The student nurse is completing a simulation where a client is the victim of nerve gas. The instructions are for the student to set up the room and have all needed supplies available
Which medication does the student nurse ensure is in the medication administration system to control seizures? A) Phenobarbital intramuscular
B) Neurontin tablets
C) Valium intravenous injection
D) Dilantin tablets
C
Feedback:
The students nurse is correct to have Valium intravenously on hand for seizure activity. When seizure activity occurs, the intravenous route is the best option to deliver the medication safely and rapidly into the system. It would be very difficult to administer medication both orally and intramuscularly.
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Grapefruit juice contains furanocoumarins that have been found to:
1. Alter absorption of drugs through competition for binding sites 2. Inhibit CYP 3A4, leading to decreased first-pass metabolism of drugs 3. Alter vitamin K metabolism, leading to prolonged bleeding 4. Enhance absorption of calcium and vitamin D
A nurse is treating the pressure ulcer of an African American client. How would the nurse assess for deep tissue injury in this client?
A) Upon inspection the nurse would notice a purple or maroon localized area of discolored, intact skin. B) Upon inspection, the nurse would see a blood-filled blister due to damage of underlying soft tissue from pressure and/or shear. C) Upon palpation, the nurse determines that the area preceded by deep tissue injury is painful, firm, boggy, warmer or cooler as compared with adjacent tissue. D) Upon inspection the nurse notes partial thickness loss of dermis presenting as a shallow open ulcer with a red-pink wound bed, without slough.
List three basic skills that nurses need to be successful in the work environment
What will be an ideal response?
A 52-year-old woman reports having hot flashes and intense mood swings. After a year of having irregular menstrual periods, she has not had a period for 6 months. The primary care NP should diagnose:
a. menopause. b. dysmenorrhea. c. perimenopause. d. postmenopause.