HURST 1

The nurse is preparing to administer scheduled medications for a client. Which medication would require clarification prior to administration?

Bumetanide This is a loop diuretic. What is worrisome about giving this medication is the fact that the client is allergic to sulfonamides. It is contraindicated because there is a cross-sensitivity with thiazides and sulfonamides

A child who fractured the ulna and radius following a fall is experiencing itching under the cast. What would be an appropriate nursing intervention to help alleviate the itching?

Circulate air under the cast utilizing a blow dryer on the cool setting An acceptable, safe way to try to alleviate itching is to use a blow dryer on the cool setting to circulate air under the cast. This is the only safe option provided

The nurse is reviewing medications for a client who is being treated for major depression. The client is prescribed a selective serotonin reuptake inhibitor (SSRI). Which over the counter medication/supplement taken by the client should be reported to the primary healthcare provider immediately?

Daily intake of St. John's Wort. This is an herbal supplement often used in the treatment of mild depression. It should not be taken in combination with a SSRI due to the risk of serotonin syndrome, which can be fatal.

A client has been admitted voluntarily to the psychiatric unit. During the admitting interview, the client confides to the nurse that they have a lethal plan for committing suicide. At the end of the interview the client asks the nurse, "How long will I have to stay here?" What should the nurse say to this client?

Let's discuss this after the health team has assessed. you. A client may sign out of the hospital at any time, unless following a mental status examination the healthcare professional determines that the client may be harmful to self or others and recommends that the admission status be changed to voluntary or involuntary.

Which task would be appropriate for the charge nurse to assign to a LPN/VN?

bolus feeding a client who has a gastrostomy tube. Bolus feeding by way of a gastrostomy tube would be the best assignment for the LPN/VN. This is a nursing action that can be performed by the LPN/VN and does not require verification nor a co-signature by the RN.