Pharmacological and Parenteral Therapies

When teaching a client how to take a sublingual tablet, the nurse should instruct the client to place the tablet

on the floor of the mouth.

A physician orders preoperative medication to be administered to a client by the I.M. route: meperidine, 50 mg; hydroxyzine pamoate, 25 mg; and glycopyrrolate, 0.3 mg. The medications are dispensed this way: meperidine, 100 mg/ml; hydroxyzine pamoate, 100 mg/2 ml; and glycopyrrolate, 0.2 mg/ml. How many milliliters in total should the nurse administer? 3.8 ml 2 ml 5 ml 2.5 ml

2.5 mL

A client with rheumatoid arthritis is being discharged with a prescription for aspirin, 600 mg P.O. every 6 hours. Which statement by the client indicates understanding of the adverse effects of the medication?

"I'll call my physician if I have ringing in the ears."

A client taking clozapine states, "I don't like feeling so sedated during the day. I can hardly keep my eyes open." Which response by the nurse would be most appropriate?

"Let's talk to your health care provider about taking most of the drug at bedtime."

The nurse has administered promethazine intravenously to a client in active labor. The drug has had the desired effect when the nurse notes which finding?

decreased nausea and vomiting

Which action is a priority when a nurse is preparing to administer a transfusion of platelets?

obtaining a written informed consent Special transfusion sets should be used when administering platelets. A written consent should be obtained and this is the priority before obtaining equipment. Vital signs should be taken before administration and may be delegated. Platelets are stored at room temperature and a blood-warming device should not be used.