A patient who is to receive a daily medication by the oral route has had nausea and vomiting for the last 24 hours. The best action to ensure that the patient receives the scheduled dose is to:

Withhold the dose for 1 hour and see whether the nausea subsides.

Have the patient take the pill with sips of water.

Have the patient take the pill with crackers.

Acquire an order to administer by the rectal or parenteral route.

Answer and Explanation

The Correct Answer is D

Choice A reason: Withholding delays treatment; nausea may persist, risking vomiting of the dose if given later, reducing bioavailability and therapeutic effect over time.

Choice B reason: Sips of water won’t prevent vomiting; with ongoing nausea, the oral dose is likely expelled, decreasing absorption and failing to deliver the medication effectively.

Choice C reason: Crackers may worsen nausea or fail to retain the dose; vomiting risks remain high, compromising oral administration’s reliability in this acute condition.

Choice D reason: Rectal or parenteral routes bypass the stomach, ensuring delivery despite vomiting; this maintains therapeutic levels, critical for efficacy in a nauseated patient.

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Correct Answer is B

Explanation

Choice A reason: 1 mL gives 50 mg; this underdoses the 75 mg order, reducing Vistaril’s sedative effect, risking inadequate anxiety relief for the patient.

Choice B reason: 1.5 mL is correct; 75 mg divided by 50 mg/mL equals 1.5 mL, delivering the precise IM dose for effective anxiolytic action safely.

Choice C reason: 2 mL provides 100 mg; this overdoses Vistaril, risking excessive sedation or hypotension, exceeding the ordered therapeutic amount unnecessarily.

Choice D reason: 2.5 mL yields 125 mg; this far exceeds 75 mg, amplifying side effects like drowsiness or respiratory depression, unsafe for anxiety management.

A. A patient who has just undergone bone marrow transplantation B. An elderly patient with Clostridium difficile diarrhea C. A young patient with an acute asthma exacerbation and dyspnea D. A forgetful, irritable patient with a history of Alzheimer's disease

Correct Answer is D

Explanation

Choice A reason: Bone marrow transplant patients are immunocompromised; animals pose infection risks (e.g., zoonotic bacteria), making therapy contraindicated in this sterile setting.

Choice B reason: C. difficile is contagious; animal-assisted therapy risks cross-contamination via fur or handlers, endangering the patient and facility, ruling out this option.

Choice C reason: Acute asthma with dyspnea may worsen with animal dander triggering allergies or bronchospasm; therapy could exacerbate respiratory distress, making it unsuitable.

Choice D reason: Alzheimer’s patients benefit from animal therapy; it reduces agitation and boosts mood via oxytocin release, with no acute infection or allergy barriers.

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A patient who is to receive a daily medication by the oral route has had nausea and vomiting for the last 24 hours. The best action to ensure that the patient receives the scheduled dose is to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Vistaril 75 mg IM is ordered for anxiety. Available: 50 mg/mL. How many milliliters will the nurse administer?

Correct Answer is B

Explanation

Which patient would be a candidate for animal-assisted therapy?

Correct Answer is D

Explanation

The physician orders Ceclor 175 mg po for an ear infection. After reconstitution, the medication is available as 125 mg/5 mL. How many milliliters will the nurse administer?

Which statement is correct about patient tolerance to medications?

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A nurse has an order to administer a schedule II drug to a patient. When working with medications of this type, the responsibility of the nurse is to:

A patient is due for a 40-mg dose of furosemide (Lasix) at 9:00 AM on May 5, 2013. The drug label reads "20 mg per tablet." The tablets in the bottle appear firm and unbroken. The expiration date on the bottle reads "April 2, 2013." The best nursing action is to:

A patient is scheduled to have biofeedback therapy for migraine headaches. On arrival to the clinic, the patient appears anxious and fearful and tells the nurse that she does not want electric shocks. The most reassuring response by the nurse is:

The physician orders Zestril 15 mg po daily for hypertension. The medication is supplied in 5-mg tablets. How many tablets will the nurse administer?