Medication and I.V. Administration

A client receives a short-acting insulin and an intermediate-acting insulin before breakfast at 0800. Using the chart, when might the nurse expect the intermediate-acting insulin to take effect?

10:00

A client is to receive 1 unit of packed red blood cells over 2 hours. There are 250 mL in the infusion bag. The IV administration infusion set delivers 10 gtt/mL. At what flow rate (in drops per minute) should the nurse run the infusion? Record your answer using a whole number.

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A client reports pain in the right heel and is requesting medication. The nurse assesses the client and administers an analgesic. The client experiences no pain relief and states that the heel pain is worse. What is an appropriate intervention by the nurse?

Call the physician to report the finding.

The nurse learns that a client who is scheduled for a tonsillectomy has been taking 40 mg of oral prednisone daily for the last week for poison ivy on the leg. What should the nurse do first?

Notify the anesthesiologist of the prednisone administration.

A client is taking phenelzine 15 mg PO three times a day. The nurse is about to administer the next dose when the client tells the nurse about having a throbbing headache. Which action should the nurse do first?

Obtain the client's vital signs.

A client is to receive 1 unit of packed red blood cells over 2 hours. There are 250 mL in the infusion bag. The IV administration infusion set delivers 10 gtt/mL. At what flow rate (in drops per minute) should the nurse run the infusion? Record your answer using a whole number.

Refuse to administer the placebo to the client.

The health care provider has prescribed phenytoin sodium therapy for a client with seizures. What should the nurse explain to the client about stopping the drug suddenly?

Status epilepticus may occur.

The health care provider (HCP) is calling in a prescription for ampicillin for a neonate. What should the nurse do? Select all that apply.

Write down the prescription. Repeat the prescription to the HCP over the telephone. Ask the HCP to confirm that the prescription is correct.

A nurse is caring for a client who is taking an oral anticoagulant. The nurse should teach the client to

avoid foods high in vitamin K.

A client has been diagnosed with hypothyroidism and started on synthetic levothyroxine for thyroid replacement therapy. Which effect is the most important to report to the physician?

palpitations and chest pain on exertion

Because of a shortage of IV infusion pumps, a nurse must regulate a client's IV by gravity flow. The client has a prescription for 1000 mL of 0.9 normal saline to infuse at 100 mL/hr. The tubing drop factor is 10 drops/mL. At what drip rate should the nurse set the infusion?

17 drops per minute