The prescriber orders a new drug over the telephone for a nursing home patient who has symptoms of a urinary tract infection. The order is for Gantanol, 2 g now and then 1 g every 12 hours for the next 10 days
What further information is most important for the nurse to obtain from the prescriber? a. "How many refills are needed?"
b. "Do you want the drug given orally or intravenously?"
c. "Which brand of drug should be given, or is this a generic drug?"
d. "Does this drug need to be given with a meal or on an empty stomach?"
B
The prescriber must indicate the route of administration for the drug prescribed. Although this drug is available only as an oral drug, the actual drug order needs to include this information. Because this prescription is for an inpatient (nursing home resident) not for a patient taking the drug at home, the refill information is not important at this time. Whether or not the drug should be taken with food or on an empty stomach might be a special instruction, but is not as critical as the correct route.
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The nurse is completing a family history for a patient who is admitted for exacerbation of chronic obstructive pulmonary disease (COPD). The nurse should include questions that address which of the following health problems? Select all that apply
A) Allergies B) Alcoholism C) Psoriasis D) Hypervitaminosis E) Obesity
What action by the nurse is most important to prevent hemorrhagic disease of the newborn?
A. Administer vitamin K1 phytonadione (AquaMEPHYTON). B. Assess daily hemoglobin and hematocrit levels. C. Coordinate laboratory sticks to minimize blood loss. D. Handle the infant gently to prevent injury.
When providing client care the nurse demonstrates practices that are designed to provide legal protections from liability. Which actions is the nurse demonstrating?
1. Checking the client's name band prior to the administration of a preoperative medication 2. Asking for help when moving a comatose client because the client can not be safely handled by one nurse 3. Attending an in-service on the appropriate use of a new piece of equipment used in the facility 4. Delegating only those tasks that he or she can't personally perform 5. Reviewing the five rights of medication administration when the client states, "This doesn't look like my usual pill"
A patient comes to the clinic with allergic rhinitis. Which of the following second-generation agents, administered nasally, would be most appropriate for this patient?
a. Azelastine (Astelin) b. Chlorpheniramine (Chlor-Trimeton) c. Desloratadine (Clarinex) d. Phenindamine (Nolahist)