Author Question: The nurse is reviewing the patient's admission medication orders. What order would the nurse to ... (Read 32 times)

debasdf · **on:** Jul 23, 2018

The nurse is reviewing the patient's admission medication orders. What order would the nurse to question?

A) Digoxin .5 mg orally nowgive one dose only
B) Lasix 20 mg. IV every 4 hours times 3
C) Gentamicin 80 mg IV to infuse over 1 hour every 12 hours
D) Acetaminophen 650 mg PO every 4 hours as needed for pain

Question 2

What is the nurse's priority intervention to reduce the risk of cystitis caused by cyclophosphamide (Cytoxan)?

A) Encourage the patient to drink cranberry juice.
B) Promote adequate rest and sleep.
C) Encourage fluids to maintain hydration.
D) Instruct the patient to wear only cotton underwear.

Li Jun · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

A
Feedback:
The nurse should question the order for Digoxin.5 mg to make sure 0.5 mg is meant versus 5 mg, or what should have been ordered which is 0.05 mg. There should always be a 0 before a decimal point if no other number is present to make sure the decimal point is seen. The remaining orders could be administered as written.

Answer to Question 2

C
Feedback:
Hemorrhagic cystitis is a potentially fatal adverse effect. Ensure that the patient is well hydrated. Drinking cranberry juice or milk helps to hydrate the patient, but what he or she drinks is less important than that he or she drinks adequate amounts of fluid. Wearing cotton underwear is not an intervention the nurse would teach the patient.