In discussing the safe use of drugs in the institutional setting, what duty is performed by the nurse? (Select all that apply.)

administering drugs

monitoring clients for drug effects

prescribing drugs

evaluating clients for toxic effects

educating clients/caregivers about drugs

Answer and Explanation

Correct Answer : A,B,D,E

A. Administering drugs is a fundamental duty of the nurse, ensuring that medications are given safely and according to protocols.

B. Monitoring clients for drug effects is crucial for assessing the effectiveness of medications and identifying any adverse reactions or complications.

C. Prescribing drugs is not a duty performed by nurses, as this responsibility typically falls under the purview of licensed practitioners such as physicians or nurse practitioners.

D. Evaluating clients for toxic effects is part of the nurse's responsibility to ensure patient safety and to respond to any signs of medication toxicity.

E. Educating clients/caregivers about drugs is a vital role for nurses, as it helps patients understand their medications and the importance of adherence to prescribed regimens.

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Correct Answer is ["A","B"]

Explanation

A. The client's skin and eyes are visibly jaundiced is correct because jaundice indicates a buildup of bilirubin in the blood, which is a sign of liver dysfunction.

B. The client's AST and ALT levels are elevated is correct because elevated levels of these liver enzymes indicate hepatocellular injury, which is consistent with liver damage due to acetaminophen overdose.

C. The client's temperature is 102.5° F (39.2° C) is incorrect; while a fever can occur in various conditions, it is not specific for liver damage in this context.

D. The client has an elevated red blood cell count is incorrect; elevated red blood cell counts are not indicative of liver damage and may be related to other factors.

E. The client's eyes are sensitive to light is incorrect; photophobia is not a direct indicator of liver damage and is more related to other conditions.

A. Perform a blood sugar analysis. B. Have the client drink a 4-ounce (120-mL) glass of orange juice. C. Administer 1 ampule of 50% dextrose intravenously. D. Administer 10 units of regular insulin subcutaneously.

Correct Answer is B

Explanation

A. Performing a blood sugar analysis is important, but in the case of sudden symptoms such as weakness, shakiness, and dizziness, it is crucial to act quickly to address the potential hypoglycemia without delay.

B. Having the client drink a 4-ounce glass of orange juice is the most appropriate initial response as it provides a quick source of glucose to alleviate symptoms of hypoglycemia, which is a common concern in clients with type 1 diabetes experiencing these symptoms.

C. Administering 1 ampule of 50% dextrose intravenously is an effective treatment for hypoglycemia but is typically reserved for severe cases where the patient is unable to consume oral glucose or is unconscious.

D. Administering 10 units of regular insulin subcutaneously would exacerbate the problem by lowering blood sugar further and is contraindicated in a patient experiencing hypoglycemic symptoms.

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In discussing the safe use of drugs in the institutional setting, what duty is performed by the nurse? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client who has been admitted after an acetaminophen overdose. Which of the nurse's assessment findings suggest liver damage? (Select all that apply.)

Correct Answer is ["A","B"]

Explanation

A client diagnosed with type 1 diabetes suddenly reports feeling weak, shaky, and dizzy. What should be the nurse's initial response?

Correct Answer is B

Explanation

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