A nurse is reinforcing teaching with a client about using transdermal patches at home. Which of the following statements should the nurse identify as an indication that the client understands the teaching?

Use lotion and moisturizer before applying a new patch to either area.

Remove the old patch and apply a new one in the same location.

Press the patch securely in place on my forearm.

Clean and dry the area before applying the patch.

Answer and Explanation

The Correct Answer is D

When using a transdermal patch, it is important to clean and dry the skin before applying the patch 1. This helps to ensure that the patch sticks properly to the skin. The nurse should identify this statement as an indication that the client understands the teaching about using transdermal patches at home.

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Correct Answer is C

Explanation

Cefoxitin is a cephalosporin antibiotic and can cause allergic reactions in people who are allergic to penicillin or other beta-lactam antibiotics like amoxicillin. Therefore, a severe allergy to amoxicillin is a contraindication for the client to receive cefoxitin, and the nurse should report this finding to the provider immediately.

A recent history of diarrhea for three days is not a contraindication for cefoxitin administration. However, the nurse should monitor the client for signs of diarrhea and report any worsening symptoms to the provider.

A serum creatinine level of 0.8 mg/dL is within the normal range and is not a contraindication for cefoxitin administration.

A history of phlebitis following an IV infusion of 0.9% sodium chloride with 10 mEq potassium chloride is not a contraindication for cefoxitin administration. However, the nurse should assess the client's veins carefully before administering the medication and choose a diﬀerent site or route for administration if necessary.

A. Return the medication to the pharmacy. B. Notify the provider. C. Give the medication. D. Discard the medication.

Correct Answer is A

Explanation

The correct answer is choice a. Return the medication to the pharmacy.

Choice A rationale:

Returning the medication to the pharmacy is the correct action. Medications past their expiration date may not be safe or effective, and the pharmacy can provide a replacement.

Choice B rationale:

Notifying the provider is not necessary in this situation. The nurse should handle the expired medication according to protocol, which typically involves returning it to the pharmacy.

Choice C rationale:

Giving the medication is incorrect. Administering expired medication can be unsafe and ineffective.

Choice D rationale:

Discarding the medication is not the best option. The pharmacy should handle the disposal of expired medications to ensure proper procedures are followed.

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A nurse is reinforcing teaching with a client about using transdermal patches at home. Which of the following statements should the nurse identify as an indication that the client understands the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medical record of a client who is to receive the first dose of cefoxitin, a cephalosporin via intermitent IV bolus Which of the following findings should the nurse Identify as a contraindication for the client to receive cefoxitin and report to the provider?

Correct Answer is C

Explanation

The nurse is preparing a medication for a client and observes the date of expiration on the vial occurred 2 months ago. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

Which medication route provides the most rapid onset of a medication but also poses the greatest risk of adverse eﬀect if administered incorrectly?

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A nurse is caring for a child who is allergic to penicillin. The nurse should verify which of the following prescriptions with the provider?

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