Exhibits

The nurse collects blood from the client during peripheral IV line placement. What laboratory specimens would the nurse expect for the provider to order? Select all that apply.

Are you fully insured?

Is it possible that you are pregnant?

Do you take any medications?

What was your last meal?

What happened before you fell?

Do you live with anyone?

Answer and Explanation

Correct Answer : A,B,D,F

A. Peripheral IV in large vein
Vancomycin should be administered through a large-bore IV to minimize the risk of complications such as phlebitis and to ensure effective drug delivery. This is a key factor in safely administering the medication.
B. Dosage in safe range
Confirming that the dosage is within the safe range ensures that the medication is administered at an effective but non-toxic level. Proper dosing is essential for achieving therapeutic effects without causing harm.
C. No known allergies
Ensuring that the client has no known allergies to vancomycin is critical to prevent allergic reactions. This step is necessary for the safe administration of the antibiotic.
D. Potassium 4.4 mEq/L (4.4 mmol/L)
While normal potassium levels are important for overall health, they do not specifically indicate the safety of vancomycin administration. Other factors such as IV access and dosage are more directly related to the safety of vancomycin.
E. Used for prophylaxis
Vancomycin is used for endocarditis prophylaxis in this case, which aligns with the clinical guidelines for preventing infections. Understanding the purpose of the medication supports its appropriate use in the client’s care.
F. Blood urea nitrogen 17 mg/dL (6.07 mmol/L)
An elevated BUN level might indicate renal impairment, which could affect vancomycin metabolism. However, this level alone does not directly address the immediate safety of administering the antibiotic compared to other factors like IV access and dosage.

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Correct Answer is D

Explanation

Rationale:
A. Reviewing at the nurses' station ensures understanding but is not the final check.
B. Documentation occurs after administration and is not part of the final check.
C. Checking the medication in the area where it was obtained is important but not the final check.
D. Performing the final check at the client's bedside before administration ensures the correct medication is given to the correct client, preventing medication errors.

A. "Eating a high fiber diet will reduce my risk for developing skin cancer." B. "I should avoid the use of tanning booths." C. "I should use sunscreen even on cloudy days." D. "I should check my skin monthly for any changes."

Correct Answer is A

Explanation

A. This statement indicates a need for further teaching as a high fiber diet is not directly related to reducing the risk of skin cancer.
B. Avoiding tanning booths is appropriate advice for preventing skin cancer due to the high exposure to UV radiation.
C. Using sunscreen on cloudy days is good advice as UV rays can penetrate through clouds and still cause skin damage.
D. Regularly checking the skin for changes is important for early detection of skin cancer and is appropriate advice.

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Exhibits The nurse collects blood from the client during peripheral IV line placement. What laboratory specimens would the nurse expect for the provider to order? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer a pre-packaged oral medication to a client and complete the final medication check. At which of the following times or places should the nurse perform this final check?

Correct Answer is D

Explanation

A nurse is providing teaching to a client about preventing skin cancer. Which of the following client statements indicates a need for further teaching?

Correct Answer is A

Explanation

A nurse is assessing an older adult client who is receiving IV therapy. The nurse should recognize that which of the following findings indicates fluid volume excess? (Select all that apply.)

A nurse is assessing a client who has acute cocaine toxicity. Which of the following findings should the nurse expect? (Select all that apply.)

A nurse is planning care for a client who has thrombocytopenia. Which of the following interventions should the nurse include in the plan?

A nurse is teaching a class on health promotion and illness prevention. The nurse should include that which of the following is an example of secondary prevention?

A nurse is reviewing the EKG strip of a client who has prolonged vomiting. Which of the following abnormalities on the client's EKG should the nurse interpret as a sign of hypokalemia?

A nurse in a long-term care facility is assisting a client with eating during meal time and recognizes another client indicating he is choking. Which of the following situations requires the nurse to perform the Heimlich maneuver?

A nurse is teaching about necessary baseline examinations with a female client who is to start taking atorvastatin. Which of the following baseline examinations should the nurse include in the teaching?

A nurse is preparing to administer lorazepam 1 mg PO at bedtime. The amount available is lorazepam 2 mg tablets. How many tablets should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Exhibits

The nurse collects blood from the client during peripheral IV line placement. What laboratory specimens would the nurse expect for the provider to order? Select all that apply.