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.

History of alcohol use disorder.

Recurrent headaches.

BP 92/60 mm Hg.

Answer and Explanation

The Correct Answer is B

Acetaminophen is metabolized by the liver and can cause liver damage when taken in large doses or for a prolonged period of time.

Someone with an alcohol use disorder may already have a compromised liver, and combining acetaminophen with more alcohol can worsen the risk of irreparable damage.

Choice A is wrong because Hypothyroidism, is not a contraindication for acetaminophen use.

Choice C is wrong because Recurrent headaches, is not a contraindication for acetaminophen use.

Choice D is wrong because BP 92/60 mm Hg, is not a contraindication for acetaminophen use.

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Correct Answer is C

Explanation

The first intervention for a client with diabetic ketoacidosis and a blood glucose level of 800 mg/dL should be to initiate fluid replacement therapy with 0.9% sodium chloride at a rate of 15 mL/kg/hr.

This will help to replace fluids lost through excessive urination and to dilute the excess sugar in the blood.

Choice A is wrong because subcutaneous insulin injections are not the first intervention for diabetic ketoacidosis.

Insulin therapy is generally given intravenously.

Choice B is wrong because bicarbonate by IV infusion is not the first intervention for diabetic ketoacidosis.

Choice D is wrong because potassium chloride at a rate of 10 mEq/hr is not the first intervention for diabetic ketoacidosis.

Electrolyte replacement may be necessary to replace minerals such as sodium, potassium, and chloride, but this is not the first intervention 2.

A. Discard the vial of medication if the solution is cloudy. B. Shake the vial of medication to dissolve particulates. C. Dilute the vial of medication with sterile water. D. Thaw the medication in the vial 30 min before administration.

Correct Answer is A

Explanation

Discard the vial of medication if the solution is cloudy.

This is because epoetin alfa should not be used if it has been frozen or if it has changed color or has particles in it.

Choice B is wrong because the vial should not be shaken before use.

Choice C is wrong because epoetin alfa should not be diluted with sterile water or any other liquid.

Choice D is wrong because epoetin alfa should not be frozen and therefore does not need to be thawed before administration.

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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 in the emergency department is admitting a client who has diabetic ketoacidosis and a blood glucose level of 800 mg/dL. Which of the following interventions should the nurse initiate first?

Correct Answer is C

Explanation

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Correct Answer is A

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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?