Client says, "Why don't you just leave me? I am of no use." |
Rationale
These findings suggest significant cognitive and physical decline, potential depression, and possible suicidal ideation, all of which require immediate attention and intervention.
Correct Answer is D
Explanation
A. Calcium is essential for bone health but does not directly prevent neural tube defects.
B. Iron is important for preventing anemia but is not specifically linked to the prevention of neural tube defects.
C. Zinc plays a role in reproductive health but is not specifically related to preventing neural tube defects.
D. Folate (also known as folic acid) is critical for preventing neural tube defects, such as spina bifida, during early pregnancy. It is recommended that women trying to conceive take folic acid supplements before conception and during the first trimester.
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