A nurse is reviewing the medication administration records from the previous shift. Which of the following findings should indicate to the nurse a need for an incident report?
A client received crushed bupropion XL tablet mixed with applesauce.
A nurse injected Demerol 1M into the vastus lateralis site of adult.
A nurse used a 25-gauge inch needle to administer heparin injection.
A client received gentamicin intermittent IV bolus over I hr.
The Correct Answer is A
Bupropion XL tablets should be taken whole. Crushing the tablet interferes with the pharmacokinetics of the drug leading to reduced efficacy and increased risk of toxicity. Administering bupropion XL inappropriately could result in harm to the client and should prompt the nurse to file an incident report to document the error and ensure appropriate follow-up and monitoring.
B. Meperidine is a commonly administered opioid analgesic and can be given intramuscularly in appropriate doses and sites.
C. Selection of the needle length and gauge depend on the route of administration and individual client's characteristics
D. Gentamicin can be administered by intermittent IV bolus over a prolonged period as part of its dosing regimen.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Zidovudine (AZT) is an antiretroviral drug used in treatment of HIV to suppress viral replication. It causes aplastic anemia, suppression of the bone marrow, leasing to reduces production of all hematopoietic cell lines including red blood cells, white blood cells, and platelets.
A, B, and D - are not associated with Zidovudine use
Correct Answer is A
Explanation
Chewing sugarless gum or sucking on hard sour candies can help stimulate saliva production and alleviate the symptoms of dry mouth.
B. Dry mouth is a common side effect of diphenhydramine and can often be managed with simple interventions like chewing sugarless gum. Notifying the provider is not necessary
C. Placing a humidifier at the bedside may help with dry mouth indirectly by increasing moisture in the air, but it's not a direct solution for dry mouth caused by diphenhydramine.
D. Administering the medication with food is not specifically related to managing dry mouth caused by diphenhydramine.
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