A nurse is preparing to administer vancomycin IV to an adult client.

The client asks the nurse if the medication can be given 2 hr earlier.

Which of the following statements should the nurse make?

“I can adjust the time and schedule for when it’s convenient for you.”.

“I can start the medication 30 minutes earlier.”.

“I have up to 2 hours after the usual schedule time to give you this medication.”.

“I can infuse the medication at a faster rate.”.

None

Answer and Explanation

The Correct Answer is C

The correct answer is choice b. "I can start the medication 30 minutes earlier."Choice A rationale: This is an inappropriate response, as the nurse should not adjust the time and schedule for the administration of alteplase recombinant, which is a time-sensitive medication used to treat a thrombus in the coronary artery. The administration of this medication must be done within a specific time frame to be effective.Choice B rationale: This is the correct answer. Alteplase recombinant is a thrombolytic medication used to dissolve blood clots in the coronary artery. It is a time-sensitive medication, and it is crucial to administer it as soon as possible to minimize the damage to the heart muscle. Starting the medication 30 minutes earlier is an appropriate action to include in the plan of care, as it can help ensure the medication is administered within the recommended time frame.Choice C rationale: This is an inappropriate response. Alteplase recombinant should be administered within a specific time frame, typically within 3 to 4.5 hours of the onset of symptoms. Waiting up to 2 hours after the usual schedule time to give the medication would be outside the recommended time frame and could potentially reduce the effectiveness of the treatment.Choice D rationale: This is an inappropriate response. Alteplase recombinant should be infused at a specific rate, as recommended by the manufacturer or healthcare provider. Infusing the medication at a faster rate could increase the risk of adverse effects and should not be included in the plan of care without specific instructions from the healthcare provider.

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Correct Answer is C

Explanation

Answer and explanation.

The correct answer is choice C, hypertension. Hypertension is a contraindication to living kidney donation because it can increase the risk of kidney disease and cardiovascular complications in the donor. Hypertension can also affect the quality and survival of the donated kidney in the recipient.

Therefore, a potential donor with uncontrolled or poorly controlled hypertension should not undergo nephrectomy.

Choice A, osteoarthritis, is not a contraindication to living kidney donation.

Osteoarthritis is a degenerative joint disease that does not affect the kidneys or the cardiovascular system.

It may cause pain and stiffness in the joints, but it can be managed with medications and physical therapy. A potential donor with osteoarthritis can donate a kidney if they have normal kidney function and no other medical problems.

Choice B, primary glaucoma, is not a contraindication to living kidney donation.

Primary glaucoma is a condition that causes increased pressure in the eye and can lead to vision loss if untreated.

It does not affect the kidneys or the cardiovascular system. A potential donor with primary glaucoma can donate a kidney if they have normal kidney function and no other medical problems.

Choice D, amputation, is not a contraindication to living kidney donation.

Amputation is the surgical removal of a limb or part of a limb due to injury, infection, or disease.

It does not affect the kidneys or the cardiovascular system. A potential donor with amputation can donate a kidney if they have normal kidney function and no other medical problems.

Normal ranges for blood pressure are less than 120/80 mmHg for systolic and diastolic pressure, respectively.

Normal ranges for kidney function are eGFR above 60 mL/min/1.73 m2 and albuminuria below 30 mg/g.

A. Euphoria B. Bradypnea C. Constipation D. Constipation

Correct Answer is B

Explanation

The correct answer is choice B, bradypnea. Bradypnea is abnormally slow breathing, which can be a sign of life-threatening respiratory depression caused by morphine. Respiratory depression is the most serious adverse effect of morphine and can lead to coma and death if not treated promptly. Therefore, the nurse should monitor the child’s respiratory rate and oxygen saturation closely and be prepared to administer naloxone, an opioid antagonist, if needed.

Choice A, euphoria, is wrong because euphoria is a feeling of intense happiness or well-being that is a common side effect of morphine.

Euphoria is not a priority finding and does not indicate a serious complication of morphine.

Choice C, constipation, is wrong because constipation is a common and chronic side effect of morphine that affects the gastrointestinal system.

Constipation can cause discomfort and complications such as bowel obstruction, but it is not a priority finding compared to respiratory depression.

Choice D, sedation, is wrong because sedation is another common side effect of morphine that affects the central nervous system.

Sedation can impair the child’s level of consciousness and ability to respond to stimuli, but it is not as urgent as respiratory depression.

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A nurse is preparing to administer vancomycin IV to an adult client. The client asks the nurse if the medication can be given 2 hr earlier. Which of the following statements should the nurse make?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has end-stage kidney disease. The client’s adult child asks the nurse about becoming a living kidney donor for their parent. Which of the following conditions in the child’s medical history should the nurse identify as a contraindication to the procedure?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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A nurse is preparing to administer vancomycin IV to an adult client.

The client asks the nurse if the medication can be given 2 hr earlier.

Which of the following statements should the nurse make?