The nurse is educating an adult client who has been diagnosed with adrenocortical carcinoma about the prescribed mitotane 6 g P0 in divided doses. Which statement made by the client establishes the need for further clarification? a. "If I have a trauma or go into shock, the drug is temporarily stopped."

"I should not drink alcoholic beverages while taking the drug.'

"The drug will eradicate my tumor and cure my cancer.’

"I should not drive or operate machinery while taking the drug.

Answer and Explanation

The Correct Answer is C

The drug will eradicate my tumor and cure my cancer" establishes the need for further clarification. While mitotane is used to treat adrenocortical carcinoma, it is not considered a curative treatment. The other statements made by the client demonstrate a correct understanding of the medication and its administration.

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Correct Answer is D

Explanation

This intervention is important to ensure accurate dosing and prevent medication errors. Insulin is a high-alert medication, meaning that it has a high potential for causing significant harm to the patient if administered incorrectly. Doublechecking the insulin dosage with a colleague can help prevent errors in dosing, which could lead to hypoglycemia or hyperglycemia in the client. It is also important to confirm the dosage since insulin dosing is based on individualized factors such as the client's blood glucose levels, weight, and overall health status.

A. Intravenously B. Orally C. With a TB syringe D. Dilution strength of U-10

Correct Answer is C

Explanation

Regular insulin is usually administered subcutaneously, and the TB syringe is commonly used for this purpose in pediatric patients due to its small size and ability to accurately measure small doses. The nurse will need to ensure that the proper injection technique is used to ensure the safety and effectiveness of the insulin administration.

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Naxlex Comprehensive Predictor Exams

The nurse is preparing to administer 20 units of NPH insulin to a client. Before administering the medication, the nurse should implement which intervention?

Correct Answer is D

Explanation

An 8-month-old infant admitted with a new diagnosis of diabetes is to receive 1 unit of regular insulin. How will that 1 unit be administered?

Correct Answer is C

Explanation

In light of current treatment modalities, the nurse should anticipate that the client newly diagnosed with schizophrenia will most likely be prescribed what drug?

An adult client underwent a short plasma corticotropin (ACTH) stimulation test this morning. What subsequent assessment finding would rule out a diagnosis of adrenal insufficiency?

An older adult resident of a long-term care facility has been prescribed calcium citrate to address decreasing bone density. The nurse should review the resident’s medication administration record knowing that what medication may decrease the effects of calcium?

The nurse is caring for a client who has been diagnosed with schizophrenia. The nurse understands that the client's condition is thought to be most likely related to an increased level of activity of what neurotransmitter?

A client is to be started on amphetamine therapy for attention deficit hyperactivity disorder. Which medication has less physical dependence and abuse than other amphetamines?

An older adult client has been prescribed metformin for the treatment of type 2 diabetes for several years. Which change in the client's laboratory values may demonstrate a need to discontinue the medication?

A client is being prescribed dextroamphetamine for the treatment of attention deficit hyperactivity disorder (ADHD). During health education, the nurse should make the client aware of the black box warning relating to what potential risk issue?

A client will be using an insulin pump to deliver a consistent amount of insulin to meet the client's needs. Where should the nurse insert the pump for the maximum amount of absorption?