Before administering any medication, what is the nurse's priority action regarding client safety?

Verifying orders with another nurse

Counting medications in the medication cart drawers

Checking the client's identification using two identifiers

Documenting the medications given

Answer and Explanation

The Correct Answer is C

The main precaution during medication administration is to ensure the right medication is given to the right client for safety.

All the other options are important but not a priority

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Correct Answer is ["B","C","D","E"]

Explanation

A. vancomycin can be nephrotoxic and fluid restriction is inappropriate
B. Slow infusion of vancomycin is key to avoid flush reactions
C. Normal trough levels for vancomycin are 10-20mcg/ml- 24mcg/ml increases risk of toxicity
D. Monitoring serum creatinine monitors for renal damage
E. Vancomycin can cause hearing loss and clients should be advised any early signs of ototoxicitysuch as ear fullness

A. The client will understand the principles of self-administration of a metered-dose inhaler. B. The client will know about self-administration of a metered-dose inhaler. C. The client will comprehend the proper technique of self-administering a metered-dose inhaler D. The client will demonstrate the proper technique of self-administering a metered-dose inhaler.

Correct Answer is D

Explanation

Demonstration is a measurable outcome. It allows the nurse to pick any errors in the performance of the task in real time and hence corrections can be made.
A, B and C are vague outcomes that are not feasible to measure.

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Before administering any medication, what is the nurse's priority action regarding client safety?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is administering intravenous vancomycin to a client who has had gastrointestinal surgery. Which nursing measures are appropriate? (Select all that apply.)

Correct Answer is ["B","C","D","E"]

Explanation

The nurse is developing a care plan for a client who will be self-administering a metered-dose inhaler. Which statement reflects a measurable outcome?

Correct Answer is D

Explanation

A client is suffering from tendonitis of the knee. The nurse is reviewing the client's medication administration record and recognizes that which adjuvant medication is most appropriate for this type of pain?

A gardener needs a decongestant because of seasonal allergy problems and asks the nurse whether he should take an oral form or a nasal spray. Which of these is a benefit of orally administered decongestants?

During an assessment, the client tells the nurse that he eats large amounts of garlic for its cardiovascular benefits. Which drug or drug class, if taken, would have a potential interaction with the garlic?

When treating clients with medications for Parkinson's disease, the nurse knows that the wearing-off phenomenon occurs for which reason?

A client is receiving an aluminum-containing antacid. The nurse will inform the client to watch for which possible adverse effect?

The nurse is caring for a client experiencing sympathetic nervous system stimulation. What assessment finding supports this diagnosis? Select all that apply.

During a client's therapy with interleukins, the nurse monitors the client for capillary leak syndrome. Which assessment finding, if present, would indicate this problem?