Exam 3 study guide

A nurse is preparing to administer cardiac medications to two clients with the same last name. She checks the medication three times before entering the room to administer medications to the first client. While leaving the room, the nurse realizes she didn't check the client's identification before administering the medication. Which action should the nurse take first? Return to the room, check the client's identification against the medication administration record, and complete a variance report if needed. Check the second client's identification and administer the remaining medication to him. Alert the charge nurse that she made a medication error. Document the medication error and completion of the variance report in the client's chart and notify the physician.

Return to the room, check the client's identification against the medication administration record, and complete a variance report if needed.

A day-shift nurse gives a client an injection of pain medication. The nurse forgets to document the injection on the medication administration record (MAR). The day-shift nurse tells the evening-shift nurse that she gave the client 4 mg of morphine at 2 p.m. for postoperative pain but didn't document the injection. The evening-shift nurse puts the day-shift nurse's initials and the date and time the dose was administered in the appropriate area of the MAR. The evening-shift nurse's action is considered to be which type of documentation error? Omission Late entry Improper correction Unauthorized entry

Unauthorized entry

RAS Located in the upper brain stem Maintain ____________ and wakefulness

alertness

Affected by light, temperature, social activities, and work routines, __________ rhythms

circadian

A barium enema is used to visualize the _____

colon

Stage I: Just ________ ________ Heart rate begins to slow

falling asleep

Implementation for regular bowel movements include: ________ and proper ____

hydration, diet

New ostomy patients need to consume ___ fiber for first weeks

low

Stage III and IV: Deeper stages of sleep Sleeper is ____ __________ to wake up

more difficult

Sterile technique is _____ necessary when administering an enema

not

An effective pouching system protects the skin, contains fecal material, remains ____ free, and is comfortable and _____________

odor, inconspicuous

Fecal Occult Blood Test - A false positive occult blood result may happen due to: Ingestion of ___ ____ within 3 days

red meat

For an ileostomy, the terminal end of the __________ colon is brought to the surface of the abdomen

sigmoid

When a client reports being allergic to amoxicillin even though the medication administration record and armband do not indicate medication allergies, the nurse should: administer the prescribed medication. withhold the amoxicillin. administer another, similarly acting antibiotic. call the family to verify the client's statement.

withhold the amoxicillin.

___ rest does not guarantee that a patient will feel rested.

Bed

Which type of medication order might read "Vitamin K 10 mg I.M. daily × 3 days?" One-time order Stat order Standing order As-needed order

Standing order

C Diff is Caused by _________ or ______________

contact, antibiotics

During REM sleep, Vivid, full color ___________ may occur

dreaming

Rest contributes to _________ relaxation

mental

A health care provider's _______ is necessary to remove an impaction

order

After administering a prescribed medication to a client who becomes restless at night and has difficulty falling asleep, which nursing action is most appropriate? sitting quietly with the client at the bedside until the medication takes effect engaging the client in interaction until the client falls asleep reading to the client with the lights turned down low encouraging the client to watch television until the client feels sleepy

sitting quietly with the client at the bedside until the medication takes effect

Drugs and substances, lifestyle, emotional stress, usual sleep pattern, and environmental factors can affect _______

sleep

The opening on the external abdominal surface for an ilostomy bag is called a _______

stoma

One nursing profession related cause of sleep disturbances is shift ____

work

A physician writes an order for a client that says: "Digoxin .125 mg P.O. once daily." To prevent a dosage error, how should the nurse transcribe this order onto the medication administration record? "Digoxin .125 mg P.O. once daily" "Digoxin 0.125 mg P.O. once daily" "Digoxin 0.1250 mg P.O. once daily" "Digoxin .1250 mg P.O. once daily"

"Digoxin 0.125 mg P.O. once daily"

What is the maximum amount of medication (in milliliters) that can be administered into the deltoid muscle? Record your answer using a whole number.

2

The nurse is using the Z-track method of intramuscular (IM) injection to administer iron dextran to a client with iron-deficiency anemia. Which techniques should the nurse use to give this injection? Select all that apply. Confirm the client's identity before administering the iron dextran. Inject the iron dextran into the deltoid muscle. Change the needle after drawing up the iron dextran. Before inserting the needle, displace the skin laterally by pulling it away from the injection site. Inject the iron dextran after aspirating for a blood return. After removing the needle, massage the injection site.

Confirm the client's identity before administering the iron dextran. Change the needle after drawing up the iron dextran. Before inserting the needle, displace the skin laterally by pulling it away from the injection site. Inject the iron dextran after aspirating for a blood return.

A client requests his medication at 9 p.m. (2100) instead of 10 p.m. (2200) so that he can go to sleep earlier. Which type of nursing intervention is required? Intradependent Interdependent Dependent Independent

Independent

What is one disadvantage of using the rectal route? It can cause orthostatic hypotension. It can cause hypersensitivity to the drug. It can result in incomplete drug absorption. It can cause rectal tears.

It can result in incomplete drug absorption

An infant received the wrong medication dose. What is the charge nurse's role in following up on the incident? Suggest that the nurse who administered the medication speak to the hospital lawyer. Make sure the nurse has liability insurance. Objectively assess the circumstances surrounding the error. Send the nurse to a medication administration course.

Objectively assess the circumstances surrounding the error.

The nurse is preparing to administer a flu shot to an elderly client. How should the nurse proceed? Place the steps in sequential order. Use all the options. 1 Put gloves on. 2 Locate the deltoid muscle. 3 Clean the injection site with an alcohol pad. 4 Expel air bubbles from the syringe. 5 Gently stretch the skin taut at the sites. 6 Inject it into the muscle at a 90-degree angle

Put gloves on. Locate the deltoid muscle. Clean the injection site with an alcohol pad. Expel air bubbles from the syringe. Gently stretch the skin taut at the sites. Inject it into the muscle at a 90-degree angle.

Which question should the nurse ask first when obtaining a history from the mother of a 10-year-old child with a fever, reports of not feeling well, and swelling around the eyes? "Has the child had a sore throat recently?" "Is the child playing with friends as usual?" "Does the child urinate as much as usual?" "Is the urine pale in color?"

"Does the child urinate as much as usual?"

The nurse is teaching a client about using topical gentamicin sulfate. Which comment by the client indicates the need for additional teaching? "I will avoid being out in the sun for long periods." "I should stop applying it once the infected area heals." "I will call the health care provider (HCP) if the condition worsens." "I should apply it to large open areas."

"I should apply it to large open areas."

A 17-year-old client who has been taking an antidepressant for 6 weeks has returned to the clinic for a medication check. When the nurse talks with the client and her parent, the mother reports that she has to remind the client to take her antidepressant every day. The client says, "Yeah, I am pretty bad about remembering to take my meds, but I never miss a dose because Mom always bugs me about taking it." Which response would be effective for the nurse to make to the client? "It is a good thing your mom takes care of you by reminding you to take your meds." "It seems there are some difficulties with being responsible for your medications that we need to address". "You will never be able to handle your medication administration at college next year if you are so dependent on her." "I am surprised your mother allows you to be so irresponsible."

"It seems there are some difficulties with being responsible for your medications that we need to address".

Which intervention is an example of primary prevention? Administering digoxin to a client with heart failure Administering a measles, mumps, and rubella immunization to an infant Obtaining a Papanicolaou (Pap) test to screen for cervical cancer Using occupational therapy to help a client cope with arthritis

Administering a measles, mumps, and rubella immunization to an infant

An adolescent in the terminal stage of leukemia cries out for more pain medicine. What is the best action for a nurse to take in caring for this dying adolescent? Give him more pain medication to control his pain and suffering. Withhold pain medication because he may become addicted to it. Maintain a strict medication administration schedule. Withhold medication because the adolescent has a low pain threshold.

Give him more pain medication to control his pain and suffering.

When a nurse tries to administer medication, the client refuses it, saying, "I don't have to take those pills if I don't want to." What intervention by the nurse would have the highest priority? Insisting that the client take the medication because it is specifically ordered for the client Reporting the client's comments to the physician and the treatment team Explaining the consequences of not taking the medication, such as a negative outcome Exploring how the client's feelings affect his/her decision to refuse medication

Exploring how the client's feelings affect his/her decision to refuse medication

Which technique is correct when the nurse is inserting a rectal suppository for an adult client? Insert the suppository while the client bears down. Place the client in a supine position. Position the suppository along the rectal wall. Insert the suppository 2 inches (5 cm) into the rectum.

Position the suppository along the rectal wall.

A client diagnosed with major depression has sleep and appetite disturbances, a flat affect and is withdrawn. The client has been taking fluvoxamine 50 mg twice daily for 5 days. Which client behavior is most important to report to the next shift? client's flat affect client's interacting with a visitor client sleeping from 2300 hours to 0600 hours client spending the entire evening in her room

The most important behavior to report to the next shift is that the client was able to sleep from 2300 to 0600. This indicates that improvement in the symptoms of depression is occurring as a result of pharmacologic therapy. The nurse would expect to observe improvement in sleep, appetite, and psychomotor behavior first before improvement in cognitive symptoms.

When prioritizing a client's care plan based on Maslow's hierarchy of needs, a nurse's first priority would be: allowing family members to visit a newly admitted client. ambulating the client in the hallway. administering pain medication. placing wrist restraints on the client.

administering pain medication

A nurse is developing a drug therapy regimen that won't interfere with a client's lifestyle. When doing this, the nurse must consider the drug's: adverse effects. route of excretion. peak concentration time. steady-state duration of action.

adverse effects

Contact ordering physician for clarification, concerns, or questions. Do not _______ Ask for a ____ order

assume, new

A hospitalized client fell on the floor and sustained a small laceration on the hand that required stitches. The intern will suture the client's hand at the client's bedside and asks for bupivacaine with epinephrine and a suture kit in order to suture the laceration. The nurse should question: the intern's ability to suture. the client's room as an aseptic environment. bupivacaine with epinephrine as the local anesthetic. the cosmetic effect from not having a plastic surgeon do the suturing.

bupivacaine with epinephrine as the local anesthetic.

When using a NG tube, use _______ technique, Maintain __________

clean, patency

__________ bag = Opening from the colon

colostomy

The nurse is preparing to administer the last dose of ceftriaxone before discharge to a 1-year-old but finds the the IV has occluded. The nurse should: restart the IV. administer the medication intramuscularly. document that the last dose was withheld. contact the prescriber to request a prescription change.

contact the prescriber to request a prescription change.

The nurse is __________ responsible for medications she/he administers

legally

What can we do for the client with a Bowel Elimination Dysfunction? Assist in _________ __________ habits, and administer anti-___________ agents

regular bowel, diarrheal

A primary treatment for sleep apnea is __________ loss

weight

A client is admitted to the acute psychiatric care unit after 2 weeks of increasingly erratic behavior. He has been sleeping poorly, has lost 8 lb (3.6 kg), is poorly groomed, exhibits hyperactivity, and loudly denies the need for hospitalization. Which nursing intervention takes priority for this client? Providing adequate hygiene Administering a sedative as ordered Decreasing environmental stimulation Involving the client in unit activities

Decreasing environmental stimulation

Which intramuscular (IM) sites are appropriate for the nurse to use in an adult client? Select all that apply. Abdominal fat pad Dorsogluteal muscle Deltoid muscle Vastus lateralis muscle Rectus femoris muscle

Dorsogluteal muscle Deltoid muscle Vastus lateralis muscle Rectus femoris muscle

A colostomy bag consists of a: ____plate Adheres to the skin _____ for containing the feces/gas

Faceplate, pouch

What is the priority action that a nurse should take after omitting an ordered medication? Notify the prescriber. Document the omission and the reason for it. Write an incident report. Notify the nursing supervisor.

Notify the prescriber.

The nurse transcribes the following physician's order onto the client's medication record: September 15, 2012 Administer 10 gtt of timolol maleate ophthalmic solution AU daily. John Bloom, MD Which components of the medication order should the nurse question? Select all that apply: Number of drops Route Type of medication Signature Frequency of administration Date

Number of drops Route

A nurse on the gynecologic surgery unit observes a respiratory therapist (RT) take a medication cup with pills that was sitting in the medication room. What course of action should the nurse take? Report the situation to the supervisor of respiratory therapy. Tell the RT that you saw her take the pills from the medication room. Report the situation to the nursing supervisor. Tell the nurse who was administering medications not to leave pills out.

Report the situation to the nursing supervisor

A medication order reads, "Meperidine 1 ml I.M. stat." A nurse responsible for administering the drug should base her next action on which understanding? The order should specify the precise time to give the drug. The ordered route is inappropriate for administration of this drug. She should clarify the order with the physician. The order is correct and valid.

She should clarify the order with the physician.

Eardrops have been prescribed to be instilled in the adult client's left ear to soften cerumen. To position the client, the nurse must do which of the following? Select all that apply. Have the client lie on the left side. Straighten the client's eustachian tube. Gently pull the auricle up and back. Gently pull the ear lobe down and back. Chill the eardrops prior to administering.

Straighten the client's eustachian tube. Gently pull the auricle up and back.

The nurse is teaching the client how to use a metered-dose inhaler (MDI) to administer a corticosteroid. Which observations indicates that the client is using the MDI correctly? Select all that apply. The inhaler is held upright. The head is tilted down while inhaling the medicine. The client waits 5 minutes between puffs. The client rinses the mouth with water following administration. The client lies supine for 15 minutes following administration.

The client rinses the mouth with water following administration. The inhaler is held upright.

Which procedures can the nurse working on a pediatric floor safely delegate to the licensed practical/vocational nurse (LPN/VN)? Select all that apply. refilling a baclofen pump administering gastrostomy tube feedings inserting hearing aids giving an IV push medication calling the morning blood sugars to the health care provider (HCP)

administering gastrostomy tube feedings inserting hearing aids

A client who had transurethral resection of the prostate has dribbling urine after his Foley catheter is removed on the second postoperative day. The nurse notes that the client had 200 mL of urine output in the last 8 hours with a 1,000 mL intake. The nurse should first: apply a condom catheter. assess for bladder distention. obtain a urine specimen for culture. teach the client Kegel exercises.

assess for bladder distention.

Which are appropriate identifiers to use when providing care or administering medications or treatments? Select all that apply. room number bed number medical record number name band social security (social insurance) number

medical record number name band

The charge nurse on a hematology/oncology unit is reviewing the policy for using abbreviations with the staff. The charge nurse should emphasize which information about why dangerous abbreviations need to be eliminated? Select all that apply. to ensure efficient and accurate communication to prevent medication errors to ensure client safety to make it easier for clients to understand the medication prescription to make data entry into a computerized health record easier

to ensure efficient and accurate communication to prevent medication errors to ensure client safety

A client with inflammatory bowel disease undergoes an ileostomy. On the first day after surgery, the nurse notes that the client's stoma appears dusky. How should the nurse interpret this finding? Blood supply to the stoma has been interrupted. This is a normal finding 1 day after surgery. The ostomy bag should be adjusted. An intestinal obstruction has occurred.

Blood supply to the stoma has been interrupted.

To give a Z-track injection, a nurse measures the correct medication dose and then changes the needle on the syringe. What is the rationale for this action? Changing the needle makes the injection less painful. Changing the needle prevents the solution from entering a blood vessel. Changing the needle prevents the drug from flowing back into the needle track. Changing the needle ensures that the client receives the entire dose.

Changing the needle makes the injection less painful.

A 13-year-old girl is being evaluated for possible Crohn's disease. The nurse expects to prepare her for which diagnostic study? Genetic testing Cystoscopy Myelography Colonoscopy with biopsy

Colonoscopy with biopsy

When assessing a preschooler who has sustained a head trauma, the nurse notes that the child appears to be obtunded. Which finding supports this level of consciousness? No motor or verbal response to noxious (painful) stimuli Remains in a deep sleep; responsive only to vigorous and repeated stimulation Can be roused with stimulation Limited spontaneous movement; sluggish speech

The child is obtunded if he can be aroused with stimulation.

The nurse is observing a new graduate nurse instill eyedrops into a client's eyes. The nurse evaluates that the new graduate is using appropriate technique when which of the following steps is incorporated into the procedure? The client is instructed to apply pressure to the eyes after instillation of the eyedrops. The nurse's hand is stabilized on the client's forehead while instilling the drops. The medication is placed onto the client's sclera. The client is instructed to look at the nurse while the drops are being instilled.

The nurse's hand is stabilized on the client's forehead while instilling the drops

The client with dual diagnoses of major depression and alcohol abuse states, "I only drink when I cannot sleep." Which outcome is important for the client to achieve first? Describe adaptive methods of coping to induce sleep. Verbalize negative effects of alcohol on the body. Describe dangerous effects when combining alcohol and antidepressant medication. Verbalize the desire to stop drinking alcohol.

Verbalize the desire to stop drinking alcohol.

A client developed cardiogenic shock after a severe myocardial infarction and has now developed acute renal failure. The client's family asks the nurse why the client has developed acute renal failure. The nurse should base the response on the knowledge that there was: a decrease in the blood flow through the kidneys. an obstruction of urine flow from the kidneys. a blood clot formed in the kidneys. structural damage to the kidney resulting in acute tubular necrosis.

a decrease in the blood flow through the kidneys.

When assessing an 18-year-old primipara who gave birth to a viable neonate under epidural anesthesia 24 hours ago, the nurse determines that the fundus is firm but to the right of midline. Based on this finding, the nurse should further assesses for: uterine inversion. paralytic ileus. urinary retention. perineal hematoma.

urinary retention.

A nurse inadvertently gives a client a double dose of an ordered medication. After discovering the error, whom should the nurse notify first? The client The prescriber The pharmacist The risk manager

The prescriber

A client complains of difficulty swallowing when the nurse tries to administer a medication in capsule form. What action should the nurse take next? Dissolve the capsule in a full glass of water. Break the capsule and mix the contents with applesauce. Withhold the medication. Check for availability of a liquid preparation.

Check for availability of a liquid preparation.

The nurse is preparing to administer 4 units of regular insulin to a client with type 1 diabetes mellitus. Which of the following equipment does the nurse need to perform the injection? Select all that apply. Medication administration record Nursing assessment sheet 27-gauge, ½" needle 22-gauge, ½" needle 27-gauge, 1" needle 22-gauge 1" needle

Medication administration record 27-gauge, ½" needle

A client's diagnosis of pneumonia requires treatment with antibiotics. The corresponding order in the client's chart should be written as: Moxifloxacin 400 mg daily. Moxifloxacin 400 mg Q.D. Moxifloxcin 400 mg qd. Moxifloxacin 400 mg OD.

Moxifloxacin 400 mg daily.

The nurse is assessing a client who has a chronic mental illness. What early signs of relapse should the nurse monitor for? Select all that apply. decrease in sleep and self-care increase in social isolation and withdrawal obvious delusions and hallucinations more fears and suspiciousness suicidal or homicidal threats

decrease in sleep and self-care increase in social isolation and withdrawal more fears and suspiciousness

A nurse who fails to check a client's armband before administering medications is: res judicata. negligent. stare decisis. vicariously liable.

negligent.

Gentamicin sulfate 25 mg IM has been ordered every 6 hours. Gentamicin sulfate 40 mg/mL is available. How many milliliters (to the nearest tenth of a mL) should the nurse administer in each dose?

0.6 mL

A registered nurse and a nursing assistant are caring for a group of clients. Which client's care may safely be delegated to the nursing assistant? A client who underwent surgery 12 hours ago whose suprapubic catheter is draining burgundy-colored urine A client with uncontrolled diabetes mellitus who underwent radical suprapubic prostatectomy 1 day ago and has an indwelling urinary catheter draining yellow urine with clots A client diagnosed with renal calculi who must ambulate four times daily and drink plenty of fluids. A client who requires neurological assessment every 4 hours after sustaining a spinal cord injury in a motor vehicle accident that left him with paraplegia

A client diagnosed with renal calculi who must ambulate four times daily and drink plenty of fluids.

A nurse has administered one unit of glucose to the client as per order. What is the correct documentation of this information? 1 Unit of glucose. 1 bottle of glucose. One U of glucose. 1U of glucose.

1 Unit of glucose.

The nurse is preparing to administer ear drops to a 2-year-old client with an infection of the external auditory canal. The order reads, "2 drops in the right ear three times per day." Which steps should the nurse take to administer this medication? Select all that apply. Wash hands and arrange supplies at the bedside. Warm the medication to the body temperature. Lie the child on the right side with the left ear facing up. Examine the ear canal for drainage. Gently pull the pinna up and back and instill the drops into the external ear canal.

Wash hands and arrange supplies at the bedside. Warm the medication to the body temperature. Examine the ear canal for drainage.

The nurse is preparing to administer furosemide to a 3-year-old with a heart defect. The nurse verifies the child's identity by checking the arm band and: asking the child to state her name. checking the room number. asking the child to tell her birth date. asking the parent the child's name.

asking the parent the child's name

The nurse manager is developing a "read-back" procedure to reduce medication administration errors. Which are purposes of the "read-back" requirement? Select all that apply. to prohibit prescriptions and test results from being communicated verbally or by telephone to make sure that prescriptions and test results that are communicated verbally or by telephone are clear to the receiver of the information to make sure that prescriptions and test results that are communicated verbally or by telephone are confirmed by the individual giving the information to minimize the risk of nonauthorized personnel from giving prescriptions which are communicated verbally or by telephone to encourage the use of electronic medical records

To make sure that prescriptions and test results that are communicated verbally or by telephone are clear to the receiver of the information To make sure that prescriptions and test results that are communicated verbally or by telephone are confirmed by the individual giving the information

An older adult woman who is usually meticulous about her appearance and dress arrives today for her 23rd day of radiation therapy. She appears disheveled and emotionally labile, and her responses to the usual questions are a little inappropriate. Her heart rate is 124 bpm, her respirations are 32 breaths/min, and her skin is cold and clammy. These findings would suggest that the nurse should further assess the client for: schizophrenia. panic disorder. depression. delirium.

delirium

The client has been taking magnesium hydroxide to control hiatal hernia symptoms. The nurse should assess the client for which condition most commonly associated with the ongoing use of magnesium-based antacids? anorexia weight gain diarrhea constipation

diarrhea

The nurse manager on a pediatric floor is updating safety recommendations for the unit. Which strategy would help reduce pediatric medication errors? Select all that apply. Eliminate the pediatric satellite pharmacy. Increase the number of steps in the medication administration procedure. Avoid using parenteral syringes when administering liquid oral medications. Limit the size of IV fluid bags that can be hung on small children. Reduce the available concentrations or dose strengths of high-alert medications to the minimum.

Avoid using parenteral syringes when administering liquid oral medications. Limit the size of IV fluid bags that can be hung on small children. Reduce the available concentrations or dose strengths of high-alert medications to the minimum.

A client is scheduled for cardiac catheterization the next morning. His physician ordered temazepam, 30 mg by mouth at bedtime, for sedation. Before administering the drug, the nurse should know that: sedatives cause predictable responses; hypnotics cause unpredictable ones. sedatives interact with few drugs; hypnotics interact with many. sedatives don't depress respirations; hypnotics do. sedatives reduce excitement; hypnotics induce sleep.

sedatives reduce excitement; hypnotics induce sleep.

The nurse in the emergency department is administering a prescription for 20 mg intravenous furosemide, which is to be given immediately. The nurse scans the client's identification band and the medication barcode. The medication administration system does not verify that furosemide is prescribed for this client; however, the furosemide is prepared in the accurate unit dose for intravenous infusion. What should the nurse do next? Contact the pharmacist immediately to check the order and the barcode label for accuracy. Administer the medication now, knowing the medication is labeled and the client is identified. Report the problem to the information technology team to have the barcode system recalibrated. Ask another nurse to verify the medication and the client so the medication can be given now.

Contact the pharmacist immediately to check the order and the barcode label for accuracy

The nurse is preparing to give an IM injection. to an underweight client. Which site is the safest because it has the fewest amount of blood vessels and major nerves located in the area? deltoid dorsogluteal vastus lateralis triceps

vastus lateralis

During the preoperative interview, the nurse obtains information about the client's medication history. Which information is not necessary to record about the client? current use of medications, herbs, and vitamins over-the-counter medication use in the last 6 weeks steroid use in the last year use of all drugs taken in the last 18 months

use of all drugs taken in the last 18 months

The nurse is caring for a client with an exacerbation of ulcerative colitis. The nurse should instruct the client to: use antidiarrheal medications regularly. obtain frequent rest periods. maintain a high-fiber diet. avoid lifting more than 5 pounds (2.3 kg).

obtain frequent rest periods. It is important for the client to have frequent rest periods. Repeated episodes of diarrhea interrupt sleep patterns, and poor nutrition may also cause the client to feel weak.

After receiving an I.M. injection, a client complains of burning pain at the injection site. Which nursing action would be most appropriate at this time? Applying a cold compress to decrease swelling Applying a warm compress to dilate the blood vessels Massaging the area to promote absorption of the drug Instructing the client to tighten his gluteal muscles to promote better absorption of the drug

Applying a warm compress to dilate the blood vessels

Which drug delivery system most effectively reduces the likelihood of medication errors? Floor stock Unit-dose Individual prescription Automated

Automated

It is acceptable for the nurse to accept a verbal order from the physician in which of these situations? During a medical emergency. Upon admission of the client to the unit. Immediately prior to discharge. Prior to the client leaving the floor for therapy.

During a medical emergency.

As a nurse-manager of a medical-surgical unit reviews the month's risk-management data, she notices that a number of incident reports were completed because 6 p.m.(1800) medications were administered late. Dinner is served between 5:30 p.m. (1730) and 6 p.m. (1800). Staff take their dinner breaks between 5 p.m. (1700) and 6:30 p.m.(1830). Based on this information, which is the most appropriate action for the nurse-manager to take? Terminate the nurses responsible for failing to administer medications on time. Decide that the staff must postpone dinner breaks until at least 7 p.m. (1900). Decide that the kitchen staff must change the time they deliver supper trays. Investigate when medications are given, staff and client dinner times, the number of medications that must be given at 6 p.m. (1800), and staff availability between 5 p.m. (1700) and 6 p.m. (1800).

Investigate when medications are given, staff and client dinner times, the number of medications that must be given at 6 p.m. (1800), and staff availability between 5 p.m. (1700) and 6 p.m. (1800).

A registered nurse (RN) and licensed practical nurse (LPN) are administering medications on the neurologic floor. The LPN prepares to administer phenytoin to a client with a history of seizures. As the LPN walks into the room, she hands the medication to a nursing assistant. The LPN asks the nursing assistant to give the client the medication after completing the client's morning care. What should the registered nurse do? Remind the LPN that she must administer the medications herself. Do nothing because the client has been taking the medication for a long time. Allow the nursing assistant to administer this dose and tell the LPN later that it's her responsibility to administer the medication. Take the medication from the nursing assistant and administer it.

Remind the LPN that she must administer the medications herself.