Question 231 out of 1 pointsA nurse is going to administer medication to an infant using a medicine dropper. The best method is to open the child's mouth by gently squeezing the cheeks and placingthe dropsResponseFeedback:By placing the medication in the buccal pouch, the child is less likely to spit the medicine out than when placing it under or on top of the tongueand at the back of the mouth. Also, placing the medication in an area other than the buccal pouch could cause aspiration.Question 241 out of 1 pointsA 5-year-old boy needs an IM injection. The least painful and most effective injection site would be theResponseFeedback:The ventrogluteal site is the best choice because it is free of major nerves and blood vessels and is characterized by deep muscle mass. The drug is injected into the gluteus medius muscle, which is in the ventrogluteal site. Injection in the gluteus medius is less painful than injection in the vastus lateralis. The dorsogluteal site should be used only as a last resort because of potential damage to the sciatic nerve if the site is not chosen with precision. The scalp veins are never used forinjections; they are used only as intravenous sites in infants.Question 251 out of 1 pointsA 35-year-old woman is on a weight-loss program and is to begin taking sibutramine (Meridia). After baseline physical data are obtained, the nurse will assess the patient's childbearing potential. The nurse will inform the patient that during sibutramine therapy she shouldResponseFeedback:Before sibutramine therapy is started, the nurse should assess the female patient for pregnancy or the intention to become pregnant. This drug is classified as pregnancy category C. Patients should be told to use adequate contraception and to advise their physician if they become or intend to become pregnant during sibutramine therapy. It
would not be appropriate to tell the patient to abstain from sex, and a pregnancy test would not be necessary once a month. However, it would be advisable to have a pregnancy test before therapy begins if the patient is unsure if she is pregnant or if the patient has irregular menstrual periods. A pap smear is not necessarily related to the use of sibutramine but should be done on a regular basis as a normal disease-prevention measure for women.Question 261 out of 1 pointsA 30-year-old man with a BMI of 59 has recently been diagnosed with type 2 diabetes mellitus. In light of the man's lack of success with weight loss programs in the past, his care provider has prescribed sibutramine (Meridia). What instructions should the nurse consequently provide to this patient?ResponseFeedback:Patients should take sibutramine on an empty stomach to maximize peak concentration levels. They should take it only once a day. It is important to remember that sibutramine should be used in conjunction with a low-calorie diet and daily exercise routine for maximum results. Itis not taken on an “ass-needed” basis to control food cravings.
- Fall '13
- Pharmacology, Adverse drug reaction, Dextroamphetamine