Which action should be implemented next when a patient states they are allergic to the medication the nurse is ready to administer?.
Give the medication as ordered and record the patient's statements in the nurse's notes.
Withhold the medication and check the drug insert for information on reactions to the drug.
Withhold the medication and notify the prescriber of the situation.
Give the medication and monitor the patient at regular intervals for adverse effects.
The Correct Answer is C
Choice A rationale:
Giving the medication as ordered despite the patient’s stated allergy could lead to a severe allergic reaction.
Choice B rationale:
While checking the drug insert for information on reactions to the drug is important, the immediate action should be to withhold the medication.
Choice C rationale:
Withholding the medication and notifying the prescriber of the situation is the safest course of action when a patient states they are allergic to the medication.
Choice D rationale:
Giving the medication and monitoring the patient for adverse effects is not safe if the patient has stated they are allergic to the medication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Administering a medication to a patient is a Dependent nursing action because it requires a doctor’s order.
Choice B rationale:
Interdependent actions are those performed jointly with other healthcare team members, which is not the case here.
Choice C rationale:
Collaborative actions involve working closely with other healthcare professionals, but administering medication is typically a nurse’s responsibility.
Choice D rationale:
Independent nursing actions are those a nurse can take without a physician’s order, which doesn’t apply to medication administration.
Correct Answer is ["83 gtt\/min"]
Explanation
Step 1 is to identify the given values: Volume (V) = 250 mL Time (T) = 30 min Drop factor © = 10 gtt/mL
Step 2 is to substitute these values into the formula for calculating the manual IV flow rate: Flow Rate ® = (V ÷ T) × C
Step 3 is to perform the calculation: R = (250 mL ÷ 30 min) × 10 gtt/mL R = 83.33 gtt/min
Since we need to round off to the nearest whole number, the flow rate is 83 gtt/min.
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