A patient with a respiratory infection asks the nurse why some antibiotics are prescribed to be given every 12 hours while others have to be taken 4 times per day. What is the nurse's best response?

"Regular doses are given based on the half life of the medication to maintain a therapeutic effect"

"We try to give the next dose of medication only after the last dose is gone"

"The time between medication varies to fit the nurse's schedule"

"We need to vary the times of administration to keep the blood levels fluctuating"

Answer and Explanation

The Correct Answer is A

A. Dosing schedules are based on the medication's half-life to maintain a consistent therapeutic level in the bloodstream.
B. Medications are dosed at intervals to maintain therapeutic levels, not just after the last dose is gone.
C. Dosing schedules are determined by pharmacokinetics, not nurse convenience.
D. Consistent blood levels are usually desired for antibiotics, not fluctuating levels.

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Correct Answer is B

Explanation

A. "q1d" is not a standard abbreviation and can cause confusion.
B. "PO daily" is clear and follows the standard practice for medication orders, indicating the route (by mouth) and frequency (daily).
C. "q.d." can be misinterpreted due to its similarity to other abbreviations and is not recommended by the Joint Commission.
D. "QD" is also discouraged due to potential misinterpretation; "daily" is preferred for clarity.

A. Client administered nitroglycerin 0.3 mg SL for. chest pain B. Client's skin is pale and diaphoretic C. Client's blood pressure is 182/98 mm Hg D. Client reports chest pain after mowing lawn' this morning

Correct Answer is D

Explanation

A. This statement is an objective finding, describing an action taken (administration of nitroglycerin).
B. This statement describes objective observations of the client's physical appearance.
C. This statement provides objective data about the client's blood pressure.
D. This statement reflects the client's report of symptoms, making it part of the subjective component of SOAP documentation.

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A patient with a respiratory infection asks the nurse why some antibiotics are prescribed to be given every 12 hours while others have to be taken 4 times per day. What is the nurse's best response?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to enter a prescription from a provider. Which of the following formats should the nurse use?

Correct Answer is B

Explanation

A nurse is documenting in a client's health record using the subjective, objective, assessment, and plan (SOAP) charting model. Which of the following information should be included in the subjective component?

Correct Answer is D

Explanation

Which assessment finding indicates that the patient is at risk from polypharmacy? (Select all that apply.)?

A nurse is receiving a telephone prescription for a client and documents it as atorvastatin 80 PO BID. Which of the following elements should the nurse identify is missing from the prescription?

A nurse is orienting a newly licensed nurse about obtaining telephone prescriptions. Which of the following statements by the new nurse indicates a need for further teaching?

A nurse is reinforcing teaching with a client who has a new prescription for simvastatin. Which of the following instructions should the nurse include?

Upon receiving the assignment for the evening, a nurse notices that two of the patients have the same name. The best way to identify two patients on a medical unit who have the same name is to:

A nurse is caring for a patient with impaired liver function and is jaundice. The nurse needs to make more focused assessments when administering medications to this patient because the patient may experience problems with the process of:

A nurse is preparing to administer a client's antihypertensive medication. When using clinical judgment, which of the following findings indicates the nurse should collect further data from the client before administering medication?