The nurse administers a central nervous system stimulant to a patient. Which assessment finding indicates to the nurse that an idiosyncratic event is occurring?

Correct Answer: A

Rationale: An idiosyncratic event is a reaction opposite to what the effects of the medication normally are, or the patient overreacts or underreacts to the medication. Falls asleep is an opposite effect of what a central nervous system stimulant should do. A stimulant should make a patient restless and alert. A pruritic (itch) rash could indicate an allergic reaction.

Correct Answer: B

Rationale: The nurse should use knowledge about the medication to educate the patient about potential response to medications. Then the medication schedule can be altered based on that knowledge. It is the patient's right to refuse medication; however, the nurse should educate the patient on the importance and effects of the medication. Asking a patient to fit a schedule around a medication is unreasonable and will decrease compliance. The nurse should be supportive and should offer solutions to manage medication effects.

Correct Answer: A

Rationale: Needles should not be forced into the box. Clearly mark receptacles to warn of danger. Using needleless systems when possible, will further reduce the risk of needlestick injury. To prevent the risk of needlesticks, the nurse should never recap needles. The syringe and sheath are disposed of together in a receptacle.

Correct Answer: C

Rationale: Total drops = 1000 mL × 15 drops/mL = 15,000 drops. Time = 8 hours = 480 minutes. Drops per minute = 15,000 ÷ 480 ≈ 31.25 dpm, rounded to 31 dpm.

Correct Answer: B

Rationale: Listening and acknowledging concerns validates their feelings, fostering trust and emotional support.