Soru

Zorluk: OrtaPharmacological Therapies

A 6565-year-old client is admitted to the medical unit with an exacerbation of chronic obstructive pulmonary disease (COPD). The client's morning vital signs are blood pressure 138/82 mm Hg138/82\text{ mm Hg}, heart rate 88 beats/min88\text{ beats/min}, and respiratory rate 20 breaths/min20\text{ breaths/min}. The practical nurse is reviewing the client's medication orders and preparing for administration. Which action by the practical nurse demonstrates safe and appropriate pharmacological practice?

  1. Instructing the client to rinse their mouth with water and spit after administering a scheduled dose of inhaled fluticasone.Cevap
  2. B
    Administering a scheduled live-attenuated influenza vaccine to the client while they are actively receiving high-dose systemic corticosteroid therapy.
  3. C
    Administering 10 mL10\text{ mL} of an oral antibiotic suspension when the prescribed dose is 250 mg250\text{ mg} and the supplied concentration is 250 mg/5 mL250\text{ mg}/5\text{ mL}.
  4. D
    Bypassing the verification of the client's identification band before giving medications because the nurse has cared for the client for three consecutive days.

Cevap

The correct action is instructing the client to rinse their mouth with water and spit after administering a scheduled dose of inhaled fluticasone.
The correct action is instructing the client to rinse their mouth and spit after using an inhaled corticosteroid like fluticasone. This is a crucial safety measure to prevent localized fungal infections, such as oral candidiasis, and reinforcing this teaching is entirely appropriate and expected within the practical nurse's scope of practice.

Adım Adım Çözüm

1
Analyze the correct role of the practical nurse regarding the administration of inhaled corticosteroids.
Inhaled fluticasone is a corticosteroid; rinsing the mouth after administration prevents localized fungal infections like oral thrush.
Reinforcing medication education and preventing adverse effects are key responsibilities within the practical nurse's scope of practice.
2
Evaluate the action regarding the live-attenuated influenza vaccine.
This action is unsafe and contraindicated.
Live vaccines can cause active infection in clients who are immunocompromised due to high-dose systemic corticosteroids.
3
Calculate the correct dosage for the oral antibiotic suspension.
The correct dose is 5 mL5\text{ mL}.
Using the formula: (Desired 250 mg250\text{ mg} / Have 250 mg250\text{ mg}) × Volume 5 mL5\text{ mL} = 5 mL5\text{ mL}. Administering 10 mL10\text{ mL} would be a double dose.
4
Evaluate the client identification process.
This action violates medication safety protocols.
Nurses must always use two identifiers (e.g., name and date of birth) and scan the barcode before every administration to ensure client safety.

Anahtar Kavram

Safe Medication Administration and Pharmacological Practice
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