1. Drop
2. Intravenous piggyback
3. Keep vein open
4. Teaspoon
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, 2. Intravenous piggyback
Rationales
Option 1:
Drop is the meaning of the abbreviation gtt.
Option 2:
Intravenous piggyback is the meaning of the abbreviation IVPB.
Option 3:
Keep vein open is the meaning of the abbreviation KVO.
Option 4:
Teaspoon is the meaning of the abbreviation tsp.
Once the student nurse has researched the new antibiotic prescribed to treat the
client's pneumonia, he or she feels more information is needed to plan nursing
interventions based on side effects of the drug. What resource would be best suited
to obtain this information?
1. Nursing drug handbook
2. The National Formulary
3. Physician's Desk Reference
4. A pharmacopoeia
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1. Nursing drug handbook
Rationales
Option 1:
A nursing drug handbook provides important information regarding the
drug, how it is prescribed, side effects, and nursing interventions.
Option 2:
The formulary identifies the therapeutic value of drugs as well as their
formulas and prescriptions, but may not be the best for nursing
intervention recommendations.
Option 3:
While an excellent resource, the PDR contains information on dosing,
routes of administration, and side effects, but does not include nursing
, interventions.
Option 4:
The Unites States Pharmacopoeia (USP) is a directory of drugs approved
by the Food and Drug Administration (FDA) and includes a list of the
physical and chemical composition of each drug.
Why are lipid-soluble drugs used for sedation?
1. They can pass through the blood brain barrier.
2. They cannot be broken down by acids, preventing the medication from being
diluted before it reaches the nervous system.
3. They release small amounts for absorption over several hours.
4. They are rapidly absorbed from the GI tract and take effect faster.
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1. They can pass through the blood brain barrier.
Rationales
Option 1:
Due to the ability of fat-soluble drugs to attach to lipids, they can easily
pass through the blood brain barrier and effect sedation.
Option 2:
Enteric-coated medication cannot be broken down by GI acids that
prevent dilution before entering the intestines.
Option 3:
Time-released or sustained-release formulas release small amounts of the
medication over a period of several hours, allowing for absorption over a
longer period of time.
Option 4:
Water-soluble drugs are rapidly absorbed from the GI tract, which has a
quicker effect.
Intramuscular Vastus Lateralis
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, Site:
Max Volume: 1 mL (infants), 1-2mL (1-12) & 3-5 (adults)
Needle Gauge: 22-25
Needle Length: 1(infants) 1.25 (12-24 mo), 1.5-3 (adults)
Syringe Size: 1.0-3.0
Angle: 90
A client asks the nurse about the use of St. John's wort to help improve his or her
mood. The nurse states the client should not take St. John's wort because it is
contraindicated with which medication that the client is taking?
1. Digoxin
2. Warfarin
3. Alprazolam
4. Clopidogrel
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1. Digoxin
Rationales
Option 1:
St. John's wort can interfere with the function of digoxin, and the drug will
be less effective.
Option 2:
Gingko biloba can interfere with the effectiveness of anticoagulants such as
warfarin.
Option 3:
Taking kava with alprazolam can produce too much sedation.
Option 4:
Ginseng can interfere with antiplatelet medications such as clopidogrel and
potentiate antiplatelet activity.