117 Midterm

The nurse makes a medication error and a patient dies. In court, the attorney for the family of the deceased patient asks the nurse if she followed standards of care in administering the medication. How would the attorney phrase this question?

"Did you do what another nurse would have done under similar circumstances?"

A home care nurse is teaching an adolescent with type I diabetes about insulin administration and rotation of sites. What statement, made by the adolescent, would indicate effective teaching?

"I need to use a different site within the same area for each insulin injection."

The nurse is teaching a class on dietary supplements. The nurse determines that learning has occurred when the patients make which statement?

"Products can make claims based on body structure and function like 'promotes healthy urinary tract.'"

The client receives montelukast (Singulair) as treatment for asthma. The nurse has completed medication education and evaluates that learning has occurred when the client makes which statement?

"This medication decreases the inflammation in my lungs."

The physician has prescribed a chemotherapeutic drug for the patient with cancer. This drug commonly causes loss of hair. The patient asks the nurse, "Will all of my hair fall out?" What is the most therapeutic response by the nurse?

"Yes, that is one of the expected side effects of this medication."

The order reads 250 mcg of Lanoxin (digoxin) IV x 1 now. How many milligrams you would administer to this patient? (Only enter the numbers, Round to the 100th placeholder)

0.25 mG

The nurse is teaching a client how to use a Metered Dose Inhaler (MDI). Rank order the steps from first to last.

1. shake medication vigorously 2. completely exhale 3. slowly breathe in 4. press down on canister and breathe in 5. hold breath for 10 seconds 6, exhale through pursed lips

The nurse is to administer oral suspension phenytoin (Dilantin) 250 mg po q 6 hr. The label on the medication reads phenytoin (Dilantin) 125 mg/tsp. How many milliliters will the nurse administer per dose? (Round to a whole number, Only enter the number)

10

A client has a medication ordered B.I.D. How many times a day will the nurse administer the medication?

2 times a day

A physician's order sheet contains the following entry:Trandate (labetalol hydrochloride) 20 mg IV STAT and repeat q.10 minutes as needed to max of 300 mg.How much of the drug will be administered per dose in milligrams? (Round to a whole number. Only enter the number in the answer)

20

A patient has an order for iron dextran 100 mg in 200 mL of 0.9%NS over 6 hours. How many milliliters per hour should the IV pump be programmed for?

33

The client drinks one container of milk (1 cup), one container of juice (4 oz.), and a 6 oz. bowl of juice. Record the client's intake in mL. (Round to a whole number, only enter the number in the answer)

540

A patient with stable COPD is prescribed a bronchodilator medication. Which type of bronchodilator is preferred for this patient?

A long-acting inhaled beta2 agonist

Which drugs are used to treat COPD? (Select all that apply)

B. Long acting beta2 agonists D. Anticholinergic medications E. Glucocorticoids

A diagnosis of diabetes is confirmed by which of the following data? (select all that apply)

B. Random blood glucose is 200 or higher plus symptoms D. Hemoglobin A1c is 6.5 % or higher E. Fasting plasma glucose is 126 or higher

Medication reconciliation has been started for a newly admitted patient. At which points would the nurses and others caring for this patient complete a medication reconciliation? (Select All That Apply)

B. When admission orders are received. C. When the patient is transferred to a different unit within the hospital. D. When the patient is discharged.

A nurse is assessing a patient with chronic airflow limitation and notes that the patient has a "barrel chest." The nurse interprets that this patient has what form of chronic airflow limitation?

Chronic obstructive pulmonary disease

The patient asks if there are any supplements that would help improve or preserve his memory. Which supplement would the nurse discuss?

DHEA

The Joint Commission documented that patient education was deficient on several medical-surgical units of a local hospital. A nursing committee was formed to address this problem and focused on what likely nursing intervention?

Discussing medications each time they are administered to patients.

A school-age child with type I diabetes has soccer practice three afternoons a week. The school nurse provides instructions regarding how to prevent hypoglycemia during practice. What would the school nurse tell the child?

Eat six graham crackers or drink a cup of orange juice before soccer practice.

The nurse assesses a newly diagnosed patient for short-term complications of diabetes. What does this assessment include?

Evaluation for hyperglycemia, hypoglycemia, and ketoacidosis

Which herbal product would be of most concern if taken by a patient being treated for seizures?

Ginko

What is the most reliable measure for assessing diabetes control over the preceding 3-month period?

Glycosylated hemoglobin level (HbA1c)

A nurse needs to teach a young woman newly diagnosed with asthma how to manage her disease. What topic does the nurse teach first?

How to use an inhaler during an asthma attack.

A 7-year-old child with asthma uses a daily inhaled glucocorticoid and an albuterol MDI as needed. The provider has added montelukast [Singulair] to the child's regimen. Which statement by the child's parent indicates understanding of this medication?

I may notice mood changes in my child.

Prescribed medications are prepared and administered during which phase of the nursing process?

Implementation

The patient informs the nurse that they will decide whether they will accept treatment after they pray with their family and minister. What is the role of spirituality in drug therapy for this client?

Important to the patient's acceptance of medical treatment and response to treatment.

A client with chronic obstructive pulmonary disease (COPD) is prescribed oxygen 2 L/min. Which is the best method to administer oxygen to this client?

Nasal cannula

During which phase of the nursing process does the nurse Prioritize the nursing diagnosis?

Planning

What is the best way nurses can help clients reduce the risk of COPD?

Providing smoking cessation resources

A patient with asthma comes to a clinic for treatment of an asthma exacerbation. The patient's medical history lists an inhaled glucocorticoid, (singular) and a SABA as needed via MDI. The nurse assesses the patient and notes a RR of 18 breathes per minute, a heart rate of 96 beats per minute, and an pulse ox of 95% room air. The nurse auscultates mild expiratory wheezes and equal breath sounds bilaterally. What will the nurse do?

Question the patient about how much albuterol has been used

A child is receiving a combination albuterol/ipratropium [DuoNeb] inhalation treatment. The patient complains of a dry mouth and sore throat. What will the nurse do?

Reassure the patient that these are expected side effects.

Which of the following statements regarding COPD is incorrect?

Smoking is the only risk factor for COPD.

The nurse is planning care for a client with COPD experiencing dyspnea and a subsequent activity intolerance. Which action by the nurse is the most appropriate?

Space periods of activity with periods of rest.

What is the most significant role for nurses as defined by state nurse practice acts and by regulating bodies such as The Joint Commission?

Teaching

A patient with asthma will be using a metered-dose inhaler (MDI) for delivery of an inhaled medication. The provider has ordered 2 puffs to be given twice daily. It is important for the nurse to teach this patient that:

The patient should wait 1 minute between puffs.

Which of the following is a reason for the increase in popularity of herbal remedies?

They are being marketed very aggressively.

A patient with type 1 diabetes reports mixing NPH and regular insulin to allow for one injection. What should the nurse tell the patient?

This is an acceptable practice.

GlipiZIDE and glyBURIDE are an example of a look-alike/sound-alike drug.

True

Which of the following is part of a complete medication history?

Use of "street" drugs

The nurse may revise or eliminate unrealistic goals during which phase of the nursing process?

evaluation

Which situation demonstrates ethical reporting of a medication error?

informs the patient, documents the error as per hospital policy, and notifies the physician.

Order: Dilantin (phenytoin) 300 mg, po, TID. How many grams are to be administered to the client per dose? (Only enter the number, Round to the 10th place)

0.3

The physician orders potassium chloride 1.25 mEq for a pediatric client. The solution contains 45 mEq per 15 mL. How many mL would you administer? (Round to the 10th place, only enter the number in the answer)

0.4

The nurse assesses the patient with diabetes mellitus prior to administering medications. Which questions are important to ask the patient? (Select All That Apply)

A. "Are you allergic to any medications?" B. "Will you please tell me about the kind of diet you follow?" D. "Are you taking any herbal or over-the-counter medications?" E. "What other medications are you currently taking?"

A patient asks the nurse why a medication prescribed by the provider "didn't do anything at all." Which statement by the nurse accurately describes how genetics influence drug action? (Select All That Apply)

A. "Genetic differences can result in significant differences in how each patient's body handles the same medication." B. "Genetic differences can cause mutations in enzymes, changing the way they function. This can alter how the body metabolizes and excretes drugs." C. "Because of genetic differences, medication may accumulate to toxic levels in one patient while in another patient may be inactivated before it can have a therapeutic effect."

An 8-year-old child was just diagnosed with asthma. Which assessment questions should the nurse ask the child and parents? (Select All That Apply)

A. "Have you eaten any new foods?" B. "Are you exposed to anyone who smokes?" C. "Have you had your carpet cleaned lately?" E. "Has there been a change in laundry products recently?"

A new nurse on the orthopedic floor makes a medication error. Which statements by the nurse manager foster a safe environment in which nurses will report medication errors? (Select All That Apply)

A. "Many of us have made a medication error in our careers. The most important issue is to identify why the error occurred." B. "I know you could not feel any worse than you already do. We need to discuss how this error happened and how we can prevent it from happening again." C. "It's really good that your patient is OK and did not suffer any harmful effects of this error. We should discuss why this error occurred and how it can be prevented in the future." D. "Because you are a new nurse, we should sit down and discuss the procedure you followed to see what you could have done to prevent this error."

Which patient would be most likely to seek complementary and alternative therapies as a treatment modality? (Select All That Apply)

A. A 48-year-old male who wants to boost his immune system B. A 22-year-old male athlete who is preparing for the Olympics C. A 50-year-old female going through menopause D. A 58-year-old male with prostate problems

Which patient statements would the nurse evaluate as negatively affecting access to health care? (Select All That Apply)

A. An older adult says, "If I tell my doctor that I fall frequently, I might have to go to a nursing home." D. The patient's new insurance plan requires a $10 copay for office visits. E. A patient asks to be discharged before noon as he has a 3-hour drive home.

The client receives beclomethasone (QVAR). What will the best assessment by the nurse include? (Select All That Apply)

A. Assess the client for any hoarseness or change in voice. B. Assess the client's mouth for any sign of fungal infection. D. Assess if the client has blown his nose prior to administration of nasal spray. E. Assess if the client has had a change in taste.

The nurse is providing care to a client diagnosed with chronic obstructive pulmonary disease (COPD). Which clinical manifestations are the direct result of altered perfusion? (Select all that apply.)

A. Confusion E. Cyanosis

The nurse is providing care to a client diagnosed with chronic obstructive pulmonary disease (COPD). Which factors in the client's history support the current diagnosis? (Select all that apply)

A. Current cigarette smoking B. History of asthma E. Working in an industrial environment

A nurse administering medications to a variety of patients on a medical-surgical floor recognizes that which patients may need additional education about medication adherence? (Select All That Apply)

A. Fifty-year-old recently remarried male taking antihypertensive medication B. Thirty-four-year-old female with family history of blood clots taking an estrogen oral contraceptive C. Thirty-eight-year-old male recently started on an antidepressant D. Twenty-eight-year-old female started on acne medication known to cause male-patterned hair growth

A nurse on the medical-surgical unit is caring for several very ill patients. One patient says, "I was supposed to get my medications an hour ago." The nurse recognizes that medication errors can have what repercussions? (Select All That Apply)

A. Medication errors can potentially extend the patient's length of hospital stay. B. Medication errors can result in expensive legal costs to the facility. C. Medication errors can damage the facility's reputation. E. Medication errors cause preventable deaths during hospitalizations.

The nurse is assessing several patients. For which patient does assessment reveal a psychosocial history that may affect the patient's outcome? (Select All That Apply

A. Older adult who recently suffered a stroke, has an unsteady gait, and lives in a two-story home B. Middle-aged patient with Down syndrome living in a group home C. Recently divorced mother of three children with breast cancer

The nurse is working very hard to prevent medication errors. What plans will assist the nurse in preventing most errors? (Select All That Apply)

A. Plan to always check the patient's identification band prior to administration of medications. B. Plan to open all of the medications immediately prior to administration. C. Plan to tell physicians that verbal orders will not be accepted.

Which of the following are incorporated in the rights of Medication Administration? (Select All that Apply)

A. Right Patient B. Right Medication C. Right Dose D. Right Documentation

The nurse is instructing a client who is prescribed ipratropium bromide (Atrovent) for asthma. Which should be included in this client's teaching? (Select all that apply)

A. Rinse the mouth after taking this medication. B. Use hard candy or drink extra fluids to help with a dry mouth. E. Take no more than the prescribed number of doses each day.

A patient newly diagnosed with diabetes expresses concerns about losing her vision. Which interventions should be included in the plan of care to reduce this risk? (Select all that apply)

A. Smoking cessation C. Emphasis on the importance of taking antihypertensive drugs as prescribed by your doctor E. Ways to reduce hyperglycemic episodes

A nurse needs to teach a client newly diagnosed with asthma how to manage their disease. What topics should the nurse teach? (Select All That Apply)

A. The importance of rest and activity balance. B. Desired effects and side effects of medications. C. How to use an inhaler during an asthma attack. D. Purchasing a medical alert bracelet that says they have asthma. E. The need to avoid crowds to prevent infection.

A nurse is teaching a community group about holistic medicine. Which information should the nurse include about Western medicine? (Select All That Apply)

A. Western medicine focuses on the cause of disease. D. Disease is often viewed as a malfunction in a specific body system. E. Western medicine may focus on disease treatment.

A patient experiencing occasional minor digestive problems asks the nurse about herbal therapy. Which herbs would the nurse recommend? (Select All That Apply)

A. Wheat grass B. Green tea C. Ginger

The nurse would expect to see all of the following signs and symptoms in a 10-year-old patient with Type I diabetes except?

Abdominal pain

The nurse is planning care for a client diagnosed with chronic obstructive pulmonary disease (COPD). When planning care for this client, which intervention is not appropriate to enhance the client's breathing pattern?

Administer a cough suppressant.

The nurse is caring for a patient with a history of asthma who is admitted to the emergency department. The patient is dyspneic, respiratory rate of 35 breaths/minute, nasal flaring and using accessory muscles. Auscultation of the lung fields reveal greatly diminished breath sounds. Which of the following actions should be a priority?

Administering the bronchodilator medication as ordered.

The nurse is providing discharge teaching for a patient diagnosed with COPD. Which of the following statements should the nurse make? (Select all that apply.)

B. "Controlled coughing should be done when you first wake up, prior to meals and before you go to bed." D. "Make sure you receive your influenza and pneumococcal vaccine when they become available."

A patient who has recently been diagnosed with type 1 diabetes mellitus will require insulin therapy. The patient states, "I guess I will have to give up the half bottle of wine I drink at dinner." Which information should the nurse provide? (Select All That Apply)

B. "Limit your wine to a time when you are eating a complete meal." D. "Limit your wine to one glass a day."

The client has been diagnosed with type 1 diabetes mellitus. He asks the nurse what this means. What is the best response by the nurse? (select all that apply)

B. "Without insulin you will develop ketoacidosis (DKA)." D. "The endocrine function of your pancreas is to secrete insulin, but it isn't working." E. "It means your pancreas cannot secrete insulin."

A patient who is strictly vegetarian due to religious beliefs has been prescribed a medication contained in a gelatin capsule. Which nursing action is indicated?

Collaborate with the prescriber to find an alternative medication.

The patient is receiving albuterol for treatment of bronchospasm related to asthma. What is the primary nursing intervention as it relates to this medication?

Monitor the patient for relief of bronchospasms.

The nurse is teaching an adult patient who has Type 1 diabetes mellitus about ketoacidosis. What is the primary cause for the development of ketoacidosis?

Not taking insulin regularly

The nurse has been teaching a patient about herbal preparations and determines that additional teaching is required when the patient makes which statement?

"Herbal products usually contain only one active ingredient."

What statement made by the client would indicate that the nurse's teaching was effective for a client diagnosed with Chronic Obstructive Pulmonary Disease (COPD)?

"I need to get an influenza vaccine each year, even if I feel well."

A patient returns to the clinic for follow-up after taking a newly prescribed medication for a month. The nurse recognizes medication teaching was successful when the patient makes which statement? (Select All That Apply)

"I've been taking my medication on an empty stomach like the prescription label said to."

A client diagnosed with COPD says, "I don't see why I need to stop smoking. The damage to my lungs is already done." How should the nurse respond to this statement? (Select All That Apply)

"If you stop smoking now, your COPD may not get worse as fast."

A patient with stable COPD receives prescriptions for an inhaled glucocorticoid and an inhaled beta2-adrenergic agonist. Which statement by the patient indicates understanding of this medication regimen?

"The glucocorticoid is used as prophylaxis to prevent exacerbations."

The nurse prepares to teach patients about the safety and usefulness of herbal preparations. Which statement would be included in the best plan by the nurse?

"The manufacturer does not have to prove the safety or efficacy of the herbal preparation."

The patient is admitted to the hospital following an abortion which resulted in an infection in the blood. The physician orders antibiotics that the patient refuses stating, "I don't deserve them." The nurse providing care has anti-abortion beliefs. What is the best response by the nurse?

"You have a serious infection and really need the drug."

The physician orders a medication to be administered q8h. The first dose is given at 6:00 a.m. What times will this medication be given throughout the day in military time?

0600h - 1400h - 2200h

A nurse is providing discharge teaching to the parent of a child who is prescribed diphenhydramine 25 mg elixir every 4 hr as needed. The amount available is diphenhydramine elixir 12.5 mg/5 mL. How many mL should the nurse administer per dose? (Only enter the number, Round to a whole number)

10 mL

Vancomycin 1 g in 500 ml of normal saline is to be administered over 4 hrs. How many milliliters per hour should the IV pump be programmed for? (Round to a whole number, only enter the number)

125

At 1:15pm, the nurse started a patient's IV antibiotic of Kefzol (cefazolin) 1g in 50mL . The IV pump is infusing at 200 mL/hr. Using military time, what time will this infusion be complete? (Only enter the number)

1330

A continuous Iv is infusing at the rate of 20 mL/HR. How many mLs will infuse in an 8-hour period? (Round to nearest whole number, enter the number only)

160

Mrs. Martin receives Motrin 800 mg po three times a day for pain. The drug is supplied in 400 mg tablets. How many tablets will the nurse administer per dose? (Round to a whole number)

2

The provider orders zolpidem tartrate 10 mg PO at bedtime for a patient. Zolpidem tartrate is available in 5 mg tablets. How many tablets would the nurse administer with each dose? (Round to a whole number, only enter the number)

2

The physician orders Normal Saline at 150 ml/hr. The IV set drop factor is 10 gtt/ml. How many drops per minute should be given? (Round to a whole number, only enter the number)

25

Convert 3.4 kg to an equivalent amount in grams. (Only enter the number, Round to a whole number)

3400 G

Order: Bumetanide (Bumex) 1 mg IV daily.The label on the vial reads 0.25mg/mL. How many milliliters will you administer per dose? (Round to a whole number, only enter the number in the answer)

4

The patient has a sliding scale for insulin dosages. The order is for Humulin Regular Insulin every 6 hours as follows: 0- 180 mg/dL No Coverage 181-240 mg/dL 2 units subcutaneous 241-300 mg/dL 4 units subcutaneous 301-400 mg/dL 6 units subcutaneous Greater than 400 mg/dL 8 units subcutaneous and notify physician The patient's blood sugar is 322 mg/dL. How many units of regular insulin will the nurse administer? (Round to a whole number, only enter the number)

6

Order: 2000 mL D5W IV infused in six hours. The drop factor is 15 gtt/mL. Calculate the flow rate in gtt/min. (Round to the nearest whole number, only enter the number)

83

A patient is to receive a medication every twelve hours. The first dose was administered at 2100h. At what time will the next dose be administered (expressed as standard time; AM or PM)?

9am

The risk management department is using a root-cause analysis to improve a nursing unit's medication administration accuracy. What questions will be used to develop this tool? (Select All That Apply)

A. What kind of errors are occurring? B. What is the current medication administration accuracy rate? D. What do the nurses think can be done to prevent errors from continuing? E. What is the impact of changes made to improve accuracy? Answers:A. What kind of errors are occurring?

Your assisting your patient who has asthma to bed. The patient is experiencing a frequent cough and chest tightness. You auscultate the patient's lung fields and note expiratory wheezes. The patient's peak flow rate is 78% less than their best peak flow reading. Which medication will provide the patient with the fastest relief from these signs and symptoms of an asthma attack?

Albuterol

The nurse is assigned to care for a client admitted to the hospital with chronic obstructive pulmonary disease (COPD). Which medication does the nurse anticipate to decrease this client's risk for developing a respiratory infection?

An influenza vaccine

A nurse is preparing a teaching plan for a patient with diabetes mellitus regarding proper foot care. What instruction will be included in the plan?

Apply lotion to dry feet but not in between toes

A patient who uses an inhaled corticosteroid for chronic asthma calls the nurse to report hoarseness. What will the nurse do?

Ask whether the patient is rinsing the mouth after each dose.

The nurse provides teaching about a drug to an older adult couple. To ensure that the instructions are understood, which action would be most appropriate for the nurse to take?

Assess the patients' reading levels and have the patients "teach back" the instructions to determine understanding.

Which phase of the nursing process requires the nurse to establish a comprehensive baseline of data concerning a particular client?

Assessment

The destruction of which types of cells in the islets of Langerhans cause type 1 diabetes mellitus?

Beta cells

Which items is one of the more common complications resulting from drug-herbal interactions?

Blood coagulation

A patient presents to the emergency department with exacerbation of asthma that occurred while eating breakfast at a local buffet. The nurse would ask which assessment questions? (Select all that apply.)

C. "Did you have pastries with nuts?" D. "Did you eat bacon or sausage?" E. "Did you have any dairy products?"

Which concepts should the nurse use when formulating a nursing diagnosis? (Select All That Apply)

C. Include the patient in the identification of needs D. Consider the patient's response to the current health problem

The client receives ipratropium (Atrovent) via inhalation for the treatment of chronic asthma. The nurse plans to do medication education with the client. What will the best plan by the nurse include? (Select All That Apply)

D. Report any changes in urinary pattern. E. Report any increased dyspnea.

The nurse is caring for a patient who is newly diagnosed with asthma. When teaching the patient how to reduce exposure to allergens, what action should the nurse suggest?

Covering pillows and mattresses in plastic cases

An adolescent patient with type I diabetes mellitus is admitted to the emergency department for treatment of diabetic ketoacidosis (DKA). Which assessment findings should the nurse expect to note?

Fruity breath and decreasing level of consciousness

The nurse is attending a bridal shower for a friend when another guest starts to tremble and complains of dizziness. The nurse notices a medical alert bracelet for diabetes. What will be the nurse's best action?

Give the guest a glass of juice

A patient with type 1 diabetes is eating breakfast at 7:30 AM. Blood sugars are on a sliding scale and are ordered before meals and at bedtime. The patient's blood sugar level is 317 mg/dL. What formulation of insulin should the nurse prepare to administer?

Humulin R

The nurse caring for a newly diagnosed patient with asthma understands that asthma occurs in what two ways?

Inflammation and hyperresponsiveness.

The nurse is assessing a client with Asthma. Which manifestation warrants immediate intervention?

Inspiratory and expiratory wheeze.

A nurse is teaching a group of nursing students about the different formulations of beta 2 adrenergic agonist medications. Which statement by a student indicates understanding of the teaching?

Oral beta 2 agonists are not useful for short term treatment

A client diagnosed with chronic obstructive pulmonary disease (COPD) has a pulse oximetry reading of 93%, increased red blood and white blood cell count, temperature of 101°F, pulse 100 bpm, respirations 35 bpm, and a chest x-ray that showed a flattened diaphragm with infiltrates. Based on this data, which physician's order does the nurse question for this client?

Oxygen by nasal cannula at 5-6 liters/minute

The patient uses Ginkgo biloba to enhance memory functioning but has not told the nurse about this herb. The physician orders warfarin (Coumadin) for the patient. Which findings may the nurse find upon assessment?

Petechiae and bleeding from the gums

Which of the following must occur for a goal statement to be patient centered?

The client must be involved in establishing the goal.

A patient with stable COPD receives prescriptions for an inhaled glucocorticoid and an inhaled beta2-adrenergic agonist. Which statement by the patient indicates understanding of this medication regimen?

The glucocorticoid is used as prophylaxis to prevent exacerbations.

A nurse is teaching a newly diagnosed patient with diabetes the appropriate injection sites for insulin. Which statement made by the patient demonstrates understanding of the teaching?

The most common sites for injections are the abdomen, upper arm, and the thigh

What statement is accurate about the long-term complications of diabetes?

Tightly controlling both types of diabetes reduces the risk of eye, kidney, and nerve damage.

A patient has a prescription for two inhalers, albuterol (Proventil) and beclomethasone (Qvar). How should the nurse instruct this patient on the proper use of the inhalers?

Use the albuterol inhaler, wait 5-10 minutes, then use the beclomethasone inhaler.

The nurse understand that gender issue also influence pharmacotherapy. What item below is a true statement?

Women are more likely to stop taking medications because of side effects.

A nurse provides dietary counseling for a patient newly diagnosed with type 1 diabetes. Which instruction should be included?

You should use a carbohydrate counting approach to maintain glycemic control

The nurse makes a medication error, but the patient is not harmed. The patient's family asks the nurse manager what is considered a medication error. Which are potential responses by the nurse manager? (Select All That Apply)

a. Failure to follow health care provider's orders B. Failure to give the right medication C. Failure to give a medication at the ordered time E. Failure to give the right dose of the medication