The nurse is preparing to administer a prescribed IV antibiotic to a client admitted with a serious infection. Which action by the nurse is most important?

a. Check the IV for patency.
b. Assess the client for allergies.
c. Double check the "five rights."
d. Teach the client about the drug.


B
All actions are appropriate and important before administering any medications. However, client safety is the priority. The nurse should first assess the client for medication allergies by asking the client or checking the chart (or both). Ensuring a patent IV and checking the five rights will not protect the client from an allergic reaction.

Nursing

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When auscultating the lungs of a client experiences dyspnea, the nurse hears a low-pitched sound that is continuous throughout inspiration. What does this lung sound indicate to the nurse?

A) Narrow bronchi B) Narrow trachea passages C) Blocked large airway passages D) Inflamed pleural surfaces

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What is a symptom of theophylline overdose?

a. Tachycardia b. Confusion c. Hypotension d. Constipation

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Which of the following clients does the nurse identify as having the greatest risk for deep venous thrombosis?

1. The client admitted with new-onset type II diabetes mellitus 2. The client admitted with community-acquired pneumonia 3. The postoperative client following knee replacement surgery 4. The postoperative client following laparoscopic gallbladder surgery

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A family member of a 28-year-old patient who has suffered massive abdominal trauma in an automobile accident asks the nurse why the patient is receiving famotidine (Pepcid). The nurse will explain that the medication will

a. decrease nausea and vomiting. b. inhibit development of stress ulcers. c. lower the risk for H. pylori infection. d. prevent aspiration of gastric contents.

Nursing