PN VATI pharm With Verified Answers 2024

A nurse is administering a varicella immunization to a young adult client who did not receive the immunization as a child. The client asks the nurse if they will need additional doses of the vaccine. Which of the following responses should the nurse make? - correct answer--"You should return for a second dose in 4 to 8 weeks." The nurse should tell the client that the varicella vaccine requires two doses and they should return for the second dose in 4 to 8 weeks. Ideally, toddlers should receive the first dose of varicella vaccine between 12 and 15 months of age and the second dose at 4 to 6 years of age. For adolescents or adults who are not immune to varicella and who have not been immunized, two doses are required at least 28 days apart. A nurse is assisting in the care of a client who has oral benzodiazepine toxicity. The client has an IV infusing and is nonresponsive. Which of the following interventions should the nurse anticipate first? - correct answer--Administering IV flumazenil Evidence-based practice indicates that the priority action for a client who has benzodiazepine toxicity is to administer IV flumazenil. Flumazenil is a benzodiazepine receptor antagonist used to reverse sedation caused by benzodiazepine toxicity. The IV medication begins working within 1 to 2 min. Therefore, administering flumazenil is the first action the nurse should anticipate. A nurse is assisting with the care of a client who has myasthenia gravis and is experiencing a cholinergic crisis. Which of the following medications should the nurse expect the RN to administer? - correct answer--Atropine A cholinergic crisis is the result of too much cholinesterase inhibitor medication which causes manifestations of excessive muscarinic stimulation such as muscle weakness, bradycardia, vomiting, and paralysis. Atropine is a muscarinic antagonist that is administered IV to reverse anticholinergic effects. The nurse might need to assist with respiratory support to provide adequate oxygenation to the client until manifestations resolve. A nurse is caring for a client who has bipolar disorder and a new prescription for lithium. Which of the following laboratory values should the nurse plan to monitor for potential adverse effects? - correct answer--Sodium The nurse should monitor the cient's sodium level while the cient is taking lithium. When the clent's sodium level is low, the kidneys retain lithium which can cause toxicity because polyuria is an adverse effect of lithium in 50% to 70% of clients treated. Hyponatremia is a significant risk. The nurse should reinforce teaching with the client