A patient is started on a norepinephrine drip. One of the side effects medication may cause is:

Correct Answer: C

Rationale: Norepinephrine is a medication that acts as a potent vasoconstrictor, primarily increasing blood pressure. However, one of the potential side effects of norepinephrine infusion is actually hypotension (low blood pressure), which may occur in some patients. This paradoxical response can be due to various factors such as excessive vasodilation or a transient decrease in cardiac output. It is important for healthcare providers to closely monitor the patient's blood pressure and adjust the norepinephrine infusion rate accordingly to prevent significant drops in blood pressure.

Correct Answer: D

Rationale: An oral syringe is the best device to recommend for accurate home administration of the drug for a 4-year-old patient. Using an oral syringe provides precise measurement of the liquid medication, which is crucial for ensuring the correct dosage is given to the child. Measuring spoons, graduated medicine cups, and household teaspoons may not provide the same level of accuracy as an oral syringe, especially for small doses needed for young children. Additionally, oral syringes are easy to use and can help prevent spills and waste of the medication. Overall, an oral syringe is the safest and most effective device for administering liquid medication to young children.

Correct Answer: A

Rationale: In working with adolescent patients to promote adherence, allowing flexibility in the treatment plan (option A) is a helpful strategy. Adolescents are in a stage of development where they seek autonomy and independence. By giving them some control over their treatment plan, they are more likely to engage and adhere to it. Using future-oriented examples and consequences (option B) can be less effective with adolescents as they may have difficulty connecting present actions to future outcomes due to their brain's ongoing development. This approach may not resonate with their current mindset. Guaranteeing privacy (option D) when obtaining history is important for building trust with adolescent patients, but it may not directly impact adherence to treatment. While privacy is crucial for effective healthcare interactions, it may not be as influential in promoting adherence compared to offering flexibility in the treatment plan. In an educational context, understanding the unique needs of adolescent patients is essential for healthcare providers. By recognizing their desire for autonomy and involving them in decision-making processes, providers can better support adolescents in managing their health effectively. Promoting adherence in this population requires a tailored approach that considers their developmental stage and preferences.

Correct Answer: A

Rationale: The most important information to know before administering a vaccination is whether the child has any contraindications or precautions to receiving the vaccine. As a healthcare provider, it is essential to assess the child's medical history, including allergies, previous adverse reactions to vaccines, current health status, and any recent treatments or medications that could interfere with the vaccine's effectiveness or pose a risk. By understanding this information, the nurse can ensure the safe and appropriate administration of the vaccine and help prevent any potential negative outcomes for the child.

Correct Answer: C

Rationale: It would be of greatest priority to notify the health care provider if a live vaccine was prescribed for a patient undergoing chemotherapy. Live vaccines contain weakened forms of the virus or bacteria they are targeting, which can potentially cause an infection in individuals with weakened immune systems, such as those undergoing chemotherapy. Administering a live vaccine to a patient undergoing chemotherapy could lead to serious complications, as the patient's weakened immune system may not be able to handle the live virus or bacteria in the vaccine. Therefore, it is crucial to inform the healthcare provider about the patient's ongoing chemotherapy treatment to avoid any unnecessary risks and ensure the patient's safety.