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concepts of nursing
safe med exam
| Question | Answer |
|---|---|
| How can the nurse determine a patients history of allergies? | -by looking at the front of the chart or in the patient's electronic health record (EHR) -by looking at the MAR -by asking the patient -by looking at the patient's allergy bracelet |
| "I'll take them later. Right now my stomach feels a little upset. Could you please bring me some crackers?" What is the best action the nurse should take? (Select all that apply.) | -offer the patient some crackers and see if the patient has any medications that could help relieve nausea. -lock the patient's medications up temporarily and document the incident. |
| Identify the 6 rights of medication administration. (Select 6 that apply.) | -The right patient -The right dose -The right documentation -The right time -The right medication -The right route |
| The patient who is to receive a medication BID will receive the medication: | twice a day |
| The health care provider has ordered allopurinol 0.05 g PO BID. Drug available: The nurse should give __ tablet(s) for each dose. | 0.5 tablet |
| The health care provider has ordered Amikin (amikacin) 500 mg, IM q8h. Drug available: The nurse should give __ mL for each dose. | 2 |
| The health care provider has ordered prochlorperazine (Compazine) 2.5 mg IM q4h prm. The medication available is Compazine 5 mg/mL. The nurse should give __mL for each dose. | 0.5 |
| The health care provider has ordered Amoxil (amoxicillin) 0.05 g, PO tid. Drug available: The nurse should give __mL for each dose. | 2 mL |
| What is the best way for nurses to prevent medication errors? | a. adhere to the 6 rights of medication administration. |
| If the patient refuses a medication, what should the nurse do? (Select all that apply.) | -notify the health care provider. -document the reason for refusal in the patient's health record. -determine the reason for refusal. |
| Which of the following patients are at risk for developing drug toxicity? (Select all that apply.) | 65, 75, 82, 43 |
| You calculate that this will be 12 mL (10 mg/mL). The drug book states that the usual dosage is 20 to 40 mg. What steps should the nurse take to avoid medication errors in this situation? | -double-check all calculations. -question unusually large or small doses. |
| The nurse asked the patient to state her name and administered the medication, offering the patient a drink of water. The nurse documented the administration of the medication. Which of the six rights of medication administration did the nurse violate? | b. the nurse did not use two patient identifiers. |
| The home care nurse is reviewing the patient's prescribed medications. The patient reports he doesn't take his antihypertensive (blood pressure) medication anymore. What is the best response by the nurse? | -"What is the reason you are no longer taking the blood pressure medication?" |
| Duration: 12-24 hr The nurse plans to start the IV infusion of vancomycin as ordered at 1000, setting the IV pump so it will infuse over 60 minutes. At what time should the nurse have the peak level drawn? | 1100 |
| The health care provider has ordered amoxicillin 250 mg PO q8h. The drug label states 125 mg amoxicillin per 5 mL. Based on this information, which of the following would be correct actions by the nurse? | -administer 10 mL of amoxicillin per dose. -compare the patient's name and date of birth on the armband with the MAR. |