A 33-year-old patient with a diagnosis of alcoholism is to be treated with chlordiazepoxide on an inpatient basis. When a nurse is administering this medication, he or she should do which of the following actions?
A) Monitor the patient's vital signs closely during IV administration
B) Administer the oral form of the medication if the patient is combative
C) Assess the patient's cardiac status prior to administering each dose
D) Promptly stop administering the medication once status improvements are noted
A
Feedback:
The nurse should take the patient's vital signs regularly when giving the IV form of this drug, as well as observe and document subjective and objective reports by the patient. Combative patients usually require a parenteral route of administration, and it is unnecessary to perform a full cardiac assessment before each dose. Usage should be tapered, and not stopped abruptly, in order to prevent rebound CNS stimulation.
You might also like to view...
What functional goal should the nurse expect for a child who has a T1 to T10 spinal cord injury? (Select all that apply.)
a. May be braced for standing b. Able to drive automobile with hand controls c. Can manage adapted public transportation d. Some able to use regular public transportation e. Ambulates well, often with short leg braces with or without cane
Painful menstruation is called:
a. amenorrhoea. b. menorrhagia. c. dysmenorrhoea. d. oligomenorrhoea.
A patient is hospitalized for treatment of community-associated pneumonia. The physician orders 500 mg azithromycin in 250 mL D5W over 90 minutes. The hospital pharmacy has prepared a 250 mL bag of D5W with an azithromycin concentration of 2 mg/mL. Calculate the manual flow rate with 20 gtt/mL tubing: ________. (Round to the nearest whole number)
Fill in the blank(s) with the appropriate word(s).
A patient who is receiving IV fluids notifies the nurse that his arm feels tight. Upon assessment, the nurse notes that the arm is swollen and cool to the touch. What should the nurse's first action be?
a. Discontinue the IV site, and apply a warm compress. b. Attached a syringe, and pull back on the plunger to aspirate the IV fluid. c. Start a new IV site distal from the site. d. Stop the IV fluids, and notify the physician immediately.