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Patient Data

Exhibits

Which 2 prescriptions should the nurse complete first?

Acetaminophen 650 mg PO every 6 hours for temperature greater than 101.0° F (38.3° C)

Start a peripheral IV

Chest x-ray

NPO

Start oxygen 3 L/minute via nasal cannula

Sputum culture

Place the client on a cardiorespiratory monitor

Run 0.9% sodium chloride IV infusion at 150 mL/hour

Answer and Explanation

Correct Answer : B,E

A. Acetaminophen 650 mg PO every 6 hours for temperature greater than 101.0° F (38.3° C): While managing fever is important, it is not as immediate a priority as ensuring the client's breathing and hydration.

B. Start a peripheral IV: Establishing a peripheral IV line is crucial for administering medications and fluids. This is essential for the client's hydration and potential intravenous medication needs.

C. Chest x-ray: Although a chest x-ray is important for diagnosing the cause of the symptoms, it can be done after the client’s immediate needs for oxygen and IV access are addressed.

D. NPO: Keeping the client NPO is necessary, but it doesn't require immediate action compared to oxygenation and IV access.

E. Start oxygen 3 L/minute via nasal cannula: The client is experiencing difficulty breathing, so providing supplemental oxygen is a priority to ensure adequate oxygenation and alleviate respiratory distress.

F. Sputum culture: Obtaining a sputum culture is important for diagnosis, but it can wait until after the client is stabilized with oxygen and IV access.

G. Place the client on a cardiorespiratory monitor: Monitoring the client's cardiac and respiratory status is important, but ensuring oxygenation and IV access takes precedence.

H. Run 0.9% sodium chloride IV infusion at 150 mL/hour: While starting the IV infusion is important, it follows the establishment of the IV line and oxygen administration.

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Correct Answer is B

Explanation

A. This statement does not directly address the mother's concern about the progression of CP.

B. Explaining that brain damage with CP is not progressive but has a variable course provides clear and accurate information, reassuring the mother that while the condition itself does not worsen, symptoms and functional abilities may change over time.

C. This option incorrectly suggests that the brain lesion will continue to develop, which is not accurate for CP.

D. This statement provides general information about CP but does not address the specific concern about progression of movement impairments.

A. Document the medication administration manually. B. Override the medication system to obtain another dose. C. Call the pharmacy to obtain the barcode number. D. Recover the barcode packaging from the trash can.

Correct Answer is D

Explanation

A. Documenting manually does not correct the issue with missing the barcode scan.

B. Overriding the medication system could bypass safety checks and is not appropriate in this situation.

C. Calling the pharmacy for the barcode number is not necessary if the packaging can be retrieved.

D. Recovering the barcode packaging from the trash can allows the nurse to properly scan the barcode, ensuring accurate medication administration and adherence to safety protocols.

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Patient Data Exhibits Which 2 prescriptions should the nurse complete first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The mother of a child with cerebral palsy (CP) asks the nurse if her child's impaired movements will worsen as the child grows. Which response provides the best explanation?

Correct Answer is B

Explanation

While preparing a client's routine 0800 medications, the nurse opens the medication packaging and discards in the trash prior to scanning the barcode label. Which action should the nurse implement?

Correct Answer is D

Explanation

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Patient Data

Exhibits

Which 2 prescriptions should the nurse complete first?