A nurse receives an order to administer epinephrine (Adrenalin) orally to a client. What is the highest priority action on the part of the nurse?
a. Call the physician to question the order.
b. Administer the medication as ordered.
c. Call the pharmacist for clarification of the order.
d. Hold the order and continue to monitor the client.
ANS: A
Epinephrine is rapidly metabolized in the gastrointestinal tract and the liver and should not be given orally.
You might also like to view...
The appropriate teaching method for the nurse to use in teaching a client how to change a dressing is: Standard Text: Select all that apply
1. Demonstration 2. Lecture 3. Suited to the client 4. Suited to the teacher 5. Printed materials
After the teaching process is completed, the nurse is careful to
1. Evaluate the response to teaching 2. Follow-up with the family to see if the client is following through 3. Document responses to teaching 4. Select new strategies for teaching
The nurse is caring for a patient who is being discharged home from the rehabilitation unit. Baclofen will be discontinued and the patient will begin taking carisoprodol as an outpatient
What is the nurse's primary consideration about discontinuing administration of baclofen? A) "Taper drug over 72 hours to reduce dependence on the drug." B) "Alternate doses of baclofen and soma over 10 days to prevent drug withdrawal." C) "Taper drug slowly over 1 to 2 weeks to prevent psychoses and hallucinations." D) "Start carisoprodol immediately while continuing baclofen at full dose to establish carisoprodol level."
The commonality a nurse would be most likely to assess when working with clients with personality
disorders is that client a. demonstrates behavior that causes little distress to self or others. b. has self-esteem issues despite outward confidence. c. does not experience real distress from symptoms. d. invariably becomes psychotic under stress.