Question

A nurse is assessing a client after administering phenytoin IV bolus for a seizure. Which of the following should the nurse identify as an adverse effect of this medication?
A.   Hypoglycemia
B.   Red man syndrome
C.   Bradycardia
D.   Hypotension

66.   A nurse is planning to administer medication to an older adult client who has dysphagia. Which of the following actions should the nurse plan to take?
A.   Tilt the client’s head back when administering the medications
B.   Administer more than one pill to the client at a time
C.   Mix the medication with a semisolid food for the client
D.   Place the medications on the back of the client’s tongue

68.   A nurse is caring for a client who is in shock and is receiving an infusion of albumin. Which of the following findings should the nurse expect?
A.   Oxygen saturation 96%
B.   PaCO2 30 mm Hg
C.   Decrease in protein
D.   Increased in BP

19. A nurse is administering 4 mg of hydromorphone to a client by mouth every 4 hr. The medication is provided as hydromorphone 8 mg per tablet. Which of the following actions is appropriate for the nurse to take?
a.   Store the remaining half of the pill in the automated medication dispensing system
b.   Place the remaining half of the pill in the unit-dose package
c.   Dispose of the remaining medication while another nurse observes
d.   Return the remaining medication to the facility’s pharmacy

6.   A nurse is teaching a guardian of a school-age child who has a new prescription for a fluticasone metered-dose inhaler. Which of the following information should the nurse include in the teaching? (Select all that apply)
   “Rinse your child mouth following administration”
   “Soak the inhaler in water after use”
   “Have your child take one inhalation as needed for shortness of breath”
   “Shake the device prior to administration”
   “ A spacer will make it easier to use the device”

Answer 1

FIRST QUESTION ANSWER:- D. Hypotension .

At high concentration, the drug can cause Cardiovascular complications like hypotension, arrhythmias.

Other then this phenytoin can cause hypertrophy, hypersensitivity, hyperglycemia, hypocalcaemia, vestibullar syndrome.

66. ANSWER:- C. mix the medication with semisolid food for the client.

As the patient has dysphagia, it is recommended to take with it semisolid medication as , only taking medication can cause vomiting.

On the other hand, if the head is tilted back it can result the choking .

Placing the medication on the back of tongue also can cause irritation and discomfort keads to vomiting.

On the other hand , administer more than one pill definitely worsen the dysphagia.

68. ANSWER:- C. Decrease in protein.

As the patient is in infusion of album means the body is depleted of album , one major protein in human body.

19. ANSWER:- b. Place the remaining half of pill in the unit dose package.

Because the other remaining half can be taken for the second dose.

Other options are not correct because storing the remaining half of medication in automated dispensing system will not help.

Dispose the medication when the other nurse will observe it also not helpful because the tablet can be contaminated.

6. ANSWER:- Rinse your child mouth following administration., Soak the inhaler in water after use, Have your child take one inhalation as needed for shortness of breath, shake the device prior to administration.

All the above are correct except use of spacers because it can leads to hazardous of the inhalation processes.