When administering phenytoin (Dilantin) through the patient's IV line, the nurse carefully flushes the IV with normal saline before and afterward to avoid crystal formation of the medication that occurs when it mixes with dextrose in water (D5W) solution
Which type of drug interaction is the nurse being careful to avoid?
a.
Antagonism
b.
Potentiation
c.
Synergism
d.
Incompatibility
ANS: D
When medications combine to form crystals or adverse chemical reactions, the result is a drug incompatibility. Compatibility must be assessed prior to medication preparation and administration.
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The nurse is performing a skin assessment on an African American client and notes an elevated, irregular band of jagged tissue on the client's left arm. The client states, "I had a burn here a long time ago, but it seemed to keep on getting bigger."
Which term will the nurse use when documenting this finding in the client's medical record? 1. Ulcer. 2. Keloid. 3. Fissure. 4. Scar.
Who does the nurse recognize as being the leading authority figure within the Black familial structure?
A. Female B. Minister C. Male D. Oldest adult child
Your patient complains of a progressive loss of pigment in various patches on the body. Affected skin surfaces are otherwise normal (e.g. no scaling, vesicles, elevation, or other changes). The most likely cause is:
A. Vitiligo B. Acanthosis nigricans C. Psoriasis D. Pityriasis alba
Which of the following clients is most at risk for an STD?
1. Rebecca, a 16-year-old Caucasian who recently became sexually active with her 16-year-old boyfriend Brent 2. Sarah, a 35-year-old divorced African American who has had sexual relations with two different men over the past 4 years 3. Tom, a 25-year-old single Caucasian who was treated 3 years ago for gonorrhea and is infected with human papilloma virus. 4. Ursula, a 40-year-old Caucasian housewife who suspects her husband of infidelity