Nursing Interventions
The client is forgetful with taking medication. What nursing intervention would help this client?
A daily pill container.
Prescribed: Promethazine 25 mg IM q6h prn nausea
Available: Promethazine vial labeled 50 mg/mL
(One decimal place.)
The nurse will administer 0.5 mL.
What is the term for an opioid analgesic not helping as much over time?
Opioid tolerance
Prescribed: Codeine 7 mg IM q4h prn headache
Available: Codeine vial labeled 30 mg/mL
(Two decimal places)
The nurse will administer 0.23 mL.
What is important about discontinuing a benzodiazepine?
Gradually decrease the dose
The client's BP is 100/50 and the HR is 38 prior to administering Metoprolol (Lopressor). What should the nurse do?
Notify the physician.
Prescribed: Phenobarbital 130 mg IM stat
Available: Phenobarbital vial labeled 65 mg/mL
(whole number)
The nurse will administer 2 mL.
What is important education for opioid use?
Increase fiber and fluids to prevent constipation
Prescribed: Chlorpromazine 12.5 mg IM stat
Available: Chlorpromazine vial labeled 25 mg/mL
(Record your answer using one decimal place)
The nurse will administer 0.5 mL.
What is a contraindication of taking acetaminophen?
Liver disease/dysfunction
The nurse monitoring the client's reaction to a drug is what part of the nursing process?
Evaluation
Prescribed: Penicillin G 500,000 units IM stat
Available: Penicillin G 300,000 units/mL
(Record your answer using one decimal place)
The nurse will administer 1.7 mL
Contraindication for aspirin use?
Gastric ulcer
Prescribed: Thioridazine 0.2 Gm po qd
Available: Thioridazine 200 mg per scored tablet
The nurse will administer 1 tab
Why do clients take antibiotics before surgery?
Prophylaxis
The medication order reads, “give ondansetron 4 mg, 30 minutes before beginning chemotherapy to prevent nausea.” What is the order missing, and what will the nurse do?
Route is missing. The nurse will contact the provider.
Prescribed: Amoxicillin 0.5 Gm po q 6h
Available: Amoxicillin vial labeled 125 mg/5mL
(Record your answer using a whole number)
The nurse will administer 20 mL
After administration of an opioid, the client is lethargic with 7 breaths/min. What is the priority intervention for the LPN?
Administer naloxone
Prescribed: Prostaphlin 2 Gm po qd
Available: Prostaphlin 500 mg per scored tablet
The nurse will administer 4 tabs
Important assessments for acetaminophen administration? (3)
Assessing pain level, monitoring liver function, 4g/24 hrs
What is an important assessment for the LPN to make when a client takes antidepressants?
Assessing for suicidal ideation
Prescribed: Demerol 100 mg po q4h prn pain
Available: Demerol 25 mg per scored tablet
The nurse will administer 4 tabs
What are the side effects of acetaminophen/hydrocodone? (4)
Drowsiness, constipation, lightheadedness, itching
Prescribed: Phenobarbital 15 mg po q4h
Available: Phenobarbital 30 mg per scored tablet
The nurse will administer 0.5 tab
What interventions/education is important for antibiotic therapy? (3)
Complete full course of antibiotics, monitor for GI upset, monitor for allergic reaction