What Should The Nurse Expect Following Mannitol Administration

Question: Glasgow Coma Score

Answer:

Question: A nurse is assisting a client with his meal that is at risk for aspiration due to a stroke. What interventions should the nurse take to prevent aspiration?

Answer: Position the client in Fowler’s position., Instruct the client to tuck his chin when swallowing., Keep the client in semi-Fowler’s position for at least 1 hour after the meal., Support client’s upper back, neck and head during feeding.

Question: A nurse is to instill ear drops to a 2 year-old child. To straighten the ear canal, the nurse should pull the auricle of the ear:

Answer: Down and backward

kids are short you pull down, adults are tall you pull up

Question: A nurse has just administered a wrong medication to a client. Which of the following actions should the nurse take next?

Answer: always check pt first then Report error to the provider, contact pharmacy and fill out occurrence report (does not go in chart)

Question: A client with osteoporosis is prescribed alendronate. What client education should the nurse provide to ensure optimal absorption of the medication?

Answer: Advise the client to take the medication on an empty stomach with at least 8 oz of water and sit up for 30 min after taking med

Question: A nurse is providing care to a client with staphylococcus epidermidis, who is prescribed vancomycin. Identify the adverse effect associate with this antibiotic therapy?

Answer: Infusion reaction, ototoxicity, extravasion/phelbitis

Question: A nurse is caring for a client prescribed digoxin. Which the following should alert the nurse to possible digitalis toxicity?

Answer: Lack of appetite, nausea, vomiting, or diarrhea. Headache, confusion, anxiety, or hallucinations. Restlessness, weakness, or depression. Changes in vision such as blurred vision or seeing halos(green) around bright objects.

Question: A 55-year-old client has levothyroxine ordered. Which of the below past medical history concerns may contraindicate with her medication management of hypothyroidism?

Answer: Osteoporosis

Caution should be used to prevent overtreatment with levothyroxine and monitor drug levels. Chronic overtreatment can cause atrial fibrillation and an increased risk of fractures from bone loss, especially in older adults.

Question: Disulfiram is taken by a client daily for abstinence maintenance. What is an adverse effect of this therapy?

Answer: Hepatoxicity

Question: A client taking lithium should be cautioned about drug interactions with which below medication?

Answer: Diuretics, NSAIDs, ACE inhibitors, angiotensin II receptor blockers, and metronidazole (increase risk for toxicity)