The client asks why it takes so much longer for the PO pain medication to work, when the IV medication works almost immediately. Which would be the best response for the nurse to give?

It is psychological. People believe IV is better so they feel it works quicker.

Oral medications take longer to absorb into your system than IV medications.

There is absolutely no difference between IV and oral medications.

IV medication doses are always much higher than oral doses.

Answer and Explanation

The Correct Answer is B

Choice A reason: This statement is false. The nurse should not say that it is psychological, as this is not true and may offend the client. The difference between IV and oral medications is not based on the client's belief or perception, but on the pharmacokinetics of the drugs.

Choice B reason: This statement is true. The nurse's best response is to explain that oral medications take longer to absorb into the system than IV medications, as oral medications have to pass through the digestive tract and the liver before reaching the bloodstream. IV medications are injected directly into the vein and bypass the digestive tract and the liver. Therefore, IV medications have a faster onset of action and a higher bioavailability than oral medications.

Choice C reason: This statement is false. The nurse should not say that there is no difference between IV and oral medications, as this is not true and may confuse the client. IV and oral medications have different routes of administration, absorption, distribution, metabolism, and excretion. These factors affect the drug levels and effects in the body.

Choice D reason: This statement is false. The nurse should not say that IV medication doses are always higher than oral doses, as this is not true and may mislead the client. IV and oral medication doses are determined by the drug characteristics, the client's condition, and the desired outcome. Sometimes, IV medication doses are lower than oral doses, as IV medications have a higher bioavailability and a more potent effect than oral medications.

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

Explanation

Choice A reason: This statement is true. The nurse should include tremors as a sign of hypoglycemia, which is a condition where the blood glucose level is too low. Tremors are involuntary shaking or trembling of the body, caused by the release of adrenaline in response to low blood glucose.

Choice B reason: This statement is true. The nurse should include diaphoresis as a sign of hypoglycemia, which is excessive sweating, caused by the activation of the sympathetic nervous system in response to low blood glucose.

Choice C reason: This statement is true. The nurse should include confusion as a sign of hypoglycemia, which is impaired mental function, caused by the lack of glucose supply to the brain.

Choice D reason: This statement is false. The nurse should not include polyuria as a sign of hypoglycemia, which is increased urination, caused by the excess glucose in the urine. Polyuria is more common with hyperglycemia, which is a condition where the blood glucose level is too high.

Choice E reason: This statement is false. The nurse should not include polydipsia as a sign of hypoglycemia, which is increased thirst, caused by the dehydration from polyuria. Polydipsia is also more common with hyperglycemia, which is a condition where the blood glucose level is too high.

A. Do not get up without assistance. B. Monitor your heart rate with this medication. C. Do not alter the medication with birth control. D. Immediately report a dry cough.

Correct Answer is A

Explanation

Choice A reason: This statement is true. The nurse should instruct the client to avoid getting up without assistance, as hydralazine can cause orthostatic hypotension, which is a sudden drop in blood pressure when changing positions. This can lead to dizziness, fainting, or falls.

Choice B reason: This statement is false. The nurse does not need to monitor the heart rate with this medication, as hydralazine is not a cardiac drug. Hydralazine is a vasodilator that relaxes the blood vessels and lowers the blood pressure. However, the nurse should monitor the blood pressure and adjust the dose accordingly.

Choice C reason: This statement is false. The nurse does not need to alter the medication with birth control, as hydralazine does not have a significant interaction with hormonal contraceptives. However, the nurse should advise the client to inform the prescriber if they are pregnant or planning to conceive, as hydralazine may have some effects on the fetus.

Choice D reason: This statement is false. The nurse does not need to report a dry cough, as hydralazine does not cause this side effect. A dry cough is more common with angiotensin-converting enzyme (ACE) inhibitors, which are another class of antihypertensive drugs.

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The client asks why it takes so much longer for the PO pain medication to work, when the IV medication works almost immediately. Which would be the best response for the nurse to give?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client taking glipizide needs to be educated on signs and symptoms of hypoglycemia. What will the nurse include in this teaching? SELECT ALL THAT APPLY.

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

Explanation

The nurse is giving the vasodilator medication hydralazine IV push to a client with a systolic blood pressure of 210. What nursing education would be most important to include for this client?

Correct Answer is A

Explanation

Order: 250 mL. Normal saline bolus IV over 30 minutes On hand: 1L normal saline bags W/hat rate will the nurse set the pump to deliver the fluid?

Which response by the patient would indicate to the nurse that the client understood the education for their new hydrochlorothiazide prescription?

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The nurse is unable to get an IV line started on a client who is lethargic and unable to follow commands with a blood glucose of 30. The nurse should make what recommendation when giving SBAR report to the prescriber?

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Order: Metoprolol 2.5mg IV push On hand: 1mg/mL vials How many millilitres will the nurse draw up for this dose?

When educating the client about the risk for hypothyroidism with propylthiouracil, what signs and symptoms will the nurse include? SELECT ALL THAT APPLY.