NR 280 EXAM
WITH
QUESTIONS AND
CORRECT
ANSWERS.[ACTU
AL EXAM 100%
GRADED A+]
The nurse is reviewing medical
prescriptions for newly admitted clients. It
would be a priority for the nurse to follow
up with the physician if a client with
(a) a potassium level of 4.5mEq/L has Kayexalate
(sodium polystyrene)
prescribed
(b) a Dilantin (phenytoin) level of 8 mcg/ml is placed
on seizure precautions
(c) sensitivity to Aspirin (acetylsalicylic acid) is
prescribed Tylenol (acetaminophen)
(d) sensitivity to Penicillin is prescribed Zithromax
(azithromycin) - CORRECT ANSWER-1. A. The
normal potassium level is 3.5 - 5.0 mEq/L.
Giving Kayexalate in this situation may
cause the client to lose potassium,
causing hypokalemia, therefore the drug
is not indicated; the therapeutic level for
Dilantin is 10 - 20 mcg/ml, a level of 8 is
sub therapeutic thereby increasing the
risk of seizure activity. Acetaminophen
can be safely prescribed to clients with
ASA sensitivity. Azithromycin (Zithromax)
can be safely prescribed for clients with
sensitivity to Penicillin.
Th
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