A provider has written an order for a medication: drug x 100 mg PO every 6 hours. The half-life for the drug is approximately 6 hours. The nurse is preparing to administer the first dose at 8:00 AM on Tuesday
On Wednesday, when will the serum drug level reach plateau? a. 2:00 AM
b. 8:00 AM
c. 2:00 PM
d. 8:00 PM
B
It takes four half-lives for a drug to reach plateau. Total body stores reach their peak at the be-ginning of the fifth dose of a drug if all doses are equal in amount; in this case, this will be at 8:00 AM the following day.
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The nurse is unable to palpate the right radial pulse on a patient. The best action would be to:
a. Auscultate over the area with a fetoscope. b. Use a goniometer to measure the pulsations. c. Use a Doppler device to check for pulsations over the area. d. Check for the presence of pulsations with a stethoscope.
Which response should the nurse give when a woman shares that she has never had an orgasm?
A) "Some women never have an orgasm." B) "It is not necessary for you to have an orgasm in order to be healthy." C) "Tell me more about this." D) "This problem does not involve your sexual partner."
A client asks the nurse, "What are the advantages of peritoneal dialysis over hemodialysis?" Which response by the nurse is accurate? (Select all that apply.)
a. "It will give you greater freedom in your scheduling." b. "You have less chance of getting an infec-tion." c. "You need to do it only three times a week." d. "You do not need a machine to do it." e. "You will have fewer dietary restrictions."
The advance practice nurse is writing clinical practice guidelines. Prior to writing these guidelines which of the following will the nurse need?
1. Current client census 2. Evidence summaries 3. Nursing department budget 4. Staffing ratios