Author Question: The nurse is preparing to administer a dose of growth hormone and reconstitutes the medication. ... (Read 50 times)

nummyann · **on:** Jul 23, 2018

The nurse is preparing to administer a dose of growth hormone and reconstitutes the medication. After adding the diluent, the nurse notices that the preparation is cloudy. What action should the nurse take?

a. The drug should be administered as ordered.
b. The drug should be discarded and another dose prepared.
c. The drug should be shaken to help dissipate the particles.
d. The charge nurse and prescriber should be notified.

Question 2

Which of the following assessment findings would lead the nurse to believe that a patient taking high doses of aspirin is experiencing renal impairment? (Select all that apply.)

a. Reduced urine output
b. Weight loss
c. Potassium level of 6.2
d. Tinnitus
e. Elevated BUN
f. Hematuria

dreamfighter72 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

B
The medication should not be injected if the preparation is cloudy or contains particulate matter. The drug should be discarded and another drawn up and administered.
The cloudy preparation should not be administered; it should be discarded.
The preparation should never be shaken.
There is no need to notify the charge nurse or the prescriber.

Answer to Question 2

A, E
The development of renal impairment is signaled by reduced urine output, weight gain despite the use of diuretics, and a rapid rise in the serum creatinine and blood urea nitrogen. If any of these is observed, aspirin should be withdrawn immediately.
The patient would not experience weight loss, hyperkalemia, tinnitus, or hematuria.