A nurse is reviewing a client's medical record before administering acetaminophen 650 mg PO every 6 hr. Which of the following findings indicates a need for the nurse to notify the provider?

Hypothyroidism

BP 92/60 mm Hg

History of alcohol use disorder

Recurrent headaches

Answer and Explanation

The Correct Answer is C

A. Hypothyroidism: Hypothyroidism does not directly affect acetaminophen metabolism or increase risk of toxicity. It does not require notifying the provider before administration.

B. BP 92/60 mm Hg: Mild hypotension is not a contraindication for acetaminophen use, as the medication does not significantly impact blood pressure. Monitoring is sufficient.

C. History of alcohol use disorder: Chronic alcohol use increases the risk of liver damage, and acetaminophen is hepatotoxic in high doses or with underlying liver disease. The provider should be notified to assess the safety of standard dosing or consider alternatives.

D. Recurrent headaches: Recurrent headaches are likely the indication for acetaminophen therapy and do not contraindicate its use. No additional notification is required for this reason.

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Correct Answer is D

Explanation

A. Dorsogluteal: The dorsogluteal site is not recommended for infants due to the risk of injury to the sciatic nerve and the small size of the gluteal muscle, which may lead to improper absorption or trauma.

B. Rectus femoris: The rectus femoris can be used for IM injections in adults, but in infants, the muscle is underdeveloped and difficult to access safely, increasing the risk of injury and improper medication absorption.

C. Deltoid: The deltoid muscle is too small in infants for safe intramuscular injections. Using this site may cause nerve injury or insufficient muscle mass for proper medication absorption.

D. Vastus lateralis: The vastus lateralis is the preferred site for IM injections in infants because it has well-developed muscle tissue, is easily accessible, and carries a lower risk of nerve or vascular injury, ensuring safe and effective medication delivery.

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}

Explanation

Renal impairment: Simvastatin can lead to rhabdomyolysis, which releases myoglobin into the bloodstream and can cause acute kidney injury. Assessing for renal impairment allows early detection of potential kidney damage and prevents complications.
Rhabdomyolysis: The elevated creatinine kinase (CK) level and new-onset leg pain and weakness indicate possible muscle breakdown. Early assessment for rhabdomyolysis is critical to initiate treatment, prevent further muscle damage, and reduce the risk of renal failure.

Abdominal pain: While the client reports mild abdominal discomfort, this symptom is less urgent compared to potential renal impairment or rhabdomyolysis, which are life-threatening complications of statin therapy.
Impaired nutrition: Indigestion and bloating may affect appetite but are not immediately dangerous. They are secondary to the more serious concern of muscle breakdown and kidney injury.
Constipation: Constipation is a mild gastrointestinal issue and does not indicate acute or severe complications related to simvastatin therapy.
Dyspepsia: Dyspepsia is a common side effect of simvastatin but is not life-threatening. It should be addressed after evaluating for more urgent complications like rhabdomyolysis.

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A nurse is reviewing a client's medical record before administering acetaminophen 650 mg PO every 6 hr. Which of the following findings indicates a need for the nurse to notify the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer an IM injection to an infant. Which of the following injection sites should the nurse select for administering the medication?

Correct Answer is D

Explanation

A nurse in an outpatient clinic is caring for a client. Complete the following sentence by using the lists of options. The nurse should assess the client's dropdown followed by the client'sdropdown.

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}

Explanation

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