A healthcare professional is reviewing a new prescription for Ondansetron 4 mg PO PRN for nausea and vomiting for a client who has Hyperemesis Gravidarum. The healthcare professional should clarify which of the following parts of the prescription with the provider?

Correct Answer: D

Rationale: The prescription provided includes the medication name, dosage, and route of administration. However, it lacks information about the frequency or timing of the medication administration. In this case, it is crucial to clarify the frequency with the provider to ensure the safe and effective use of the medication for the client with Hyperemesis Gravidarum.

Correct Answer: D

Rationale: Avoiding reinserting the needle into an IV catheter is crucial to minimizing the risk of catheter embolism. Reinserting the needle can lead to the severing of the catheter's end, potentially causing a catheter embolism, a serious complication. The other options, while important for IV therapy safety, are not directly related to preventing catheter embolism.

Correct Answer: C

Rationale: When Oxycodone, a narcotic analgesic, and Ibuprofen, a nonsteroidal anti-inflammatory drug (NSAID), are taken together, they work synergistically to enhance the pain-relieving effects of both medications. These drugs act through different mechanisms, leading to a combined analgesic effect that is more effective than when used alone. Therefore, the interaction between Oxycodone and Ibuprofen results in an increase in the expected therapeutic effect of both medications.

Correct Answer: D

Rationale: In this question, the correct answer is D) This medication has a low risk for dependency. It is important for the nurse to include this information because Buspirone is a medication commonly used to treat anxiety disorders, and one of its advantages is its low potential for causing dependency or addiction compared to other anti-anxiety medications like benzodiazepines. Option A) Take this medication with food is incorrect because Buspirone can be taken with or without food, so it is not necessary to always take it with food. Option B) Expect optimal therapeutic effects within 24 hours is incorrect because Buspirone may take several weeks to reach its full therapeutic effect, so it is important for the client to understand that it may not provide immediate relief of anxiety symptoms. Option C) Take this medication daily for anxiety is incorrect because Buspirone is typically taken on a scheduled basis, not only when experiencing anxiety symptoms. It is important for the client to adhere to the prescribed dosing schedule for optimal effectiveness. Educationally, understanding the properties of different medications used to treat anxiety is crucial for nurses to provide accurate and comprehensive information to clients. By knowing the characteristics of Buspirone, nurses can guide clients in using the medication effectively and help prevent misconceptions or misuse. It also fosters a culture of safe and informed medication management in healthcare settings.

Correct Answer: A

Rationale: In this scenario, the correct action by the nurse is to perform immediate gastric lavage (Option A) for a client with a plasma Lithium level of 2.1 mEq/L. Gastric lavage helps remove the unabsorbed lithium from the stomach, preventing further absorption and reducing toxicity. Lithium toxicity can lead to serious complications such as neurologic symptoms, renal failure, and even death. Gastric lavage is a rapid and effective way to reduce the amount of lithium in the body. Option B, preparing the client for hemodialysis, is not the initial intervention for lithium toxicity. Hemodialysis is considered if the lithium level is extremely high or if the client is experiencing severe symptoms that are not responsive to other treatments. Option C, administering an additional oral dose of lithium, is contraindicated in the case of lithium toxicity as it would further increase the lithium level in the body. Option D, requesting a stat repeat of the laboratory test, may be important for monitoring the client's lithium levels after the initial intervention of gastric lavage. However, in the acute phase of toxicity, immediate action to reduce the lithium level is crucial to prevent harm. In an educational context, understanding the appropriate interventions for lithium toxicity is essential for nurses caring for clients on lithium therapy. Nurses need to be able to recognize the signs of lithium toxicity, know the appropriate interventions, and understand the importance of timely and effective management to ensure positive client outcomes. Regular education and training on pharmacology principles, including drug toxicities and their management, are vital for nursing practice.