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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Sucralfate is a medication used to treat gastric and duodenal ulcers by forming a protective coating over the ulcer site to prevent acid exposure. Taking it 1 hour before meals and bedtime ensures formation of a coat prior to production of acid during digestion or lying down.
A. Taking sucralfate "as needed" may lead to overdose as well as reduced effectiveness
B. There's no need to reduce fluid intake with sucralfate.
C. Sucralfate should not be taken with antacids, as they can interfere with its effectiveness by altering its pH-dependent mechanism of action. It's generally recommended to take sucralfate at least 30 minutes before or after taking antacids.
Correct Answer is A
Explanation
Rifampin and pyrazinamide are hepatotoxic agents that may cause liver failure. The client should therefore have serial liver function tests to promote client safety while on the medications.
B, C, D- Rifampin and pyrazinamide have no effect on the thyroid, blood glucose or gall bladder.
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