A nurse has been assigned to an 87-year-old man in an extended care facility who receives nutrition through continuous tube feeding at 25 mL/hour. Phenytoin is ordered every 8 hours
Before administering the drug, the nurse's initial action will be to
A) stop the continuous tube feeding 1 hour before administration.
B) check gastric residuals.
C) position the patient on his left side.
D) elevate the head of the bed.
B
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What are the therapeutic and adverse effects associated with the adrenergic blocking agents related to?
A) Receptor-site specificity B) Sympathetic nervous system manifestations C) Norepinephrine release D) Function of the nerve terminal
The physician has written an order for a client for a new antihypertensive drug. Why is it important that the nurse have an understanding of the drug's prototype?
1. Knowledge of the prototype allows the nurse to surmise important information about an unfamiliar drug in the same class. 2. If the nurse knows the actions and adverse effects of the prototype drug, this information can be relevant to use of the unfamiliar drug. 3. The safety profile for the prototype is the same as the safety profile for the unfamiliar drug. 4. Knowledge of the prototype drug's therapeutic or pharmacologic classification can offer useful information about the unfamiliar drug. 5. Traditional prototype drugs are often older and infrequently prescribed, and the information about them should not be used.
A patient with asthma will be using a metered-dose inhaler (MDI) for delivery of an inhaled medication. The provider has ordered 2 puffs to be given twice daily. It is important for the nurse to teach this patient that:
a. a chlorofluorocarbon (CFC) propellant is superior to a hydrofluoroalkane (HFA) propellant. b. the patient should activate the device and then inhale. c. the patient should store the MDI in the refrigerator between doses. d. the patient should wait 1 minute between puffs.
A patient has been prescribed transdermal nitroglycerin patches. What medication education should the nurse provide?
1. Place the patch on the upper arm or leg. 2. Rotate sites of application. 3. Remove the patch for an hour each day. 4. Cleanse the skin under the patch after removal. 5. Triple wrap the patch in plastic wrap for disposal.