Question

W lo Pharmacology B) "Has she ever received gentamicin? C) "Has she ever received ampicillin D) "Has she ever received cephalexin?" Why does the nurse need to be alert for any indication of an allergic reaction in clients? A) To obtain early warning of noncompliance in drug therapy B) To increase the effectiveness of a specific medication C) To maintain the client's safety during drug therapy D) To reduce the risk of adverse effects during drug therapy A physician orders 500 mL of IV solution be administered over 8 hours. If the IV infusion set delivers 15 drops/mL, how many drops/minute should the nurse administer to the client? A client is admitted with a deep vein thrombosis in his or her left calf. The physician orders heparin 7,500 units subcutaneously every 12 hours. The medication vial reads heparin 10,000 units/mL. How many milliliters does the nurse administer? A) 0.5 mL 46. B) 0.75 ml C) 1 mL D) 1.25 ml An older adult client who lives independently has just been prescribed a drug that can cause sedation. What would be the priority nursing diagnosis for this client? 47. A) Risk for vascular trauma 48. B) Wandering C) Risk for injury D) Risk for suffocation A client calls the clinic to talk to the nurse. The client was prescribed amoxicillin for treatment of strep throat. The client states. "There are a few pills left, but I'm feeling much better now." What is the nurse's best response? A) "Okay, thank you for letting me know. I will document in your medical record that the treatment was effective."

Answer 1

ANSWER.

44) D) Nurse need to be alert for any medication that cause allergic reaction

     to reduce the risk of adverse effect during drug therapy.

45) Calculation of drops per minute.

          Formula

          Drops per minute(gtt/min) = Volume(ml) /Time(min) * Drop factor(gtt/ml).

      Here

           Volume(ml) = 500 ml.

           Time(min) = 480 min (8 hr).

           Drop factor = 15 drops per ml

       As per above formula

            Drops per minute(gtt/min) = 500 / 480 * 15

                                                        = 1.04 * 15

                                                        = 15.6 gtt/min.

46) Calculation of volume(ml) of drug required.

             Formula

                Volume(ml) = Desired dose/Dose in hand * Quantity.

         Here

              Desired dose(D) = 7500 units.

              Dose in hand (H) = 10000 units.

                   Quantity (Q) = 1 ml.

    As per above formula

                Volume = D/H * Q

                             = 7500/10000 * 1

                             = 0.75 * 1

                          B = 0.75 ml.

47) C) Nursing diagnosis for an older client live independently has just prescribed a

     drug that cause sedation is Risk for injury.