The nurse is preparing digoxin for an infant. What is the nurse's priority intervention?
A) To perform hand hygiene
B) To have another nurse check dosage calculations
C) To check the child's apical pulse
D) To identify the patient by checking the ID bracelet
B
Feedback:
The margin of safety for the dosage of this drug is very narrow in children. The dosage needs to be very carefully calculated and should be double-checked by another nurse before administration. The other options are important and the nurse should implement all three. However, these actions are of lower priority.
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A patient who is taking olanzepine (Zyprexa) also smokes. Which will the nurse include when discussing use of Zyprexa with this patient?
1. Smoking can diminish the effect of Zypreza. 2. Zyprexa will increase the negative effects of smoking. 3. Smoking can increase the possible toxicity of Zyprexa. 4. Smoking is bad for the patient's health but will not interact with Zyprexa.
The nurse is caring for an older adult client who has been admitted for dehydration and needs IV fluids. Which location does the nurse choose to place a peripheral IV on this client?
What will be an ideal response?
A middle-aged female client tells you that whenever she is stressed she binges on fast food. In the past year since starting a new job she has gained excessive weight and her BMI is > 25
She has a family history of hypertension and coronary heart disease. You talk to her about: 1. Only keeping fruits and vegetables in the house so she is not tempted to eat junk foods. 2. Attending a behavior modification class to learn new coping strategies to help resist eating when she is stressed. 3. Increasing daily exercise and not worrying about occasional binges with fast Food. 4. Starting on medication to prevent hypertension since she has a family history of the disease.
The partner of a client at 16 weeks' gestation accompanies her to the clinic. The partner tells the nurse that the baby just doesn't seem real to him, and he is having a hard time relating to his partner's fatigue and food aversions
Which statement would be best for the nurse to make? 1. "If you would concentrate harder, you'd be aware of the reality of this pregnancy." 2. "My husband had no problem with this. What was your childhood like?" 3. "You might need professional psychological counseling. Ask your physician." 4. "Many men feel this way. Feeling the baby move in a few weeks will help make it real to you."