Which nursing intervention would take priority following administration of a new medication?

1. Monitoring lab values
2. Monitoring the patient's respiratory status
3. Prescribing additional medications if side effects occur
4. Measuring patient weight


Correct Answer: 2
Rationale: Any time a new medication is provided to the patient, it is important to monitor for an allergic reaction. Anaphylaxis, a life-threatening allergic reaction, can impair breathing. Monitoring lab values and measuring weight might be appropriate nursing interventions with some medications, but would not be the priority. Nurses do not prescribe medications.

Nursing

You might also like to view...

An IV is infusing at 73 mL/h. What would this rate of flow equal in mcgtt/min?

1. 730 mcgtt/min 2. 73 mcgtt/min 3. 7.3 mcgtt/min 4. 53 mcgtt/min

Nursing

For which client does the nurse suspect secondary open-angle glaucoma?

A. 38-year-old client who has sudden poor light perception and reduced vision bila-terally when coming indoors after spending 2 hours snow skiing on a sunny day B. 78-year-old client who has a decreased sense of peripheral vision on the fourth postoperative day after cataract surgery with lens replacement C. 48-year-old client who has sudden brow pain and reduced vision on one side when coming out of a dark theater into the sunlight D. 68-year-old client who has noticed decreased peripheral vision in both eyes during the past year

Nursing

Which question is best for assessing the severity of pain?

1) "Does the pain really hurt?" 2) "Does anything make the pain worse?" 3) "On a scale of 0 to 10 with 0 being no pain, what would you rate your pain?" 4) "How long have you had the pain?"

Nursing

In which situation might the tort of "invasion of privacy" most likely exist?

a. Notifying the police of Mr. Jones's gun-shot wound b. Discussing Mrs. Green's surgery in the hospital cafeteria c. Calling the police concerning an obvious child abuse case d. Notifying the public health department concerning Mr. Smith's diagnosis of go-norrhea

Nursing