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What phase of the nursing process is completed to gather information prior to providing education about a new medication to a patient and the family members?
Assessment
While admitting a patient for treatment of an acetaminophen (Tylenol) overdose, the nurse prepares to administer which medication to prevent toxicity?
Acetylcysteine (Mucomyst)
What assessment is highest priority when monitoring a patient on an opioid analgesic?
Respiratory rate
During the IV administration of a hypertonic saline solution to treat a patient with severe hyponatremia, the nurse monitors for which signs and symptoms of hypernatremia?
Flushed skin and increased thirst
A patient receiving an IV infusion of one unit of packed red blood cells suddenly develops shortness of breath, chills, and is feeling hot. What is the nurse’s priority action?
Stop the blood transfusion
When planning care for an assigned patient, the nurse identifies the outcome of “Patient will be able to safely self-administer enoxaparin (Lovenox) subcutaneously upon discharge.” What method is best for the nurse to use in evaluating the patient’s achievement of this outcome?
Observe the patient’s return demonstration of the administration procedure
The nurse is caring for a patient with opioid addiction. The nurse anticipates that the patient will be prescribed which medication?
Methadone (Dolophine)
Which medication is used to treat a patient with severe adverse effects of a narcotic analgesic and reverse the adverse effects?
Naloxone (Narcan)
When caring for a patient with a serum potassium of 2.8 mEq/L, what is the appropriate nursing intervention when giving IV replacement therapy for potassium?
Maintain infusion rate at no greater than 20 mEq/hr.
The nurse is caring for a patient with renal insufficiency and thrombocytopenia. Along with platelet transfusions, the nurse would expect to administer which blood product to increase deficient clotting factors in this patient?
Fresh-frozen plasma
The nurse is educating a patient with newly diagnosed type 1 diabetes mellitus. When the nurse has the patient demonstrate self-injection of insulin, which domain of learning is the nurse assessing?
Psychomotor domain
A patient prescribed massage therapy for musculoskeletal pain asks the nurse, “How is rubbing my muscles going to make the pain go away?” What is the nurse’s best response? (what will massaging the muscles do?)
“Massaging muscles activates large sensory nerve fibers that send signals to the spinal cord to close the gate, thus blocking painful stimuli from reaching the brain.”
The nurse is preparing to administer an intravenous injection of morphine to a patient. The nurse assesses a respiratory rate of 10 breaths/min. What is the appropriate action of the nurse?
Withhold the medication and notify the health care provider.
The nurse is caring for a patient who has peripheral edema and is hypotensive after receiving 5000 mL of normal saline intravenous (IV). The nurse anticipates administering which IV solution to correct the fluid imbalance?
Hetastarch
Before administering frozen plasma to a patient, which health history information will the nurse assess for?
osteoporosis
How does the nurse best evaluate the patient’s understanding of teaching about a new medication?
Ask specific questions to assess the patient’s understanding.
A patient needs to switch analgesic drugs secondary to an adverse reaction to the current treatment regimen. The patient is concerned that the new prescription will not provide optimal pain control. The nurse’s response is based on knowledge that doses of analgesics are determined using an equianalgesic table with which drug prototype?
Morphine
In monitoring a patient for adverse effects related to morphine sulfate (MS Contin), the nurse assesses for stimulation of which area in the central nervous system (CNS)?
The chemoreceptor trigger zone
While the nurse is providing care to a patient, the health care provider prescribes an IV potassium chloride infusion. For which condition would this prescription be given?
Hypochloremia
Sodium polystyrene sulfonate is used to treat which condition?
hyperkalemia
What is the most appropriate time the nurse should begin the patient education and the teaching-learning process?
Upon the patient’s admission to the health care setting
A patient with a diagnosis of pneumonia asks the nurse, “Why am I receiving codeine when I have no pain?” The nurse’s response is based on knowledge that codeine also has what effect?
Cough suppressant
The nurse teaches a patient prescribed the fentanyl (Duragesic) transdermal delivery system to change the patch at what interval?
Every 72 hours
While assessing the patient, the nurse notes edema of the hands and feet at +3 from third spacing. The patient is having signs and symptoms of intravascular dehydration, and the total protein laboratory result is 4.6 g/dL. The nurse anticipates the health care provider will prescribe which IV solution for this patient?
5% albumin
Which patient condition is a contraindication for the administration of dextran?
renal insufficiency