What measure protects the nurse when preparing cytotoxic drugs?
Wearing protective equipment such as gloves, mask, and gown
Washing hands before preparation
Mixing medication in a 1-L bag
Administering medication IM
The Correct Answer is A
A. Wearing protective equipment such as gloves, mask, and gown is essential when preparing cytotoxic drugs to protect the nurse from potential exposure to harmful substances.
B. While washing hands is important for general hygiene, it does not specifically protect against cytotoxic drug exposure.
C. Mixing medication in a 1-L bag does not offer specific protection to the nurse and is not a standard measure for safety.
D. Administering medication intramuscularly (IM) is a route of administration and does not relate to protection measures while preparing cytotoxic drugs.
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Correct Answer is A
Explanation
A. Changing positions slowly is critical for older adults taking beta-adrenergic blockers and diuretics to prevent orthostatic hypotension, which can lead to lightheadedness or dizziness.
B. Reducing fluid intake is not advisable, as thiazide diuretics can lead to dehydration, and maintaining adequate fluid intake is essential for overall health and to avoid excessive urinary output.
C. Identifying and eliminating high-potassium foods is unnecessary unless there is a specific indication of hyperkalemia, particularly since thiazide diuretics do not typically cause potassium retention, and beta-blockers are not potassium-specific.
D. Expecting blood pressure to increase before it decreases is misleading; clients should see a gradual reduction in blood pressure with proper medication adherence, and any sudden increases should be reported.
Correct Answer is B
Explanation
A. Excessive thirst is not a common adverse effect associated with albuterol.
B. Albuterol, a beta-agonist, can cause tachycardia as an adverse effect; a heart rate of 99 beats/min may indicate this response.
C. An oral temperature of 100°F may suggest a mild infection or other issues, but it is not a specific adverse effect of albuterol.
D. Diarrhea is not typically associated with albuterol use and is less likely to be attributed to the medication.