Exhibits
Which prescriptions would the nurse question? Select all that apply.
Enalapril 10 mg every morning
Chest x-ray now
Admit to the medical floor
Vital signs every 4 hours
Send blood for a complete blood count, electrolytes
Supplemental oxygen 10 L/min via nasal cannula
Ibuprofen 400 mg every 4 to 6 hours PRN for temperature greater than 100.5° F (38.0° C)
Continuous pulse oximetry
Correct Answer : A,F,G
A. Enalapril can potentially cause hyperkalemia and hypotension, which could be detrimental to a client with pneumonia. The prescription should be questioned due to these risks.
B. A chest X-ray may be necessary to assess the extent of pneumonia; thus, it is appropriate and should not be questioned.
C. Admission to the medical floor is necessary for monitoring the client's condition due to pneumonia, so this prescription is appropriate.
D. Monitoring vital signs every 4 hours is essential for assessing the client's condition, making this prescription appropriate.
E. Sending blood for a complete blood count and electrolytes is important to evaluate the patient's infection status and metabolic balance, so this is appropriate.
F. Changing the supplemental oxygen from a face mask to a nasal cannula may compromise oxygenation and should be questioned.
G. Administering ibuprofen could mask fever and may not be advisable in the presence of pneumonia, so this prescription should be questioned.
H. Continuous pulse oximetry is crucial for monitoring the patient's oxygen saturation, especially given the pneumonia diagnosis, making this prescription appropriate.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Observing for edema around the ankles is important but not the most critical assessment related to hydromorphone use.
B. Auscultating the client's bowel sounds is crucial because opioids like hydromorphone can lead to decreased gastrointestinal motility and potential constipation or bowel obstruction.
C. Measuring the client's capillary glucose level is important for clients with diabetes but not directly related to the effects of hydromorphone.
D. Counting the apical and radial pulses simultaneously is important for assessing cardiovascular health but does not specifically relate to the side effects of opioid administration.
Correct Answer is C
Explanation
A. Using another inhaler between doses may not align with the prescribed schedule for tiotropium, which is typically taken daily.
B. While reduced thickness of sputum is a desired outcome, it does not specifically indicate correct understanding of tiotropium use.
C. This statement indicates understanding, as tiotropium is a long-acting anticholinergic medication that should be used daily for maintenance therapy in COPD.
D. Tiotropium is not a rescue inhaler and should not be used for sudden shortness of breath; a short-acting bronchodilator is recommended for that situation.
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