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Use the following scenario and client data to answer the question.

A nurse is preparing to administer medications to a client for whom the nurse has the following data:

Diagnosis

Major depressive disorder

Vital signs

BP 152/78 mm Hg
Pulse rate 92/min
Respiratory rate 18/min
Oral temperature 36.7° C (98.1° F)
O2 saturation 97% on room air
Weight 97.7 kg (215 lb)

Allergies

Gentamicin

Medical history

Panic disorder
Fibromyalgia
Posttraumatic stress disorder
Congestive heart failure
Hypertension

Laboratory Test Results

Potassium 3.7 mEq/L
Sodium 146 mEq/L
BUN 18 mg/dL
Hgb 15 g/dL
Hct 54%
ECG: normal sinus rhythm

Diet

Low-sodium

Scheduled Procedures

Electroconvulsive therapy (ECT) in 1 hr

Medications to Administer

Diazepam 5 mg oral twice daily

Gabapentin 300 mg oral three times daily

Atropine 0.4 mg IM 1 dose 30 min preprocedure

Lisinopril 20 mg oral once daily

Furosemide 40 mg oral once daily

Succinylcholine 0.6 mg/kg IV during procedure

Which three medications require clarification prior to administration? (Complete the following sentences by choosing from the dropdown lists. Do not use the same medication selection more than once.)

The nurse should clarify the prescription for

           

Select an option

-diazepam

-gabapentin

-atropine

-lisinopril

-furosemide

-succinylcholine

         

because

           

Select one of the following options for each one of the three medications chosen (cannot use an option more than once)

 -the client is scheduled for ECT.

-administering the medication is outside the nurse’s scope of practice.

-of the client’s blood pressure.

-of the client’s allergy.

-the client has a history of congestive heart failure.

-of the client’s sodium level.

SCIENCE
HEALTH SCIENCE
NURSING

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