Nurs 3110 final exam

a nurse is preparing to administer methylprednisolone acetate 120 mg im daily. available is methylprednisolone acetate injection 80 mg/ml.

1.5 mL

a nurse is preparing to administer methylprednisolone acetate 60 mg im every week. Available is methylprednisolone acetate injection 40 mg/ml. how many ml should the nurse administer per dose

1.5 mL

a nurse is preparing to administer chlorpromazine 40 mg im to a client. available is chlorpromazine 25 mg/ml.

1.6mL

A nurse is preparing to administer amoxicillin/clavulanate 250 mg PO to a client. Refer to the medication label below. How many mL should the nurse administer?

10 mL

A nurse is preparing to administer cephalexin 500 mg PO Q6. Available is cephalexin suspension 250 mg/5 mL. How many mL should the nurse administer per dose?

10 mL

A nurse is preparing to administer diphenhydramine 25 mg PO to a client. The amount available is diphenhdyramine elixir 12.5 mg/5 mL. How many mL should the nurse administer?

10 mL

A nurse is preparing to administer erythromycin ethylsuccinate 800 mg PO Q12. Available is ethylsuccinate suspension 400 mg/5mL. How many mL should the nurse administer per dose?

10 mL

A nurse is preparing to administer ceftazidime 40mg/kg iv bolus every 8 hr to a toddler who weighs 22lb. Available is ceftazidime injection 40 mg/ml. How many mL should the nurse administer per dose

10 mL/dose

a nurse is preparing to administer phenytoin 15 mg/kg/day po divided in three equal doses to a client who weighs 120 lb. available is phenytoin suspension 125/5ml. How many mL should the nurse administer per dose

10.9 mL/dose

A nurse is preparing to administer acetaminophen 325 mg PO Q6. Available is acetaminophen oral suspension 160mg/5 mL. How many mL should the nurse administer per dose?

10mL

A nurse is preparing to administer potassium chloride 15 mEq Q12. Available is potassium chloride liquid 20 mEq/15 mL. How many mL should the nurse administer per dose?

11 mL

A nurse is caring for an infant who weighs 11 lb 4 o. What is the infants weight in lb?

11.25 lb

A nurse is preparing to administer potassium chloride liquid 5meq/kg/day po divided in equal doses every 6 hr to a child who weighs 64 lb. Available is potassium chloride liquid 40 meq/15mL. How many ML should the nurse administer per dose

13.6 mL/dose

a nurse is preparing to administer morphine 4 mg iv bolus every 3 hr prn pain. Available is morphine injection 10 mg/ml. How many mL should the nurse administer per dose

0.4 mL

A nurse is preparing to administer epoetin alfa 50 units/kg subcutaneous to a preschooler who weighs 40 lb. Available is epoetin alfa 2,000 units/ml. How many mL should the nurse administer?

0.45mL

A nurse is preparing to administer trazodone 25 mg PO at bedtime. Available is trazodone 50 mg tablets. How many tablets should the nurse administer per dose?

0.5

A nurse is preparing administer lorazepam 2mg iv bolus 20 min prior to surgery. Available is lorazepam injection 4 mg/mL. How many mL should the nurse administer

0.5 mL

a nurse is preparing to administer digoxin 0.125 mg iv bolus stat. available is digoxin injection 0.25 mg/ml. how many ml should the nurse administer

0.5 mL

A nurse is preparing a medication and calculates the dosage as 0.547 mL. The nurse should administer how many mL?

0.55 mL

a nurse is preparing to administer diphenhydramine 25 mg iv bolus stat. available is diphenhydramine injection 50 mg/ml

0.5mL

a nurse is preparing to administer diazepam 3 mg iv bolus every 3 hr prn anxiety. Available is diazepam injection 5 mg/ml. How many ml should the nurse administer per dose

0.6 mL

a nurse is preparing to administer heparin 15,000 units subcutaneous every 12 hr. available is hepari injection 20,000 units/ml. how many ml should the nurse administer per dose

0.75 mL

a nurse is preparing to administer meperidine 75 mg subcutaneous every 4 hr prn pain. Available is meperidine injection 100mg/ml. How many ml should the nurse administer per dose

0.75 mL

A nurse is preparing to administer digoxin 0.125 mg PO at 9:00 am. At which of the following times should the nurse administer the medication?

0900

A nurse is preparing to administer digoxin 0.25 mg iv bolus. Available is digoxin injection 0.25mg/ml. How many ml should the nurse administer

1 mL

a nurse is preparing to administer methlyprednisolone acetate 40 mg im daily. available is methylprednisolone acetate injection 20 mg/ml

2 mL

A nurse is preparing to administer digoxin 250 mcg PO daily. Available is digoxin 0.125 mg tablets. How many tablets should the nurse administer?

2 tablets PO daily

a nurse is preparing to administer potassium gluconate 2 meq/kg/day po divided equally every 12 hr to a child who weighs 50lb. How man meq should the nurse administer per dose

22.7 meq/dose

A nurse is preparing to administer magnesium gluconate 270 mg PO. Available is magensium gluconate liquid 54mg/5mL. How many mL should the nurse administer?

25mL

A nurse working in the emergency department is told that the smallpox virus was aerosolized at a parade attended by thousands of people. The nurse explains to the student nurse that the vaccine for this virus provides a high level of protection if given within ________ days of exposure.

3 p. 113

A nurse is preparing to administer levothyroxine 0.075 mg PO to a client. Available is levothyroxine 25 mcg tablets. How many tablets should the nurse administer?

3 tablets PO

A nurse is preparing to administer rifampin 0.6 g PO daily. Available is rifampin 150 mg capsules. How many capsules should the nurse administer?

4

A nurse is preparing to administer hydromorphone 4 mg PO Q4 PRN for pain. Available is hydromorphone oral liquid 1 mg/1 mL. How many mL should the nurse administer per dose?

4 mL

A nurse is preparing to administer 650 mg of acetaminophen syrup to a client. The amount available is acetaminophen syrup 160 mg/5 mL. How many tsp should the nurse administer per dose?

4 tsp

A nurse is converting a toddlers weight from lb to kg. If the toddler weighs 17 lb 9 oz, what is the toddlers weight in kg

8 kg

A nurse is preparing to administer fluoxetine 35 mg PO daily. Available is fluoxetine solution 20 mg/5 mL. How many mL should the nurse administer daily?

8.8 mL

A nurse is converting a toddlers weight from lb to kg. If the toddler weighs 20lb 8 oz, what is the toddlers weight in kg

9.3 kg

A nurse is preparing to administer lamivudine 150 mg PO Q12. Available is lamivudine oral solution 10 mg/mL. How many mL should the nurse administer per dose?

15 mL

A nurse is preparing too administer gentamicin to a client who weighs 165lb. The medication reference recommends administering 2mg/kg IM every 8 hr. How many mg should the nurse plan to administer per dose?

150 mg

A nurse is preparing to administer potassium chloride powder 20 mEq PO in 6 oz of water. How many mL of water should the nurse administer?

180 mL water

A nurse is preparing to administer doxycycline 100 PO Q12. Available is doxycycline 50 mg tablets. How many tablets should the nurse administer per dose?

2

A nurse is preparing to administer gabapentin 1,800 mg per day divided into 3 equal doses. The amount available is gabapentin 300 mg capsules. How many capsules should the nurse administer per dose?

2

A nurse is preparing to administer lithium 600 mg PO Q8. Available is lithium carbonate 300 mg capsules. How many capsules should the nurse administer?

2

A nurse is preparing to administer quinapril 40 mg PO daily. Available is quinapril 20 mg tablets. How many tablets should the nurse administer daily?

2

A nurse is preparing to administer zolpidem 10 mg PO at bedtime. Available is zolpidem 5 mg tablets. How many tablets should the nurse administer per dose?

2

The nurse who is writing a risk nursing diagnosis will write a ________ part statement. Record your answer rounding to the nearest whole number.

2

A nurse is preparing to administer methylprednisolone 4 mg PO daily. Available is methylprednisolone 8 mg tablets. How many tablets should the nurse administer daily?

0.5

A nurse is preparing to administer doxepin 75 mg PO at bedtime. Available is doxepin 50 mg tablets. How many tablets should the nurse administer?

1.5

A nurse is preparing to administer furosemide 60 mg PO daily. Available is furosemide 40 mg tablets. How many tablets should the nurse administer daily?

1.5

A nurse is preparing to administer albuterol 4 mg PO Q6. Available is albuterol syrup 2 mg/5mL. How many mL should the nurse administer per dose?

10mL

a nurse is preparing to administer famotidine 0.5mg/kg PO to a child who weighs 50 lb. How many mg should the nurse administer per dose

11.4 mg

a nurse is preparing to administer potassium gluconate 3 meq/kg/day po divided in equal doses every 6 hr to a preschooler who weighs 42 lb. available is potassium gluconate liquid 20 meq/15ml. how many ml should the nurse administer per dose

11mL/dose

a nure is preparing to administer amikacin IM to a client who weighs 176 lb. The medication reference states the safe dosage range is 7.5 to 15 mg/kg/day divided every 12 to 24 hr. What is the maximum safe dose the nurse should administer

1200 mg/day

a nurse is preparing to administer levothyroxine 0.25 mg iv bolus stat. available is levothyroxine injection 100 mcg/ml. how many ml should the nurse administer

2.5 mL

A nurse is preparing to administer epinephrine hydrochloride 0.5 mg subcutaneous stat. How many mcg should the nurse administer?

500 mcg

a nurse is preparing to administer morphine 5 mg subcutaneous to a client. available is morphine 10 mg/ml. how many ml should the nurse administer

0.5 mL

a nurse is preparing to administer calcitonin 100 units subcutaneous to a client. available is calcitonin 200 units/ml

0.5 ml

A nurse is preparing to administer famotidine 20 mg PO Q12. Available is famotidine 40 mg tablets. How many tablets should the nurse administer per dose?

0.5 tablets

A nurse is preparing to administer methadone 2.5 mg PO Q8. Available is methadone 5 mg tablets. How many tablets should the nurse administer per dose?

0.5 tablets

A nurse is preparing to administer cephalexin 0.25 g PO Q6. Available is cephalexin 500 mg tablets. How many tablets should the nurse administer per dose?

0.5 tablets PO Q6

a nurse is preparing to administer haloperidol 3 mg im for agitation. available is haloperidol 5 mg/ml for injection

0.6 mL

A nurse is preparing a medication and calculates the dosage as 0.893 mL. Rounding to the nearest 100th, the nurse should administer how many mL?

0.89 mL

A nurse is preparing to administer amlodipine 10 mg PO once per day to a client. The amount available is amlodipine 2.5mg/tablet. How many tablets should the nurse administer?

4

A nurse is preparing to administer haloperidol 5 mg IM at 1715. At which of the following times should the nurse administer the medication?

5:15pm

a nurse is preparing to administer cefotaxime 1 g iv bolus every 12 hr. available is cefotaxime injection 1 g/50 ml. how many ml should the nurse administer per dose

50 mL

a nurse is preparing to administer phenytoin 100 mg IV bolus every 8hr. Available is phenytoin injection 50 mg/ml. How many mL should the nurse administer per dose

2 mL

A nurse is preparing to administer diphenhydramine 25 mg PO Q6. Available is diphenhydramine syrup 12.5mg/5 mL. How many tsp should the nurse administer per dose?

2 tsp

An adolescent client comes to the school nurse with complaints of vague abdominal pain. What statement by the student would help to confirm the nurse's suspicion that the adolescent has body image concerns? - "Everyone makes a big deal about what I eat, so don't ask." - "I have been sexually active with my boyfriend." - "My periods are irregular. Should I see a physician?" - "I just can't seem to get along with my parents."

"Everyone makes a big deal about what I eat, so don't ask."

1) The public health nurse notices that several clients in the hypertension clinic have poorly controlled hypertension, even though they have been prescribed appropriate antihypertensive drugs. Which question will best enable the nurse to assess these clients? 1. "Does your religion allow the use of high blood pressure medication?" 2. "Do you think your high blood pressure is a problem?" 3. "Can you afford the high blood pressure medication?" 4. "Does your culture use herbs to treat high blood pressure?"

3. "Can you afford the high blood pressure medication?

A nurse is preparing to administer ampicillin 50 mg/kg/day Po divided in equal doses every 8 hr to a child who weighs 39.6 lb. Available is ampicillin oral suspension 250 mg/5ml. How many mL should the nurse administer per dose?

6 ML/dose

A nurse is preparing to administer digoxin 225 mcg for a pediatric client who has a heart rate above 90/min. Which of the following actions should the nurse take to ensure administration of the right dose? (select all that apply) -Validate that the dosage is within the safe range -Confirm the medication amount is appropriate for the child -Verify that the medication is not expired -Check the client's heart rate prior to administration -Document the administration in the medication administration record

-Validate that the dosage is within the safe range -Confirm the medication amount is appropriate for the child

A nurse should use which of the following units when measuring weight? -gram -liter -meter -milliliter

-gram

a nurse is preparing to administer purified protein derivative 5 tuberculin units tu intradermal to a client. Available is 5 tu/0.1mL. How many mL should the nurse administer

0.1 mL

The client asks if there are any supplements that would help improve or preserve his memory. Which supplements would the nurse discuss? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Carnitine 2. Coenzyme Q10 3. Glucosamine 4. DHEA 5. Selenium

1. Carnitine 4. DHEA

1) A nurse is teaching a community group about holistic medicine. Which information should the nurse include about Western medicine? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Western medicine focuses on the cause of disease. 2. Western medicine is not compatible with holistic medicine. 3. The client is at the center of concern in Western medicine. 4. Disease is often viewed as a malfunction in a specific body system. 5. Western medicine may focus on disease treatment.

1. Western medicine focuses on the cause of disease. 4. Disease is often viewed as a malfunction in a specific body system. 5. Western medicine may focus on disease treatment.

A nurse is preparing to administer dextrose 5% in water 2 L to infuse over 6 hr. The nurse should administer how many mL?

2,000 mL

1) The African American client had a myocardial infarction and is receiving atorvastatin (Lipitor). The nurse assesses the client's diet to be very high in fat. What is the best plan by the nurse to improve the client's diet and reduce the risk for additional medications? 1. Ask an African American nurse to speak to him about a low-fat diet. 2. Discuss his diet with whomever prepares meals for his family. 3. Give the client information specific to African Americans about low-fat diets. 4. Obtain a consult for dietary services so a dietician can teach the client about low-fat diets.

2. Discuss his diet with whomever prepares meals for his family.

A client is admitted to the emergency department with suspected exposure to anthrax. The nurse anticipates the healthcare provider will prescribe which medication? 1) Anthrax vaccination 2) Atropine 3) Ciprofloxacin 4) Antiviral agents

3) Ciprofloxacin p. 112

A nurse has admitted a new client to the unit. Which concepts should the nurse use when developing a nursing diagnosis? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Base the nursing diagnosis on the medical diagnosis. 2. Focus on what the nurse needs to help the client return to health. 3. Include the client in the identification of needs. 4. Consider the client's response to the current health problem. 5. Be certain the diagnosis is measurable.

3. Include the client in the identification of needs. 4. Consider the client's response to the current health problem.

a nurse is preparing to adminster amoxicillin 30 mg/kg/day po divided in equal doses every 12 hr to an infant who weighs 5.5 kg. Available is amoxicillan suspension 125mg/5ml. How many ml should the nurse adminster per dose

3.3ML

1) The patient is from an Arab culture and is in labor and delivery. Her husband insists he must stay with her and will not allow her to receive any analgesia during the experience. What is the best action by the nurse? 1. Inform the husband that it is his wife's choice whether or not to receive analgesia. 2. Inform the husband that he must sign a release of responsibility to avoid future litigation against the hospital. 3. Allow the request but inform the husband that the healthcare provider will make the final decision about analgesia. 4. Allow this request and be available in the event the request changes.

4. Allow this request and be available in the event the request changes.

a nurse is preparing to administer erythromycin ethylsuccinate 50 mg/kg/day po divided in equal doses every 6 hr to a toddler who weighs 32 lb. available is erythroycin ethylsuccinate suspension 200 mg/5ml. How many ml should the nurse adminster per dose

4.5 mL dose

a nurse is converting an infants weight from lb to kg. if the infant weighs 10 lb 4 oz what is the infants weight in kg

4.7 kg

A client asks a nurse what the common complications are due to drug-herbal interactions. How would the nurse respond? 1. Hair growth 2. Urine output 3. Vision loss 4. Blood coagulation

Blood coagulation

The nurse provides care for elderly clients in an assisted living facility. What does the nurse assess as a primary contributing factor for drug toxicity in the elderly? - Older adults often abuse alcohol. - Older adults are frequently dehydrated. - Older adults are frequently constipated. - Older adults have decreased stomach acid.

Older adults are frequently dehydrated.

For which client would the nurse expect the healthcare provider to continue prescribed medications during pregnancy? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. - The client recently diagnosed with gonorrhea - The client with a history of frequent asthma attacks - The client with hypertension - The client with frequent insomnia - The client with a family history of stroke

The client recently diagnosed with gonorrhea The client with a history of frequent asthma attacks The client with hypertension

The client is being treated for a cardiac dysrhythmia with amiodarone (Cordarone). The client has elevated liver function tests (LFTs). Which assessment finding would the nurse suspect as contributing to the elevated LFTs? 1. The client was taking Kava-Kava for anxiety. 2. The client was taking Echinacea to treat cold symptoms. 3. The client was taking St. John's wort for depression. 4. The client was taking gingko biloba for memory problems.

The client was taking Echinacea to treat cold symptoms

A client asks a nurse why herbal remedies are popular now. What is the nurse best response? 1. They are being marketed very aggressively. 2. Most insurance policies cover them. 3. They are more effective for treating bacterial infections. 4. Their popularity is decreasing, not increasing.

They are being marketed very aggressively.

A nurse is planning to teach a client about the relationship of complementary and alternative therapies to pharmacology What should the nurse include? 1. They are more effective than medication use. 2. They can reduce client medication needs. 3. They serve as competitors and should not be promoted. 4. They have little-to-no value in disease prevention and treatment

They can reduce client medication needs.

The nurse plans to administer medication to a preschool child. Which approach indicates the nurse has an understanding of growth and development? - The child is often more cooperative if the parent is not in the room. - The child does better with verbal instruction than with play instruction. - There should be no need to restrain a child of this age. - Use a brief rationale, followed by quick administration of the medication.

Use a brief rationale, followed by quick administration of the medication.

A nurse is preparing to administer glipizide 5 mg PO ac. At which of the following times should the nurse administer the medication? -after meals (pc) -before meals (ac) -as needed (PRN) -at bedtime

before meals (ac)

A nurse working in a medical-surgical unit is preparing to administer meds to a client. The nurse plans to use two forms of identification to verify that she has the right client. Which of the following actions can the nurse take to identify the client? (select all that apply) -Compare the name of the client's wristband with the name in the medication administration record (MAR) -Ask the client to state his date of birth -Check the room number in the medication administration record (MAR) with the room number of the client -Ask the client to state his name -Use the car code scan to identify the client

-Compare the name of the client's wristband with the name in the medication administration record (MAR) -Ask the client to state his date of birth -Ask the client to state his name -Use the car code scan to identify the client

A nurse is preparing to administer regular insulin 15 units and isophane 40 units subcutaneous at 6:30am. At which of the following times should the nurse administer the medication?

0630

A nurse is preparing to administer sucralfate 1 g PO twice daily to a client. Available is sucralfate 1,000 mg tablets. How many tablets should the nurse administer per dose?

1 tablet

A nurse is preparing to administer codeine oral solution 30 mg PO to a client. The amount available is codeine 10mg/5 mL. How many tbsp should the nurse administer?

1 tbsp PO

The client tells the nurse that she is concerned about terrorist activity and questions if everyone should be immunized against smallpox. What is the best response by the nurse? 1) "The vaccine has side effects, which are serious and could kill many people." 2) "I really do not think our country has enough vaccine to do this." 3) "Don't be so concerned; if an attack comes, we will immunize people then." 4) "The vaccine has some serious side effects, but this is probably a good idea."

1) "The vaccine has side effects, which are serious and could kill many people." p. 113

A postmenopausal client with a history of stroke is told she cannot take female hormones because of the risk for future thromboembolic events. The client asks about nonpharmacologic ways to manage her symptoms. Which herbs does the nurse suggest as alternatives? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Soy 2. Black cohosh 3. Evening primrose 4. Saw palmetto 5. Acai

1. Soy 2. Black cohosh 3. Evening primrose

1) A nurse has been asked to present health promotion information at a community clinic whose clients are primarily non-Hispanic Black women. After review of health disparity and inequality statistics the nurse chooses to include information about which disorders? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Stroke 2. Coronary artery disease 3. Diabetes 4. Illicit drug use 5. Prenatal care

1. Stroke 2. Coronary artery disease 3. Diabetes 5. Prenatal care

1) All of the clients listed have cancer and are receiving chemotherapy. Which client does the nurse evaluate as having the highest probability for a remission? 1. The client with a support group of cancer survivors 2. The client who is also seeing a psychiatrist for treatment of depression 3. The wealthy client who can afford the best medical care available 4. The client who is a former healthcare provider

1. The client with a support group of cancer survivors

A client experiencing occasional minor digestive problems asks the nurse about herbal therapy. What is the best response by the nurse? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Wheat grass 2. Green tea 3. Ginger 4. Grape seed 5. Stevia

1. Wheat grass 2. Green tea 3. Ginger

1) A nursing student asks a nurse how gender influences pharmacology. How should the nurse respond? 1. Women tend to seek medical care earlier than men do. 2. Heart disease has traditionally been thought of as a woman's disease. 3. Since the 1980s, the FDA has mandated that research studies include both male and female subjects. 4. Studies indicate that men and women suffer from Alzheimer's disease in equal numbers.

1. Women tend to seek medical care earlier than men do.

The client says, "I am convinced that the mind-body interventions I am using are improving my health." The nurse would ask additional questions about which complementary and alternative therapies that belong to this category? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Yoga 2. Massage 3. Dance 4. Herbal therapies 5. Biofeedback

1. Yoga 2. Massage 3. Dance 5. Biofeedback

a nurse is preparing to administer meperidine 100 mg IM stat. Available is meperidine injection 75 mg/ml. How many ml should the nurse administer

1.3mL

a nurse is preparing to administer phenytoin 5 mg/kg/day P divided equally every 12 hr for an infant who weighs 12 lb 4 oz. How many mg should the nurse administer per dose

13.9 mg/dose

A nurse is preparing to administer cefdinir to a child who weighs 44lb. The medication reference recommends administering 7mg/kg po every 12 hour. How many mg should the nurse plan to administer per dose

140 mg

A nurse is preparing to administer ethosuximide 750 mg PO daily. Available is ethosuximide syrup 250 mg/tsp. How many mL should the nurse administer?

15

The nurse preparing to transfer to a pediatric hospital would expect to administer medications to children from birth to age ________ years. Record your answer rounding to the nearest whole number.

16

a nurse is preparing to administer acyclovir 5 mg/kg iv bolus every 8 hr to a client who weighs 75lb. How many mg should the nurse administer per dose

170.5 mg/dose

A nurse is preparing to administer codeine 30 mg PO Q4 PRN for pain. The client last received the medication at 1pm. The earliest the nurse should administer the next dose is at which of the following times?

1700

A nurse is preparing to administer triazolam 0.25 mg PO. Available is triazolam 0.125 mg tablets. How many tablets should the nurse administer per dose?

2

The nurse uses a newly admitted client's armband barcode to identify the client prior to administering medications. The nurse should use at least ________ other means of identifying this client. Record your answer rounding to the nearest whole number.

2

A nurse is preparing penicillin G benzathine 1,200,000 units IM. Available is penicillin G benzathine injection 600,000 units/ml. How many ML should the nurse administer per dose

2 ML

A nurse is preparing to administer amoxicillin 500 mg PO Q8. Available is amoxicillin oral suspension 250mg/5mL. How many tsp. should the nurse administer per dose?

2 tsp

The nurse is preparing for medication administration to a group of clients. What is the best overall outcome for the clients? 1. Clients will take the medications after receiving medication instruction. 2. Clients will receive the best therapeutic outcome from the medications. 3. Clients will state the reason they are receiving the medications. 4. Clients will experience minimal side effects after taking the medications.

2. Clients will receive the best therapeutic outcome from the medications.

A nurse is preparing to administer 0.9% sodium chloride 2,500 mL to infuse over 12 hr. The nurse should administer how many L?

2.5 L

The nurse is preparing an educational plan for parents about how to protect their children if a bioterrorist attack occurs. What is the best information to include? 1) "Don't worry, the Centers for Disease Control and Prevention (CDC) has everything under control." 2) "Plan to call the Centers for Disease Control and Prevention (CDC) if an attack occurs." 3) "Follow the Centers for Disease Control and Prevention (CDC) guidelines for immunizations." 4) "Realistically, there is nothing that can be done."

3) "Follow the Centers for Disease Control and Prevention (CDC) guidelines for immunizations." p. 109

A nurse is admitting a client to the emergency department who has overdosed on a benzodiazepine. The nurse should anticipate the healthcare provider will prescribe which of the following drugs? 1) Acetylcysteine 2) Digibind 3) Romazicon 4) Acetaminophen

3) Romazicon p.116

The nurse is reviewing the steps of the nursing process with a student. The nurse knows that the student understands the teaching when the student correctly lists which of the following as the correct order of the nursing process? 1. Establish nursing diagnosis, assessment, intervene, collaborate, evaluation 2. Establish goals, assessment, intervention, planning, communication 3. Assessment, establish nursing diagnosis, planning, interventions, evaluation 4. Assessment, planning, establish objectives, communication, evaluation

3. Assessment, establish nursing diagnosis, planning, interventions, evaluation

1) A client is diagnosed with cancer. The healthcare provider has recommended chemotherapy, which would likely save the client's life. The client tells the nurse, "This is punishment from God for sins I have committed; some women at my church say so." With permission from the client, what would the nurse do first? 1. Involve a hospital minister to discuss the client's perspective about cancer. 2. Plan to bring the case before the hospital's board of ethics. 3. Contact the client's minister to discuss the client's perspective about cancer. 4. Meet with family members to discuss the client's perspective about cancer.

3. Contact the client's minister to discuss the client's perspective about cancer.

The nursing instructor is teaching student nurses about the use of viruses in a bioterrorism attack. The nurse determines that learning has occurred when the students make which statement? 1) "The Centers for Disease Control and Prevention (CDC) has a plan to vaccinate Americans against most viruses." 2) "Actually, a bigger concern is a nuclear weapon exploding in a city." 3) "Most Americans have already been vaccinated against the lethal viruses." 4) "A bioterrorist attack with viruses is a real threat to Americans."

4) "A bioterrorist attack with viruses is a real threat to Americans." p. 119

A nurse is preparing to administer valproic acid 45 mg/kg/day PO divided in equal doses every 8 hr to a child who weighs 66 lb. Available is valproic acid syrup 250 mg/5 ML. How many ML should the nurse administer per dose?

9mL

A woman who wishes to become pregnant is concerned about the drugs she must take in order to treat a serious medical condition. The nurse reviewing the drug list would be most concerned about which kind of drug? - A drug with a long half-life - A drug with no active metabolites - A drug with high protein-binding ability - A drug taken only when needed

A drug with a long half-life

a nurse is converting an infants weight from lb to kg. If the infant weighs 6lb 2 oz, what is the infants weight in kg

2.8kg

A nurse is reviewing a client's prescriptions. The nurse should contact the provider to clarify which of the following prescriptions? -Ampicillin 100mg/kg/day by mouth in 4 equally divided doses -Phenytoin 300 mg by mouth every 12 hours -Metronidazole 500 mg IV bolus every 6 hr -Acetaminophen 325 mg every 6 hr PRN for headache

-Acetaminophen 325 mg every 6 hr PRN for headache

The client takes several prescription medications and asks the nurse about using complementary and alternative medicine (CAM). What is the best reply by the nurse? 1. "CAM is a good idea that you should discuss with your healthcare provider." 2. "CAM is an approach that might reduce your need for medications." 3. "CAM might help, but you will still need your medications." 4. "CAM has not been demonstrated to help with your kind of symptoms."

"CAM is an approach that might reduce your need for medications."

a nurse is preparing to administer furosemide 30 mg iv bolus stat. Available is furosemide injection 10 mg/mL. How many mL should the nurse administer?

3mL

A nurse is preparing to administer a time-critical medication to a client at 0800. Which of the following times are appropriate for the nurse to administer the med? (select all that apply) -0700 -0745 -0830 -0845 -0900

-0745 -0830

A nurse is reviewing a client's prescriptions. The nurse should contact the provider to clarify which of the following prescriptions? -Phenytoin 100 mg PO every 8 hr -Morphine 2.5 mg IV bolus PRN for incisional pain -Regular insulin 7 units subcutaneous 30 min before breakfast and dinner -Lisinopril 20 mg PO every 12 hr. Hold for systolic BP less than 110 mm Hg

-Morphine 2.5 mg IV bolus PRN for incisional pain

A nurse is caring for a client who received lisinopril 30 min ago and is now reporting dizziness and headache. Which of the following actions should the nurse take first? -Obtain the client's vital signs -Notify the provider -Document the client's response in the medical record -Tell the client to change positions slowly

-Obtain the client's vital signs

A nurse is providing teaching regarding medication administration to a group of newly licensed nurses. Which of the following is a legal responsibility of a nurse? -Prescribing the correct dosage -Modifying the medication regimen -Reporting medication errors -Delegating administration to assistive personnel

-Reporting medication errors

A nurse is preparing care for a newly admitted client with diabetes. Which information would be critical for the nurse to assess? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Medical history 2. Current lab results 3. Medication allergies 4. Use of dietary supplements 5. Number of previous hospitalizations

1. Medical history 2. Current lab results 3. Medication allergies 4. Use of dietary supplements

A nurse is preparing to administer tobramycin 2.5mg/kg IM to a preschooler who weighs 20kg. Available is tobramycin injection 40 mg/mL. How many Ml should the nurse administer per dose

1.3 ML/dose

Place these methods of communicating with a non-English speaking client in order of their desirability and usefulness. 1. Adult family member interprets 2. Healthcare agency interpreter is present 3. The nurse uses drawings and body language to communicate 4. Child relative interprets 5. No interpretation is attempted

2. Healthcare agency interpreter is present 1. Adult family member interprets 4. Child relative interprets 3. The nurse uses drawings and body language to communicate 5. No interpretation is attempted

The nurse is administering medications to an older adult. Which laboratory tests are most important for the nurse to assess prior to the administration of medication? 1. Complete blood count (CBC) and electrolytes 2. Kidney and liver function tests 3. Arterial blood gases (ABGs) and basic metabolic panel 4. Lipid panel and thyroid function tests

2. Kidney and liver function tests

Which nursing intervention would take priority following administration of a new medication? 1. Evaluating the results of recent labs 2. Monitoring the client's respiratory status 3. Administering additional medications if side effects occur 4. Measuring client's weight daily

2. Monitoring the client's respiratory status

The client comes to the emergency department with an anxiety attack. He or she tells the nurse he heard that there was another anthrax attack in the capitol, and is concerned about running out of medications. What is the best response by the nurse? 1) "You don't need to worry about another attack at all; I think our government can take care of us." 2) "Your health is in danger due to the anxiety; we really need to focus on reducing your anxiety now." 3) "The Centers for Disease Control and Prevention (CDC) maintains a large stockpile of medications for us in case that occurs." 4) "I'm sure the Centers for Disease Control and Prevention (CDC) has contingency plans in the event of an anthrax attack."

3) "The Centers for Disease Control and Prevention (CDC) maintains a large stockpile of medications for us in case that occurs." p. 110

The client is receiving an oral antibiotic as treatment for cellulitis of the lower extremity. The client's outcome is "Client will state a key point about antibiotic treatment for cellulitis." Which statement would the nurse evaluate as best indicating this outcome has been met? 1. "If the pain gets too bad, I can take my prescribed pain medication." 2. "If the swelling continues, I can apply an ice pack." 3. "I need to take all the pills even if my leg looks better." 4. "I must keep my leg elevated until the swelling goes down."

3. "I need to take all the pills even if my leg looks better."

The nurse has several educational pamphlets for the client about medications the client is receiving. Prior to giving the client these pamphlets, what is the most important assessment by the nurse? 1. Assess the client's ability to pay for the medication. 2. Assess the client's religious attitudes toward medicine. 3. Assess the client's reading level. 4. Assess the client's cultural bias toward taking medicine.

3. Assess the client's reading level.

The nurse conducts a seminar in a local community center on how citizens can be affected by radiation from a nuclear attack. The nurse determines that the education is effective when the clients make which statement? 1) "I can protect myself from cancers by taking potassium iodide (KI)." 2) "I need to stay inside my house for at least 2 days after the attack to be safe." 3) "I need to take at least four showers every day or I will develop skin ulcers." 4) "I am at risk to develop leukemia as a result of radiation exposure."

4) "I am at risk to develop leukemia as a result of radiation exposure." p. 114

A student nurse asks a nurse what items are found within the Strategic National Stockpile (SNS). What is the nurse's best response? 1) Two-way radios 2) Prepared meals 3) Drinking water 4) Antibiotics

4) Antibiotics p. 110

The client has been exposed to anthrax. The nurse anticipates administering which of the following drugs? 1) Penicillin (Bicillin LA) and vancomycin (Vancocin). 2) Tetracycline (Sumycin) and erythromycin (Erythrocin). 3) Ampicillin (Principen) and cefepime (Maxipime). 4) Ciprofloxacin (Cipro) and doxycycline (Vibramycin).

4) Ciprofloxacin (Cipro) and doxycycline (Vibramycin). p. 111

The nursing instructor teaches the student nurses about how medication errors can occur. What information will the nursing instructor include in the​ presentation? ​Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. A. The nurse miscalculates the medication dose. B. The nurse does not check the​ client's identification band. C. The nurse does not validate an order with the healthcare provider. D. The nurse misinterprets a healthcare​ provider's order. E. The nurse administers the incorrect drug.

A. The nurse miscalculates the medication dose. B. The nurse does not check the​ client's identification band. D. The nurse misinterprets a healthcare​ provider's order. E. The nurse administers the incorrect drug.

A nurse is preparing to administer medications to a school-age child. What would the nurse do? - Allow the child to make decisions regarding how medications are taken. - Provide a brief explanation on why the medication is important. - Administer drugs while holding the child down. - Provide a lengthy explanation followed by quick drug administration.

Allow the child to make decisions regarding how medications are taken.

A nursing instructor is teaching nursing students about the FDA Pregnancy Drug Categories. The instructor asks the students to what category a drug for which research has shown an adverse effect in animals but not in pregnant women would be categorized as. The instructor knows learning has occurred with which student response? Category A Category B Category D Category C

B

A nurse is administering medications to a group of clients. Which situation is an example of a medication​ error? A. A medication is administered to a client with no​ allergies, yet an anaphylactic response occurs. B. A medication is administered in liquid form instead of tablet form due to the​ client's difficulty swallowing. C. The wrong dose of a medication is drawn up but is caught and corrected prior to administration. D. A client experiences unexpected hypotension as a result of medication administration.

C. The wrong dose of a medication is drawn up but is caught and corrected prior to administration.

The nurse was very busy and unfamiliar with a new​ medication, but administered it anyway. Later the nurse looked up the medication. How does the nurse manager evaluate this​ behavior? A. An error did occur because the nurse could have administered the medication via the incorrect route. B. This was acceptable as long as the nurse looked up the action and side effects of the drug later. C. An error could have occurred because the nurse was unfamiliar with the medication. D. The nurse manager was partially at fault because the nursing unit was understaffed and the nurse was too busy.

C. An error could have occurred because the nurse was unfamiliar with the medication.

A nurse is teaching a student nurse about the active ingredients of herbal medicines. Which of the following indicates that teaching was effective? 1. Can be found in all parts of the herb 2. Are found only in the root system 3. Are found only in the rhizome 4. Are found only in the stems and leaves

Can be found in all parts of the herb

A nurse is reviewing medication records of older adults living in extended care. Which concepts about the pharmacotherapy of older adults should be considered? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. - Plasma-binding of drugs is greater in those over age 65. - Drug distribution is slowed in the older adult. - The half-life of many drugs is lessened in older adults. - First-pass metabolism is reduced in the older adult. - Changes in the kidney may result in decreased drug excretion.

Drug distribution is slowed in the older adult. First-pass metabolism is reduced in the older adult. Changes in the kidney may result in decreased drug excretion.

21) The nurse understands that drug therapy is postponed until after pregnancy and lactation when possible. Which of the following acute and chronic conditions may be managed with drugs during pregnancy? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. - Epilepsy - Serious cystic acne - Sexually transmitted infections - Gestational diabetes - Hypertension

Epilepsy Sexually transmitted infections Gestational diabetes Hypertension

A nurse is caring for a client being treated for seizures. The nurse would be most concerned if the client is also taking which herbal product? 1. Feverfew 2. Goldenseal 3. Ginger 4. Ginkgo

Ginkgo

The nurse is preparing a teaching plan for a postpartum mother. The nurse plans to include which topics regarding breastfeeding? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. - Most medications are secreted into breast milk. - Dietary supplements should be avoided. - Herbal products are secreted into breast milk and have the potential to cause harm to the infant. - All tobacco products should be avoided. - Most drugs are safe to take right after breastfeeding because they will clear the bloodstream prior to the next feeding.

Most medications are secreted into breast milk. Dietary supplements should be avoided. Herbal products are secreted into breast milk and have the potential to cause harm to the infant. All tobacco products should be avoided.

The nurse will administer medication to a school-age child. What is the best action by the nurse? - Teach the child the action and expected side effects of the medication. - Tell the child he will not be allowed to go to recess if the medication is not taken. - Offer the child a choice of beverage with which to take the medication. - Offer to play with the child prior to medication administration.

Offer the child a choice of beverage with which to take the medication.

The client uses Ginkgo biloba to enhance memory functioning but has not told the nurse about this herb. The healthcare provider orders warfarin (Coumadin) for this client. Which findings may the nurse find upon assessment? 1. Headache, dizziness, sweating, and agitation 2. A blood glucose of 56 3. An international normalized ratio (INR) of 3.0 4. Petechiae and bleeding from the gums

Petechiae and bleeding from the gums

A pregnant client suspected of drug abuse is admitted to the emergency department. The nurse plans to teach the client about which complications associated with drug use during pregnancy? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. - Preterm birth - Low birth weight - Birth defects - Allergies to narcotics - Increased labor

Preterm birth Low birth weight Birth defects

nurse is providing care to a client who wears bilateral hearing aids. Which nursing interventions are indicated? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. - Speak a bit slower than normal. - Speak more loudly than normal. - Ensure that verbal and nonverbal communication is congruent. - Allow extra time for communication. - Use bright lighting in the room.

Speak a bit slower than normal. Ensure that verbal and nonverbal communication is congruent. Allow extra time for communication.

A student nurse asks a nurse how specialty supplements differ from herbal products. What is the nurse's best response? 1. Specialty supplements must be prescribed. 2. Herbal products are more specific in their actions. 3. Specialty supplements are generally targeted for more general conditions. 4. Specialty supplements can come from animal sources.

Specialty supplements can come from animal sources.

The client is receiving albuterol (Proventil) for treatment of bronchospasm related to asthma. What is the primary nursing intervention as it relates to this medication? 1. Monitor the client for relief of bronchospasms. 2. Monitor the client for nausea and headache. 3. Monitor the client's serum drug levels. 4. Provide the client with age-appropriate education about albuterol (Proventil).

1. Monitor the client for relief of bronchospasms.

The nurse is managing care for several clients at a diabetic treatment center. The nurse understands that which of the following is the priority nursing intervention? 1. To administer the correct medicine to the correct client at the correct dose and the correct time via the correct route 2. To return the client to an optimum level of wellness while limiting adverse effects related to the client's medical diagnosis 3. To include any cultural or ethnic preferences in the administration of the medication 4. To answer any questions the client may have about the medicine, or any possible side effect of the medication

2. To return the client to an optimum level of wellness while limiting adverse effects related to the client's medical diagnosis

Which statement about the nursing process is accurate? 1. Generally, goals are more measurable than outcomes. 2. Goals involve very specific criteria that evaluate interventions. 3. Obtaining the outcomes is essential for goal attainment. 4. After selecting the nursing diagnosis, interventions are completed.

3. Obtaining the outcomes is essential for goal attainment.

A nurse is preparing to administer amoxicillan 25 mg/kg/day po divided in equal doses every 8 hours to a preschooler who weighs 43 lb. Available is amoxicillin suspension 250 mg/5ml

3.3mL

The clinic nurse will immediately alert the healthcare provider when which category X drugs are identified on the medication record of a recently diagnosed pregnant patient? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. - Tetracycline - ACE inhibitor antihypertensive medication - Methotrexate - Isotretinoin (Accutane) - Oral contraceptives

Methotrexate Isotretinoin (Accutane) Oral contraceptives

The adolescent is supposed to go to the school nurse at 12:00 to receive his medication for attention-deficit/ hyperactivity disorder (ADHD). He often does not go for the medication. What best describes the nurse's understanding of this situation? - The adolescent is embarrassed in front of his peers. - The adolescent does not understand the need for the medication. - The adolescent forgets that he is supposed to take the medication. - The adolescent has made a conscious decision not to take the medication.

The adolescent is embarrassed in front of his peers.

The nurse teaching a pre-conception class would tell participants that they should be most careful about exposure to drugs during which stage of pregnancy? Each stage is equal in risk Preimplantation period Third trimester Embryonic

embryonic

A nurse is preparing to administer medications to a pregnant client. Which classification of drugs would the nurse refuse to administer? Category A Category B Cautionary Teratogenic

tertatogenic

The toddler refuses to take his oral medication. What is the best suggestion to the mother from the nurse for ensuring the toddler receives his medication? - "Tell him you will buy him a toy if he takes the medication." - "Crush the tablet and mix it with a small amount of jam." - "Crush the tablet and mix it with milk." - "Tell him he will be punished if he does not take the medicine."

"Crush the tablet and mix it with a small amount of jam."

A nurse on a medical unit is assisting with the orientation of a newly licensed nurse. The nurse should remind the newly licensed nurse to have a second nurse review the dosage of which of the following meds prior to administration? -Heparin -Acetaminophen -Acetylcysteine -Hydroxychloroquine

-Heparin

A nurse is preparing to administer insulin subcutaneously to a client. The nurse should document the administration of the medication immediately after which of the following actions? -Taking the insulin from the automated dispensing machine -Injecting the insulin -Checking the client's blood glucose level -Checking the correct dosage of the insulin

-Injecting the insulin

A nurse is teaching a class about error-prone abbreviations in medication prescriptions. The nurse should include that which of the following prescriptions has acceptable abbreviations? -Metoclopramide 10 mg IM Q6 PRN nausea -Desipramine 100 mg PO QD -Enoxaparin 30 mg sub q 2 hr before surgery

-Metoclopramide 10 mg IM Q6 PRN nausea

A nurse is transcribing medication prescriptions for a group of clients. Which of the following is the appropriate way for the nurse to record medications that require the use of a decimal point? .4 mL 0.6 mL 8.0 mL 125.0 mL

0.6 mL

A nurse who is presenting community education states, "Drugs are among our most powerful weapons for emergency preparedness." What additional statements, made by the nurse, would support this statement? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1) "Drugs help us treat the diseases that could be caused by bioterrorism." 2) "We can use drugs to neutralize our enemies." 3) "If we control the manufacture and distribution of drugs, we will control global politics." 4) "Without drugs, we might be quickly overwhelmed by a bioterrorist attack." 5) "Drugs can be used in chemical or nuclear attacks."

1) "Drugs help us treat the diseases that could be caused by bioterrorism." 4) "Without drugs, we might be quickly overwhelmed by a bioterrorist attack." 5) "Drugs can be used in chemical or nuclear attacks." p.108

A nurse is caring for a client admitted to the emergency department following a drug overdose. The nurse anticipates which of the following prescriptions to enhance removal of the poison from the client? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1) Administering activated charcoal 2) Changing the pH of urine 3) Preparing the client for enemas 4) Inserting a nasogastric tube 5) Preparing corticosteroids for administration

1) Administering activated charcoal 2) Changing the pH of urine 3) Preparing the client for enemas 4) Inserting a nasogastric tube p.114

A client was exposed to ionizing radiation. The nurse plans to administer which of the following medications? 1) Potassium-iodine tablets 2) Calcium tablets 3) Antibiotics 4) Salt tablets

1) Potassium-iodine tablets p.113

The nurse administers potassium iodide (KI) tablets to a client who has been exposed to radiation from a nuclear weapon. What is the rationale for administering potassium iodide (KI) to this client? 1) Prevent thyroid cancer 2) Prevent brain cancer 3) Prevent liver cancer 4) Prevent renal cancer

1) Prevent thyroid cancer p. 114

A client with inflammatory arthritis asks about adding an anti-inflammatory herb to the medication regimen to decrease the use of prescription drugs. The nurse suggests the client discuss the efficacy of which herbs with the healthcare provider? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Evening primrose 2. St. John's wort 3. Ginger 4. Ginseng 5. Bilberry

1. Evening primrose 2. St. John's wort 3. Ginger

1) A client's genetic testing indicates the presence of a genetic polymorphism of the CYP 450 enzyme. The nurse expects this difference to be one of which classifications? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Extensive 2. Poor 3. Normal 4. Ultrarapid 5. Inefficient

1. Extensive 2. Poor 4. Ultrarapid

1) A nurse is teaching a group of student nurses. Which of the following best indicates an ethnic characteristic that can affect pharmacotherapy? 1. Genetic differences 2. Diet 3. Health beliefs 4. Alternative therapies

1. Genetic differences

A nurse is caring for a client who has been exposed to a nerve agent. Which antidote will the nurse plan to administer? 1) Apomorphine 2) Atropine 3) Acetate of ammonia 4) Hydroxyzine (Vistaril)

2) Atropine p. 114

A nurse is teaching a student nurse about common treatments for victims of bioterrorism. The nurse tells the student that atropine would be most useful for a victim of bioterrorism exposed to which of the following? 1) Ionizing radiation 2) Nerve gas 3) Bacterial agents 4) Viral agents

2) Nerve gas p.113

A client with hypertension is receiving medication to lower his blood pressure. Which nursing action demonstrates the evaluation process related to medication administration? 1. Asking the client if they have adhered to the prescribed treatment 2. Determining that goals were not met 3 days following medication administration 3. Administration of IV antihypertensive agents 4. Determination of the client's baseline blood pressure

2. Determining that goals were not met 3 days following medication administration

1) A client's genetic testing reveals a change in CYP2A6. The nurse would plan which interventions based on this discovery? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Teaching the client to avoid caffeine-containing drugs. 2. Planning additional time and interventions to help the client stop smoking. 3. Use of an alternative to the drug warfarin. 4. Increased surveillance for the development of lung cancer. 5. Frequent monitoring of blood pressure.

2. Planning additional time and interventions to help the client stop smoking. 4. Increased surveillance for the development of lung cancer.

The healthcare provider has prescribed quetiapine (Seroquel) for the client with chronic auditory hallucinations. The client has stopped taking the medication. The nurse incorrectly uses the diagnosis of "noncompliance." In which situation would this diagnosis be appropriate? 1. The client reported a physical change as the reason for stopping the medication. 2. The client made an informed decision not to take the medication. 3. The client was unsure about how to order a refill for the prescription. 4. The client did not understand why the medication was prescribed.

2. The client made an informed decision not to take the medication.

The nurse is assessing a newly admitted client's current medication. Which of the following is an example of objective data? 1. The client's wife tells the nurse what medications the client has been receiving. 2. The nurse checks the prescription bottles the client has brought to the hospital. 3. The nurse asks the healthcare provider what medications the client was currently taking. 4. The client lists the medications that have been prescribed.

2. The nurse checks the prescription bottles the client has brought to the hospital.

The nurse recognizes that agency system checks are in place to decrease medication errors. Who commonly collaborates with the nurse on checking the accuracy of the medication prior to administration? 1. The nursing supervisor 2. The pharmacist 3. The health care provider 4. The nursing unit manager

2. The pharmacist

1) The client is receiving a beta-blocker medication. The nurse has done medication education and provided the client with printed information to take home. During the next appointment, the nurse notes that the client is not taking the medication properly. What is a therapeutic assessment question to ask this client? 1. "Do I have to inform your healthcare provider about your noncompliance?" 2. "Why didn't you take your medicine as we talked about?" 3. "Are you able to read and comprehend the printed information?" 4. "Don't you understand how important it is to take the medicine?"

3. "Are you able to read and comprehend the printed information?"

A nurse is caring for a client following a bioterrorism attack. The client has experienced initial nausea and vomiting followed by weight loss and eventual thyroid cancer. What was the most likely causative agent? 1) Chemical agent 2) Viral agent 3) Bacterial agent 4) Ionizing radiation

4) Ionizing radiation p.113

The client was exposed to cutaneous anthrax 2 weeks ago. What will the nurse see when assessing the client's skin? 1) Large pustules and later, reddish scabs 2) Small, fluid-filled vesicles, and later, small skin erosions 3) Ulcerated areas and later, keloids 4) Small skin lesions and later, black scabs

4) Small skin lesions and later, black scabs p. 111

The nurse follows the nursing process when conducting medication education about insulin. What will the nurse ask the client to evaluate the client's knowledge of insulin? 1. "Is your abdomen the best place to inject insulin?" 2. "What questions do you have about insulin?" 3. "Can you recognize when you are experiencing hypoglycemia?" 4. "Can you tell me four points you remember about how to take your insulin?"

4. "Can you tell me four points you remember about how to take your insulin?"

1) The nurse is providing education about warfarin (Coumadin) to a patient of Asian ancestry. The nurse determines that learning has occurred when the client makes which statement? 1. "I may need to have more frequent blood tests." 2. "I may need to have less frequent blood tests." 3. "I may need more medication than someone from a different ethnic group." 4. "I may need less medication than someone from a different ethnic group."

4. "I may need less medication than someone from a different ethnic group."

a nurse is preparing to administer midazolam IM to a client who is preoperative and weighs 132 lb. The medication reference states the safe dosage range is 0.07 to 0.08 mg/kg. what is the maximum safe dose the nurse should expect to administer

4.8 mg/dose

The nurse is working hard to prevent medication errors. What interventions will assist the nurse in preventing most​ errors? ​Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. A. Always check the​ client's identification band prior to administration of medications. B. Open all of the medications immediately prior to administration. C. Tell healthcare providers that verbal orders will not be accepted. D. Record the medication on the medication administration record​ (MAR) immediately prior to administration. E. Validate all orders with another nurse prior to administration of medications.

A. Always check the​ client's identification band prior to administration of medications. B. Open all of the medications immediately prior to administration. C. Tell healthcare providers that verbal orders will not be accepted.

The nurse is beginning medication reconciliation for a newly admitted client. What should the nurse include in this​ list? ​Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. A. The client takes ibuprofen for an occasional headache. B. The client mixes a powdered form of vitamin C into his morning orange juice. C. The client applies essential oils to his forehead to help with his or her allergies. D. The client drinks milk fortified with vitamin D. E. The client takes a prescription medication for osteoporosis once a week.

A. The client takes ibuprofen for an occasional headache. B. The client mixes a powdered form of vitamin C into his morning orange juice. C. The client applies essential oils to his forehead to help with his or her allergies. E. The client takes a prescription medication for osteoporosis once a week.

The nurse makes a medication error and a client dies. In​ court, the attorney for the family of the deceased client asks the nurse if she followed standards of care in administering the medication. How would the attorney phrase this​ question? A. ​"Did you do what another nurse would have done under similar​ circumstances?" B. ​"Did you do the three checks and follow the five rights as taught in​ school?" C. ​"Did you follow the healthcare​ provider's orders and​ double-check them before​ administration?" D. ​"Did you follow agency guidelines as in previous​ circumstances?"

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

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? ​Note: Credit will be given only if all correct choices and no incorrect choices are selected. 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 client 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." E. ​"We need to sit down as soon as possible and write up an incident report describing everything you did incorrectly that caused this​ error."

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 client 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."

A series of category E medication errors have occurred on a hospital unit. When discussing this trend with the nursing​ staff, the risk manager would list which characteristics of a category E​ error? ​Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. A. The error contributed to the death of a client. B. A client was harmed. C. No interventions to sustain life were required as a result of the error. D. Harm to the client was permanent. E. The​ client's hospitalization was prolonged as a result of the error.

B. A client was harmed. C. No interventions to sustain life were required as a result of the error.

Medication reconciliation has been started for a newly admitted client. At which points would the nurses and others caring for this client check this​ list? ​Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. A. Each time that medications are administered to the client. B. When initial admission orders are received. C. When the client is transferred to a different unit within the hospital. D. When the client is discharged. E. If a medication error occurs.

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

The nurse is on a committee to reduce medication errors in a large healthcare facility. What is a recommendation the nurse proposes that will most likely help to reduce medication​ errors? A. Designate nurses whose only function is to administer medication. B. Use​ automated, computerized cabinets on all nursing units. C. Train medication technicians to administer medications. D. Use robots to prepare all medications for administration by the nurse.

B. Use​ automated, computerized cabinets on all nursing units.

A nurse is administering medications to a client. The client​ states, "I've never taken that yellow pill​ before". What should the nurse do​ first? A. Contact the health provider to verify it is the correct medication and dose. B. Verify the order and​ double-check the label. C. Tell the client that some are made by different pharmaceutical companies and may look different. D. Reassure the client that the nurse has triple checked the drug so it is safe to take.

B. Verify the order and​ double-check the label.

A student nurse asks a nursing instructor which federal agency responsible for reviewing all medication errors reports. What is the nursing​ instructor's best​ response? A. Risk Management department at the healthcare facility in which it occurred B. ​FDA's Division of Medication Error Prevention and Analysis​ (DMEPA) C. Medication errors are never acceptable. National Coordinating Council for Medication Error Reporting and Prevention​ (NCC MERP) D. Centers for Disease Control​ (CDC)

B. ​FDA's Division of Medication Error Prevention and Analysis​ (DMEPA)

The nursing supervisor tells a nurse that the medication error the nurse made yesterday has been determined to be a sentinel event. What should the nurse expect to​ occur? ​Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. A. Her employment will be terminated. B. Her personal malpractice insurance company will be notified. C. An immediate investigation will occur. D. Interventions to prevent the error from occurring again will quickly be put in place. E. A​ root-cause analysis will be performed.

C. An immediate investigation will occur. D. Interventions to prevent the error from occurring again will quickly be put in place. E. A​ root-cause analysis will be performed.

The nurse is preparing medications for a group of clients. Another nurse begins telling the nurse about her recent engagement. What is the best action by the first​ nurse? A. Ask the second nurse to help with administering medications so they can have more time to talk. B. Stop preparing medications until the second nurse has finished talking about her engagement. C. Tell the second nurse that the conversation is distracting and she must stop talking while medications are being prepared. D. Continue to prepare the medications for administration and pretend to listen to the first nurse.

C. Tell the second nurse that the conversation is distracting and she must stop talking while medications are being prepared.

The nurse in the emergency department administers an adult dose of an antibiotic to a​ 3-month-old baby. As a​ result, the baby suffers permanent brain damage. What best describes the effect of this error on the healthcare​ facility? A. The healthcare facility will pay a very large settlement. B. The professional license of the nurse will be lost. C. The morale of the staff involved will be decreased. D. The reputation of the healthcare facility will suffer.

C. The morale of the staff involved will be decreased.

The nurse assesses an adverse effect of a medication that has been administered. Who should the nurse report this adverse effect​ to? A. Food and Drug​ Administration's (FDA) Adverse Event Website. B. Food and Drug​ Administration's (FDA) Med MARX Website. C. Food and Drug​ Administration's (FDA) Safe Medicine Website. D. Food and Drug​ Administration's (FDA) MedWatch Website.

D. Food and Drug​ Administration's (FDA) MedWatch Website.

A nurse is reviewing safe medication administration with a student nurse. What should the nurse plan to include in the​ teaching? A. Discontinue a medication at the request of a client B. Administer medications intramuscularly when a client refuses to take it orally C. Use abbreviations while charting to save time D. Give medications within the time frame specified by hospital policy

D. Give medications within the time frame specified by hospital policy

A nurse manager is discussing medication errors with a group of nurses. Which statement by the nurses indicates the teaching was​ effective? A. A nurse who observes the five rights will prevent all medication errors from occurring. B. An incorrect dose​ (based on​ weight) is​ ordered, dispensed, and administered to a client. The administering nurse and ordering clinician would be the only parties held accountable. C. Nurses are always liable when a medication error occurs. D. Handwritten orders are more frequently associated with medication errors than are typed orders.

D. Handwritten orders are more frequently associated with medication errors than are typed orders.

A nurse is preparing to administer a new drug that was just prescribed by the healthcare provider. The nurse recognizes that the wrong concentration of the drug was sent by pharmacy. What is the​ nurse's best​ response? A. The nurse does not report or document the​ error, since the error did not result in any harm to the patient. B. The nurse does not report the​ error, because the error was caught and corrected prior to drug administration. C. The nurse reports the error to the healthcare provider and the charge nurse but does not document the error due to possible legal action. D. The nurse informs the​ client, documents the error as per hospital​ policy, and notifies the healthcare provider

D. The nurse informs the​ client, documents the error as per hospital​ policy, and notifies the healthcare provider

The nurse commits a medication error. The nurse documents the error in the​ client's record and completes the incident report. What does the nurse recognize as the primary reason for doing​ this? A. To protect the client from further harm B. To protect the healthcare facility from litigation C. To protect the nurse from liability D. To verify that the​ client's safety was protected

D. To verify that the​ client's safety was protected

The nurse teaches a class to clients about how to help prevent medication errors when in the hospital. What is the most important question for the nurse to ask the​ clients? A. ​"Do you know what your illness​ is, and if you will need​ surgery?" B. ​"Do you trust your healthcare provider to order the correct​ medication?" C. ​"Do you have a friend to verify that you are receiving the correct​ medication?" D. ​"Do you know the names of all the medications you​ take?"

D. ​"Do you know the names of all the medications you​ take?"

A nursing student asks a nurse how pharmacotherapy in the older adult is different than a middle-aged adult. How would the nurse respond? - Increased body water can lead to a higher risk of drug toxicity. - Plasma levels are increased, leading to a heightened drug response. - Generally, drug doses should be increased due to prolonged drug metabolism. - Drug absorption is slower due to increased gastric pH.

Drug absorption is slower due to increased gastric pH.

The nursing instructor teaches student nurses about the Food and Drug Administration (FDA) Pregnancy Categories. What should the nurse include? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. - Food and Drug Administration (FDA) Pregnancy Category C is safe to use during pregnancy. - Food and Drug Administration (FDA) Pregnancy categories provide a framework for safe use of drugs in pregnant women. - Food and Drug Administration (FDA) Pregnancy categories for individual drugs seldom change once they are established. - Food and Drug Administration (FDA) Pregnancy categories are based on studies using clinical human research trials. - Food and Drug Administration (FDA) Pregnancy Category X has been associated with teratogenic effects.

Food and Drug Administration (FDA) Pregnancy categories provide a framework for safe use of drugs in pregnant women. Food and Drug Administration (FDA) Pregnancy Category X has been associated with teratogenic effects.

A nurse working in an obstetric practice should consider which fact when discussing medication use with pregnant clients? - Inhaled drugs may be absorbed to a greater extent. - Drug excretion rates are lowered. - Oral drug absorption rate is lowered. - Drugs should not be used during pregnancy.

Inhaled drugs may be absorbed to a greater extent.

A nursing instructor is planning to discuss the Dietary Supplement Health and Education Act (DSHEA) of 1994 with a group of nursing students. The instructor plans to include which of the following? 1. It ensures that herbal products provide proof of their intended effects. 2. It mandates that herbal product labels state that the products are not intended to diagnose, treat, cure, or prevent disease. 3. It mandates that herbal product labels contain accurate information. 4. It requires that herbal products undergo the same rigorous testing as drugs do under the FDA.

It mandates that herbal product labels state that the products are not intended to diagnose, treat, cure, or prevent disease.

A nurse is preparing to administer cefaclor 40 mg/kg/day PO divided in equal doses every 8 hr to a child who weighs 48lb. Available is cefaclor suspension 375mg/5mL. How many mL should the nurse administer per dose

3.9mL/dose

A nurse is preparing to administer medication to a client who has a prescription for docusate sodium 50 mg capsule PO twice daily. The client refuses to take the med because of nausea. Which of the following actions should the nurse take? -Administer a docusate sodium capsule rectally -Withhold the med -Administer 100 mg docusate sodium with the next scheduled administration -Encourage the client to take the med as the provider prescribed

-Withhold the med

a nurse is preparing to administer vasopressin 5 units im to a client. available is vasopressin 20 units/mL.

0.25 mL

a nurse is preparing to administer enoxaparin 30 mg subcutaneous to a client. Available is enoxaparin 60 mg/0.6 mL. How many ML should the nurse administer

0.3 mL

Following a bioterrorism attack, the nurse finds that the victims are suffering from small, black lesions on their forearms. The nurse collaborates with the healthcare provider to treat exposure to which agent? 1) Cutaneous anthrax 2) Phosgene gas 3) Gastrointestinal anthrax 4) Hydrogen cyanide

1) Cutaneous anthrax p.111

1) The nurse is caring for several clients. Which clients have a psychosocial history that may affect their outcome? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Older adult who recently suffered a stroke, has an unsteady gait, and lives in a two-story home 2. Middle-aged client with Down syndrome living in a group home 3. Recently divorced mother of three children with breast cancer 4. Sixteen-year-old requesting birth control without parental consent 5. Seven-year-old with asthma in a foster care home

1. Older adult who recently suffered a stroke, has an unsteady gait, and lives in a two-story home 2. Middle-aged client with Down syndrome living in a group home 3. Recently divorced mother of three children with breast cancer

During evaluation, the nurse, client, and healthcare provider determine that the goals of antibiotic therapy have not been met. What actions are indicated? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Review the dosage of the medication. 2. Consider checking serum drug levels. 3. Discard the idea that the infection is treatable. 4. Consider prolonging therapy. 5. Consider using a different antibiotic.

1. Review the dosage of the medication. 2. Consider checking serum drug levels. 4. Consider prolonging therapy. 5. Consider using a different antibiotic.

1) An American Indian client has been admitted to the hospital for chemotherapy. At any given time, five family members are in the client's room. The nurse tells the client that according to hospital policy, only two visitors at a time are allowed. What does the best analysis by the nurse manager reveal about the nurse's action? 1. The nurse should have assessed the client's preferences about how many family members she wanted to be present. 2. The nurse should have called the healthcare provider and obtained an order for additional family members to be present. 3. This was the correct action; the nurse was following protocol by informing the client about hospital policy. 4. The nurse should have allowed the client to have as many family members as she wanted to be present.

1. The nurse should have assessed the client's preferences about how many family members she wanted to be present.

A nurse is preparing a medication and calculates the dosage as 1.42 mL. Rounding to the nearest 10th, the nurse should administer how many mL?

1.4 mL

a nurse is preparing to administer diazepam 7 mg iv bolus every 4 hr prn muscle spasm. Available is diazepam injection 5 mg/ml. How many mL should the nurse administer per dose

1.4 mL

A nurse is preparing to administer furosemide 40 mg PO in 0.5 oz of orange juice. How many mL of orange juice should the nurse administer?

15 mL

The nurse is reviewing the steps of the nursing process with a student. The nurse is aware that it is most important to be accurate in which portion of the nursing process? 1. Evaluation 2. Assessment 3. Diagnosis 4. Planning

2. Assessment

1) A nursing instructor is teaching a nursing student about human DNA sequences. The student demonstrates understanding by making which of the following statements? 1. "Only 2% of human DNA is different among the different ethnicities." 2. "Due to enzyme polymorphism, Hispanics are less likely to metabolize codeine to morphine." 3. "Even though human genetic differences are small, significant differences can be seen with drug metabolism." 4. "Asian Americans are the ethnic group known to be slow acetylators."

3. "Even though human genetic differences are small, significant differences can be seen with drug metabolism."

1) A healthcare provider has prescribed a chemotherapeutic drug for a client with cancer. This drug commonly causes loss of hair. The client asks the nurse, "Will all of my hair fall out?" What is the most therapeutic response by the nurse? 1. "We are not really sure; applying an ice bag to your head may help." 2. "Don't worry, we can recommend an excellent wig company if need be." 3. "Yes, that is one of the expected side effects of this medication." 4. "It might. Have you discussed this with your healthcare provider?"

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

The Joint Commission documented that client education was deficient on several medical-surgical units of a local hospital. A nursing committee was formed to address this problem. What is the best intervention to improve client education? 1. Providing educational pamphlets about medications to the clients 2. Asking the healthcare providers to provide medication education to the clients 3. Discussing medications each time they are administered to clients 4. Requesting more frequent pharmacy consults for the clients

3. Discussing medications each time they are administered to clients

The nurse makes a medication​ error, but the client is not harmed. The​ client's family asks the nurse manager what is considered a medication error. How should the nurse manager​ respond? ​Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. A. Failure to follow healthcare​ provider's orders. B. Failure to give the right medication. C. Failure to give a medication at the ordered time. D. Failure to call the pharmacy and report that the medication has been given. E. Failure to give the right dose of the medication.

A. Failure to follow healthcare​ 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.

A nurse is planning to teach a client about a new medication. What is the best teaching​ method? A. Leave written drug information and instructions at the bedside. B. Give the client oral and written drug information and instructions. C. Instruct the client that their local pharmacy will teach them about this medication. D. Provide oral drug information and instructions as opposed to written.

B. Give the client oral and written drug information and instructions.

A client presents with hypotension and bradycardia. The client indicates that one of her healthcare providers recently prescribed three new medications to her current list of 10 medications per day. Based on this information, which statement would be the most accurate? - The client is having an allergic reaction to one of the new medications. - The client is experiencing adverse reactions as a result of polypharmacy. - The client is not in compliance with her prescribed medications. - The client is experiencing an adverse effect that will go away in time.

The client is experiencing adverse reactions as a result of polypharmacy.

The older adult asks the nurse how dietary supplements will help support health. What is the best response by the nurse? 1. "Fish oil will help to enhance your brain function." 2. "Chromium will help you achieve and maintain optimum weight." 3. "Dietary supplements will help support and maintain hydration." 4. "Soy isoflavone will help prevent Alzheimer's disease."

"Fish oil will help to enhance your brain function."

Clients at a senior citizen center have asked the nurse to do a presentation on herbal preparations. Which statement would be included in the best plan by the nurse? 1. "Herbal preparations are safe as long as you carefully read the label." 2. "As long as the herbal preparation has been tested in the clinical setting, it is safe." 3. "Herbal preparations actually are drugs; you must be careful with them." 4. "Herbal preparations can be dangerous if you are allergic to them."

"Herbal preparations actually are drugs; you must be careful with them."

The nurse has been teaching a client about herbal preparations and determines that additional teaching is required when the client makes which statement? 1. "I should check with you before using an herbal product." 2. "Herbal products usually contain only one active ingredient." 3. "I need to be careful about where I store my herbal product." 4. "Herbal preparations are available in solid and liquid forms."

"Herbal products usually contain only one active ingredient."

A nurse has provided discharge medication instructions to the parents of a child being released from the emergency department. The nurse evaluates that learning has occurred when the parents make which statements? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. - "I should give this antibiotic as prescribed until the bottle is empty." - "I should use a spoon to give this medication." - "I will keep this medication in the refrigerator as the label directs." - "If my child develops any adverse effects, I will discard the rest of the medicine." - "This antibiotic should help to clear my child's infection."

"I should give this antibiotic as prescribed until the bottle is empty." "I will keep this medication in the refrigerator as the label directs." "This antibiotic should help to clear my child's infection."

The pregnant client plans to breastfeed her baby. She asks the nurse about the use of herbal products during breastfeeding. What is the best response by the nurse? - "Be sure to check the label to see if the herbal product could be used during breastfeeding." - "Most drugs can be transferred to the infant during breastfeeding, so this is not recommended." - "Herbal products are considered natural, so it should be fine to use them during breastfeeding." - "This should be fine, as long as there is at least 12 hours between the time you use the product and when you breastfeed."

"Most drugs can be transferred to the infant during breastfeeding, so this is not recommended."

The nurse is planning care for a pregnant client prone to substance abuse. When the client states, "My baby isn't getting my drugs, I am," how does the nurse respond? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. - "Most illicit drugs will cross the placenta and hurt the baby." - "Drugs may work longer in your baby." - "Some drugs result in your baby not growing enough." - "You are correct. You are far enough along in your pregnancy that drugs will not harm your baby." - "If you continue to take drugs, it will make you have a large infant."

"Most illicit drugs will cross the placenta and hurt the baby." "Drugs may work longer in your baby." "Some drugs result in your baby not growing enough."

The nurse is teaching a class on dietary supplements. The nurse determines that learning has occurred when the patients make which statement? 1. "Products can make claims based on body structure and function like 'promotes healthy urinary tract.'" 2. "Dietary supplements must go through rigorous testing prior to being marketed by the manufacturer." 3. "The Food and Drug Administration (FDA) is not involved with the approval of the dietary supplement and cannot remove it from the market." 4. "The manufacturer of the dietary supplement has the burden of proof for the safety of the supplement."

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

A pregnant client asks the nurse about changing from her prescription antidepressant medication to St. John's wort because it is natural. What is the best response by the nurse? 1. "It should be okay because your baby has been exposed to an antidepressant." 2. "St. John's wort is a drug, and this should be discussed with your healthcare provider." 3. "No, herbal preparations are just not safe to take during pregnancy." 4. "Yes, you can change, but let your doctor know at your next appointment."

"St. John's wort is a drug, and this should be discussed with your healthcare provider."

The nurse plans to teach clients about the difference between herbal preparations and prescription medications. Which statement describes the best plan by the nurse? 1. "Herbs, like prescription drugs, usually only contain one active ingredient." 2. "The active ingredients in an herb, unlike prescription drugs, may be present in just one part or many parts." 3. "Most herbs, like prescription drugs, are standardized and regulated by the Food and Drug Administration (FDA)." 4. "Herbs are considered to be safer than prescription medications as they are natural."

"The active ingredients in an herb, unlike prescription drugs, may be present in just one part or many parts."

The nurse teaches a class about medication used during pregnancy to pregnant women. The nurse determines that additional instruction is required when a class participant makes which response? - "The baby can only be harmed by medications during the first trimester." - "It is important to not take over-the-counter (OTC) drugs during my pregnancy." - "Exposure to teratogens can result in my baby's death or in malformations." - "If I breastfeed my baby, drugs can come through my breast milk."

"The baby can only be harmed by medications during the first trimester."

A nurse is preparing to administer a med to a newly admitted client. The nurse should identify which of the following actions as a part of the assessment phase of the nursing process? -Asking the client about a history of medication allergies -Instructing the client about the medication's adverse effects -Determining whether the med should be administered with or w/o meals -Monitoring the client's response to the med

-Asking the client about a history of medication allergies

The nurse prepares to teach clients about the safety and efficacy of herbal preparations. Which statement would be included in the best plan by the nurse? 1. "Herbal preparations must be tested for safety and efficacy prior to marketing." 2. "The label on the herbal preparation is required by the Dietary Supplement Health and Education Act (DSHEA) to be accurate." 3. "Herbal preparations have to meet the same safety and efficacy standards as prescription and over-the-counter (OTC) drugs." 4. "The manufacturer does not have to prove the safety or efficacy of the herbal preparation."

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

The pregnant client tells the nurse that her prescribed medication is not as effective as it was before her pregnancy. What is the best response by the nurse? - "This is because your blood volume has increased." - "Tell me how you have been taking your medication." - "This is because your baby is receiving part of the medication." - "Maybe the medication has expired; check the label."

"This is because your blood volume has increased."

The nurse is teaching a support group for caretakers of older adult clients. The focus is medication compliance. The nurse determines that learning has occurred when the caregivers make which response? - "We should crush their medicine and put it in applesauce so they will swallow it." - "We should use a medication management box so they won't forget to take it." - "We should ask the doctor if all the medication is really necessary." - "We should give them more education about the medicine so they will take it."

"We should use a medication management box so they won't forget to take it."

The client tells the nurse that he or she has been taking herbal preparations to boost his or her immune system functioning. He or she does not know the names of the preparations. What is the best assessment question for the nurse to ask? 1. "Would you please tell your doctor about the herbs during the next visit?" 2. "Would you please ask your spouse to discuss this with me during her next visit?" 3. "Would you please have your spouse bring the bottles to the hospital?" "Would you please ask your spouse to call the hospital pharmacist with the names?"

"Would you please have your spouse bring the bottles to the hospital?"

The nurse administers an evening medication to the client in the morning. What is the nurse's best initial course of action at this time? - Change the medication administration time to the morning. - Notify the healthcare provider about the error. - Tell the evening nurse to hold the evening dose just for tonight. - Document the incident in the client's health record.

- Notify the healthcare provider about the error.

A charge nurse is reviewing the types of prescriptions with a newly licensed nurse. Which of the following prescriptions should the nurse include as an example of a standing prescription? -Oxycodone 5 mg by mouth every 4 hr as needed for pain -Furosemide 30 mg IV stat -Acetaminophen 650 mg by mouth every 6 hr for temp. greater than 38.4C (101.2F) -Diazepam 10 mg IV 30 min prior to procedure

-Acetaminophen 650 mg by mouth every 6 hr for temp. greater than 38.4C (101.2F)

A nurse is caring for a client who reports severe back pain at 1400. The client's prescriptions include oxycodone extended-release 200 mg PO every 12 hr (last dose received at 0600) and oxycodone immediate-release 5 mg PO every 4 hr PRN (last dose received at 2300 the day before). Which of the following actions should the nurse take? -Contact the provider to request an order for a different pain med. -Administer oxycodone immediate-release 5 mg PO at 1600 -Administer oxycodone immediate-release 5 mg PO now -Contact the provider to request an increase in the oxycodone extended-release dose

-Administer oxycodone immediate-release 5 mg PO now

A nurse is caring for a client who states that his provider told him he is at risk for anaphylaxis following administration of amoxicillin and that he does not understand what this means. Which of the following is an appropriate response by the nurse? -Anaphylaxis is a predictable and often unavoidable secondary effect that can occur at a usual therapeutic dose -Anaphylaxis will cause you to experience withdrawal symptoms when you discontinue taking the med -Anaphylaxis is an unusual response that can occur due to an inherited predisposition -Anaphylaxis is a severe hypersensitivity or allergic reaction that is life-threatening

-Anaphylaxis is a severe hypersensitivity or allergic reaction that is life-threatening

A nurse discovers a medication error in which the client received twice the prescribed amount of med. Which of the following actions should the nurse take first? -Notify the provider -Complete an incident report -Assess the client -Report the error to the nurse manager

-Assess the client

A nurse manager is reviewing a client's medical record and discovers that the client received a double dose of a prescribed medication. Which of the following actions should the nurse manager take first? -Complete an incident report -Notify the provider about the med error -Assess the client for adverse effects -Report the error to the risk manager

-Assess the client for adverse effects

A nurse is administering medications to 4 clients. The nurse should identify which of the following nursing actions as a part of the evaluation phase of the nursing process? -Collecting information about a client's pain level following admin. of a narcotic -Taking the BP of a client before administering an antihypertensive med -Lowering the level of a client's bed before administering a benzodiazepine med -Instructing a client to rinse their mouth following admin. of an inhalation corticosteriod

-Collecting information about a client's pain level following admin. of a narcotic

A nurse is preparing to administer an oral medication. Which of the following actions should the nurse take? (select all that apply) -Provide client education about the med -Check the expiration date of the med -Verify the dosage of the med -Call the client by name to confirm their identity -Ask the client if they have any allergies

-Provide client education about the med -Check the expiration date of the med -Verify the dosage of the med -Ask the client if they have any allergies

A nurse is caring for a client who is to receive topiramate XR 100 mg PO daily. The client tells the nurse that the capsule is too hard to swallow. Which of the following actions should the nurse take? -Crush the contents of the capsule to administer in a small amount of pudding -Request extended-release sprinkles from the pharmacy -Ask the charge nurse to clarify the prescription with the provider -Withhold the med until the time for the next dose

-Request extended-release sprinkles from the pharmacy

A nurse is transcribing a provider's prescription for a client. The prescription reads morphine 2 mg IV bolus at 1400. The nurse should recognize this as which of the following types of medication orders? -Routine order -Stat order -PRN order -Single order

-Single order

A nurse is teaching a newly licensed nurse about crushing meds. The nurse should explain that which of the following meds can be crushed? -Extended-release oxycodone -Sublingual nitroglycerine -Enteric-coated aspirin -Sucralfate tablets

-Sucralfate tablets

A nurse is assessing a client following administration of an antibiotic. The nurse should identify that which of the following findings is a manifestation of an anaphylactic reaction to the med? -Swollen lips -Hypertension -Low heart rate -Constipation

-Swollen lips

A nurse is preparing to administer a high-alert pain med to a client. Which of the following actions should the nurse perform during the planning stage of medication administration? -Assess the effectiveness of the pain med -Verify the dosage calculation with another nurse -Teach the client about the action of the med -Ask the client to state their name and birthdate

-Verify the dosage calculation with another nurse

A charge nurse is teaching a newly licensed nurse about medication reconciliation. Which of the following information should the charge nurse include in the teaching? -Perform medication reconciliation daily during a client's hospitalization -Only newly prescribed meds need to be reviewed during a medication reconciliation -Vitamins, supplements, and OTC meds should be included in a med reconciliation -The goal of a med reconciliation is to minimize the financial impact of the prescription medications to the client

-Vitamins, supplements, and OTC meds should be included in a med reconciliation

The nurse is teaching the importance of drugs for emergency preparedness to local firemen. The nurse determines that learning has occurred when the firemen make which statements? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1) "The vendor-managed inventory (VMI) package can reach any community within 24 to 36 hours." 2) "Our local hospital is supposed to be stockpiling antibiotics." 3) "The push package can reach any community within 12 hours of an attack." 4) "The Strategic National Stockpile is located at the Centers for Disease Control and Prevention (CDC) in Atlanta." 5) "Our country's drug stockpile is managed by the Centers for Disease Control and Prevention (CDC)."

1) "The vendor-managed inventory (VMI) package can reach any community within 24 to 36 hours." 3) "The push package can reach any community within 12 hours of an attack." 5) "Our country's drug stockpile is managed by the Centers for Disease Control and Prevention (CDC)." p. 110

A nurse is planning a presentation regarding anthrax. What should the nurse include? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1) Anthrax can spread easily. 2) There are three basic types of anthrax. 3) Anthrax is killed by heat. 4) The main area affected by inhalation anthrax is the lung periphery. 5) Anthrax causes the release of multiple toxins, each affecting a different part of the body.

1) Anthrax can spread easily. 2) There are three basic types of anthrax. p.111

A student nurse asks a nurse what is included in the Strategic National Stockpile (SNS). The nurse explains that the SNS includes which of the following supplies? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply 1) Intravenous administration equipment 2) Antibiotics 3) Life-support medications 4) Chemical antidotes 5) Hospital beds

1) Intravenous administration equipment 2) Antibiotics 3) Life-support medications 4) Chemical antidotes p.110

The nurse works for the Centers for Disease Control and Prevention (CDC). In planning for a bioterrorist attack, what will the best plan of the nurse include? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1) Learn the signs and symptoms of chemical and biological agents. 2) Obtain a listing of health and law enforcement contacts. 3) Assist in the stockpiling of medications. 4) Obtain current knowledge of emergency management. 5) Assist in triage at local hospitals.

1) Learn the signs and symptoms of chemical and biological agents. 2) Obtain a listing of health and law enforcement contacts. 4) Obtain current knowledge of emergency management. p. 111

The client has been exposed to a nerve agent. For which symptoms will the nurse most likely assess? 1) Salivation and involuntary urination 2) Dilated pupils and increased heart rate 3) Pinpoint pupils and decreased blood pressure 4) Rapid Tachypnea and cold, clammy skin

1) Salivation and involuntary urination p. 113

A nurse is caring for a client that was exposed to radiation. The client asks the nurse what factors increase the amount of radiation that a person is exposed to. What should the nurse include in responding to the client's question? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply 1) The amount of exposure 2) The long-lasting effects 3) The amount of cellular death 4) The gender of the client exposed 5) The amount of naloxone (Narcan) ingested after exposure

1) The amount of exposure 2) The long-lasting effects 3) The amount of cellular death p. 113

The nurse assesses the client with diabetes mellitus prior to administering medications. Which questions are important to ask the client? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. "Are you allergic to any medications?" 2. "Are you taking any herbal or over-the-counter (OTC) medications?" 3. "How difficult is it for you to maintain your ideal body weight?" 4. "Will you please tell me about the kind of diet you follow?" 5. "What other medications are you currently taking?"

1. "Are you allergic to any medications?" 2. "Are you taking any herbal or over-the-counter (OTC) medications?" 4. "Will you please tell me about the kind of diet you follow?" 5. "What other medications are you currently taking?"

1) A client 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? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. "Genetic differences can result in significant differences in how each client's body handles the same medication." 2. "Genetic differences can cause mutations in enzymes, changing the way they function. This can alter how the body metabolizes and excretes drugs." 3. "Because of genetic differences, medication may accumulate to toxic levels in one client while in another client may be inactivated before it can have a therapeutic effect." 4. "Genetic differences can be expressed as an alteration in the structure of an enzyme, which can cause a defective receptor and an allergic response to drugs." 5. "Genetic differences in clients who are biracial result in an allergic response to medications."

1. "Genetic differences can result in significant differences in how each client's body handles the same medication." 2. "Genetic differences can cause mutations in enzymes, changing the way they function. This can alter how the body metabolizes and excretes drugs." 3. "Because of genetic differences, medication may accumulate to toxic levels in one client while in another client may be inactivated before it can have a therapeutic effect."

1) The nurse is conducting a holistic assessment of a client with alcoholism. What are the important questions the nurse would ask? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. "How is drinking alcohol viewed by your culture?" 2. "Have you ever attended Alcoholics Anonymous meetings?" 3. "Did you see your parents drinking alcohol when you were growing up?" 4. "Have you been in alcohol rehabilitation before now?" 5. "What blood relatives of yours are addicted to alcohol?"

1. "How is drinking alcohol viewed by your culture?" 3. "Did you see your parents drinking alcohol when you were growing up?" 5. "What blood relatives of yours are addicted to alcohol?"

1) The nurse is teaching clients in a senior center about complementary and alternative therapies. Which statement by a client indicates understanding of the information the nurse has presented? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. "I see now that 'natural' doesn't really mean 'safe,' and I should ask my healthcare provider about any supplements I want to take." 2. "I didn't realize some herbal supplements may be just as strong as a prescription drug. I will need to discuss any supplements I want to try with my doctor." 3. "I understand now that when I choose to use a natural product over a prescription medication, I could be delaying my recovery." 4. "It's good to know that herbs contain ingredients that are as powerful as a prescribed medication and are an option for safe and effective therapy." 5. "I'm allergic to many foods. It's good to know that because herbal products are natural, I don't have to worry about an allergic reaction."

1. "I see now that 'natural' doesn't really mean 'safe,' and I should ask my healthcare provider about any supplements I want to take." 2. "I didn't realize some herbal supplements may be just as strong as a prescription drug. I will need to discuss any supplements I want to try with my doctor." 3. "I understand now that when I choose to use a natural product over a prescription medication, I could be delaying my recovery."

1) The nurse in the emergency department is caring for several clients from diverse cultures. Which statement shows the nurse's ability to provide culturally competent care? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. "I understand your religion prohibits blood transfusions. Would you consider nonblood alternatives?" 2. "I just want to make sure you and your spouse understand the risks as you consider the options." 3. "I don't really understand why you are afraid to take the medication. Do you have any questions I can answer to alleviate your fear?" 4. "I really don't understand why you won't consider an abortion. Your admission papers say you are an atheist." 5. "I'm not quite sure why the healthcare provider is giving you these prescriptions. You didn't get them filled the last time you were here."

1. "I understand your religion prohibits blood transfusions. Would you consider nonblood alternatives?" 2. "I just want to make sure you and your spouse understand the risks as you consider the options." 3. "I don't really understand why you are afraid to take the medication. Do you have any questions I can answer to alleviate your fear?"

A client 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 client makes which statement? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. "I've been taking my medication on an empty stomach like the prescription label said to." 2. "I take my medication first thing in the morning, just like you said." 3. "I have been able to decrease my medication to every other day and that saves me some money." 4. "I switched all my medications to one pharmacy like you suggested." 5. "Did you say I need to take this medication with water or milk?"

1. "I've been taking my medication on an empty stomach like the prescription label said to." 2. "I take my medication first thing in the morning, just like you said." 4. "I switched all my medications to one pharmacy like you suggested."

The client confides in the nurse that he or she is drawn to complementary and alternative medicine because it promotes the "whole person." The client would like spirituality and prayer included in his or her plan of care. What is the best response by the nurse? 1. "We will include spirituality in your plan. Would you like to say a prayer?" 2. "I think your spiritual concerns are best left up to you and your minister." 3. "What exactly do you mean by spirituality and prayer?" 4. "We usually do not pray with clients; is there something you are worried about?"

1. "We will include spirituality in your plan. Would you like to say a prayer?"

Which client would be most likely to seek complementary and alternative therapies as a treatment modality? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. A 48-year-old male who wants to boost his immune system 2. A 22-year-old male athlete who is preparing for the Olympics 3. A 50-year-old female going through menopause 4. A 58-year-old male with prostate problems 5. None of these clients would be wise to seek these therapies.

1. A 48-year-old male who wants to boost his immune system 2. A 22-year-old male athlete who is preparing for the Olympics 3. A 50-year-old female going through menopause 4. A 58-year-old male with prostate problems

When teaching the client about a new medication, the nurse should include which information? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Adverse effects that can be expected 2. Which adverse effect to report to the healthcare provider 3. The drug's therapeutic action 4. Chemical composition of the drug 5. Name of the drug manufacturer

1. Adverse effects that can be expected 2. Which adverse effect to report to the healthcare provider 3. The drug's therapeutic action

1) Which patient statements would the nurse evaluate as negatively affecting access to healthcare? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. An older adult says, "If I tell my doctor that I fall frequently, I might have to go to a nursing home." 2. A young adult says, "A benefit of my new job is that it pays for my health, dental, and vision insurance." 3. A client being discharged says, "Can you call my prescriptions in to the pharmacy?" 4. The client's new insurance plan requires a $10 copay for office visits. 5. A client asks to be discharged before noon as he has a 3-hour drive home.

1. An older adult says, "If I tell my doctor that I fall frequently, I might have to go to a nursing home." 4. The client's new insurance plan requires a $10 copay for office visits. 5. A client asks to be discharged before noon as he has a 3-hour drive home.

1) The nurse is doing a holistic assessment on a client prior to starting antihypertensive medication. What should the nurse include in the assessment? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Blood pressure 2. The biologic cause of the hypertension 3. Mood 4. Level of education 5. Belief in a higher power

1. Blood pressure 3. Mood 4. Level of education 5. Belief in a higher power

1) The nurse in charge of a clinical study welcomes the participants in an open forum. One client is surprised that there are men and women from several ethnic groups. The nurse explains that in the past, ethnic variables were largely unknown or ignored for what reasons? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Clinical trials failed to include ethnically diverse subjects. 2. Clinical trials comprised mostly Caucasian males. 3. Little attention was focused on identifying the different effects drugs had on various ethnic groups. 4. Research proved there were no differences among ethnic groups. 5. The large majority of clinical trials included Caucasian females.

1. Clinical trials failed to include ethnically diverse subjects. 2. Clinical trials comprised mostly Caucasian males. 3. Little attention was focused on identifying the different effects drugs had on various ethnic groups.

1) A home health nurse's patient caseload is ethnically diverse. Which interventions show understanding of cultural variables? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Discussing cultural preferences for herbs and spices and possible alternatives when drug interactions are possible 2. Assessing the client's response to acupuncture for pain 3. Discussing the client's beliefs regarding treatment 4. Notifying the healthcare provider of the client's intentions to consult with a medicine man for spiritual guidance 5. Removing the client's collection of herbs to decrease the risk of an adverse effect when taken with Western medicine

1. Discussing cultural preferences for herbs and spices and possible alternatives when drug interactions are possible 2. Assessing the client's response to acupuncture for pain 3. Discussing the client's beliefs regarding treatment

The client takes St. John's wort for depression but does not tell the healthcare provider. The provider prescribes an SSRI. The nurse should monitor for which of the following? 1. Dizziness 2. Serum glucose level of 340 3. Sedation 4. Serum potassium of 6.0

1. Dizziness

Which information is essential for the nurse to collect when reviewing a client's medication list? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Drug names 2. Drug manufacturer 3. Dosage being taken 4. Frequency of administration 5. When last refill was obtained

1. Drug names 3. Dosage being taken 4. Frequency of administration

1) A nurse administering medications to a variety of patients on a medical-surgical floor recognizes which of the following clients may need additional education about medication adherence? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Fifty-year-old recently remarried male taking antihypertensive medication 2. Thirty-four-year-old female with family history of blood clots taking an estrogen oral contraceptive 3. Thirty-eight-year-old male recently started on an antidepressant 4. Twenty-eight-year-old female started on acne medication known to cause male-patterned hair growth 5. Seventy-eight-year-old female being treated for shingles

1. Fifty-year-old recently remarried male taking antihypertensive medication 2. Thirty-four-year-old female with family history of blood clots taking an estrogen oral contraceptive 3. Thirty-eight-year-old male recently started on an antidepressant 4. Twenty-eight-year-old female started on acne medication known to cause male-patterned hair growth

A client with a family history of heart disease asks the nurse to recommend herbs that decrease the risk for heart disease. The nurse suggests the client discuss which herbs with the healthcare provider? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Flaxseed 2. Green tea 3. Soy 4. Milk thistle 5. Acai

1. Flaxseed 2. Green tea 3. Soy

A client who is considering taking a dietary supplement recommended by the nurse asks how to determine if the supplement is safe. The nurse explains that the Dietary Supplement and Nonprescription Drug Consumer Protection Act of 2007 requires that companies marketing herbal and dietary supplements do which of the following? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Include their contact information on the label so consumers can report adverse effects. 2. Notify the Food and Drug Administration (FDA) within 15 days of receiving a report of an adverse effect. 3. Keep records of adverse effects for at least 6 years and make these records available for inspection by the Food and Drug Administration (FDA). 4. Demonstrate product effectiveness prior to release of the product to the public. 5. State which conditions the product is intended to cure or prevent.

1. Include their contact information on the label so consumers can report adverse effects. 2. Notify the Food and Drug Administration (FDA) within 15 days of receiving a report of an adverse effect. 3. Keep records of adverse effects for at least 6 years and make these records available for inspection by the Food and Drug Administration (FDA).

The nurse is teaching a class on anthrax to a group of emergency response workers. The nurse plans to include which of the following? 1) Anthrax is a deadly bacterium; the most common and deadly form is gastrointestinal anthrax. 2) Cutaneous anthrax is the most common form, but inhaled anthrax is the most lethal form. 3) Anthrax most commonly affects wild rodents such as mice, rats, squirrels, and chipmunks. 4) Cutaneous anthrax is serious because it quickly spreads by person-to-person contact.

2) Cutaneous anthrax is the most common form, but inhaled anthrax is the most lethal form. p. 111

A nurse is planning a discussion of emergency preparedness with newly hired nurses. Which events would this nurse use as historical examples of terrorism? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply 1) The death of a client in a Texas hospital was confirmed to be due to the Ebola virus. 2) Many people died as a result of sarin gas exposure in a Tokyo subway. 3) Twenty-two confirmed or suspected cases of anthrax infection occurred as a result of the bacillus being sent through U.S. mail. 4) There is typically a marked increase in overdoses during winter holidays. 5) More people are contracting H1N1 avian influenza.

2) Many people died as a result of sarin gas exposure in a Tokyo subway. 3) Twenty-two confirmed or suspected cases of anthrax infection occurred as a result of the bacillus being sent through U.S. mail. p. 111

A small nuclear weapon has been detonated in a nearby city. Which immediate symptoms of radiation sickness will the nurse assess in clients who have been exposed? 1) Dilated pupils and aggression 2) Nausea, vomiting, and diarrhea 3) Weight loss and fatigue 4) Anorexia and fatigue

2) Nausea, vomiting, and diarrhea p. 114

A client has been admitted to the emergency department for treatment of poison ingestion. Gastric lavage and placement of activated charcoal has been prescribed. The nurse would withhold this treatment and collaborate with the prescriber if which instances occur? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1) The client vomits. 2) The client becomes unconscious. 3) The client discloses that lithium was the drug taken. 4) Paramedics report that it has been 2 hours since the drug was taken. 5) The client begins to pass copious amounts of watery diarrhea.

2) The client becomes unconscious. 3) The client discloses that lithium was the drug taken. 4) Paramedics report that it has been 2 hours since the drug was taken. p. 115

A nurse is assessing a client recently admitted to the unit. The nurse understands that which assessment identifies the collection of objective data? 1. The client rates his or her pain a 5 on a 0-10 pain scale. 2. The client states he or she is anxious. 3. The client has a wound measured at 5 cm in length. 4. The client informs the nurse that he or she weighs 150 pounds.

3. The client has a wound measured at 5 cm in length.

1) The nurse manager would determine that a nurse understands culturally sensitive care if which statements are made? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. "Since all of our clients have the same illnesses, I sometimes get bored." 2. "I have been helping my client understand how to choose foods from our diet menu." 3. "I am concerned because my client needs sterile dressing changes but has no running water at home." 4. "My client and I worked out a way to get her medications delivered to her at home." 5. "I invited a group from my church to come and sing hymns for our clients."

2. "I have been helping my client understand how to choose foods from our diet menu." 3. "I am concerned because my client needs sterile dressing changes but has no running water at home." 4. "My client and I worked out a way to get her medications delivered to her at home."

1) The client is admitted to the hospital with sepsis following an elective abortion. The healthcare provider orders antibiotics that the client refuses stating, "I don't deserve them." What is the best response by the nurse? 1. "I think you need to do what is best for you." 2. "You have a serious infection and really need the drug." 3. "It seems you think you should be punished because you had an abortion" 4. "I'll call your healthcare provider and let him know about your decision."

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

1) The African American client has panic attacks, is suicidal, and is on an inclient psychiatric unit. The healthcare professional prescribes sertraline (Zoloft) and clonazepam (Klonopin). The client refuses the drugs. The client also requests to have herbs and African objects in his room to "remove the curse." What is the priority action by the nurse? 1. Allow the request without seeking further information from the client. 2. Allow the request as long as the herbs and objects do not pose a safety risk for the client or other clients. 3. Allow the request after the client signs a release of responsibility to avoid litigation. 4. Allow the request after all members of the treatment team agree to it.

2. Allow the request as long as the herbs and objects do not pose a safety risk for the client or other clients.

What is the most significant role for nurses as defined by state nurse practice acts and by regulating bodies such as The Joint Commission? 1. Prescribing medication 2. Client teaching 3. Ordering lab tests 4. Discharging clients

2. Client teaching

1) A client is a vegan vegetarian and does not eat any animal products. The healthcare provider has prescribed a medication contained in a gelatin capsule. The nurse understands that a gelatin capsule is made from animal products. Which nursing actions are indicated? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Do not tell the client the capsule contains gelatin. 2. Collaborate with the prescriber to find an alternative medication. 3. Check to see if the capsule can be opened for administration. 4. Work to convince the client that this application does not violate vegetarian beliefs. 5. Tell the client that the gelatin is an inactive ingredient in the medication.

2. Collaborate with the prescriber to find an alternative medication. 3. Check to see if the capsule can be opened for administration.

A nurse is developing a care plan for a client. Which client outcome statements are correctly formatted? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. The client will understand the effects of the medication administered prior to discharge. 2. The nurse will administer all medications within ten minutes of their scheduled time. 3. The client will identify two adverse effects of enoxaprarin (Lovenox) prior to self-administering the drug. 4. The client will verbalize the storage requirements for NPH insulin prior to discharge. 5. The healthcare provider will discuss the desired effects of discharge medications with the client the evening before discharge.

3. The client will identify two adverse effects of enoxaprarin (Lovenox) prior to self-administering the drug. 4. The client will verbalize the storage requirements for NPH insulin prior to discharge.

Place these nursing activities in the correct order of the nursing process. 1. The nurse analyzes the data collected. 2. The nurse documents the time and route of an administered medication. 3. The nurse weighs the client. 4. The nurse writes an individualized nursing intervention. 5. The nurse changes a nursing intervention that is not working.

3. The nurse weighs the client. 1. The nurse analyzes the data collected. 4. The nurse writes an individualized nursing intervention. 2. The nurse documents the time and route of an administered medication. 5. The nurse changes a nursing intervention that is not working.

The client tells the nurse that he or she plans to take St. John's wort to treat his or her depression. What is the best response by the nurse?Select all that apply. 1. "That should be fine as long as you are not suicidal." 2. "St. John's wort is successfully used in Europe for minor depression." 3. "It would be a good idea to try this before paying for a prescription medication." 4. "It would be better to have a psychiatric assessment first." 5. "Herbal preparations can interact with many other medications."

4. "It would be better to have a psychiatric assessment first." 5. "Herbal preparations can interact with many other medications."

The healthcare provider has prescribed a nitroglycerine (Nitrodur) patch for the client. The nurse understands that which of the following is the best outcome for this client as it relates to use of the medication? 1. Client will be able to identify the expiration date of the medication prior to discharge. 2. Client will verbalize three side effects of the medication prior to discharge. 3. Client will state the reason for receiving the medication prior to discharge. 4. Client will demonstrate correct application of the patch prior to discharge.

4. Client will demonstrate correct application of the patch prior to discharge.

1) A Hispanic man has been diagnosed with attention-deficit/hyperactivity disorder (ADHD), and is taking methylphenidate (Ritalin). Even though the drug helps with focus and grades, the client will not go to the school office at noon for his medication. Which statement best describes the result of the nurse's evaluation? 1. The adolescent has developed alternative coping mechanisms to increase his focus during classes. 2. The adolescent is fearful that this drug may be a "gateway drug" and he will abuse other substances. 3. The adolescent really does not need an additional dose of methylphenidate (Ritalin) at school. 4. The adolescent is embarrassed about having to take medicine at school; it is a social stigma.

4. The adolescent is embarrassed about having to take medicine at school; it is a social stigma.

A nurse is preparing a medication and calculates the dosage as 6.25 mL. Rounding this amount to the nearest 10th, the nurse should administer how many mL?

6.3 mL

A community health nurse is preparing a teaching plan regarding medications and their potential adverse effects for a new parent class. The nurse should encourage parents to do which of the​ following? ​Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. A. Maintain a list of current medications for each child. B. Be aware of each​ child's medication allergies. C. Know what the​ child's prescribed medication is​ for, how it should be​ administered, and when to expect the child to feel better. D. Be aware that any leftover medication should be appropriately disposed​ of, not saved for future use. E. Read the prescription label for any foods the child should avoid while taking the medication and for possible adverse effects to watch out for.

A. Maintain a list of current medications for each child. B. Be aware of each​ child's medication allergies. C. Know what the​ child's prescribed medication is​ for, how it should be​ administered, and when to expect the child to feel better. D. Be aware that any leftover medication should be appropriately disposed​ of, not saved for future use.

A nurse on the​ medical-surgical unit is caring for several very ill clients. One client​ says, "I was supposed to get my medications an hour​ ago." The nurse recognizes that medication errors can have what​ impact? ​Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. A. Medication errors can potentially extend the​ client'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. D. Medication errors can be physically devastating to nurse and client. E. Medication errors cause preventable deaths during hospitalizations.

A. Medication errors can potentially extend the​ client'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 has been hired to work in the risk management office of a hospital. What situations would the nurse expect to be included in this​ job? ​Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. A. Participating in the investigation of a sentinel medication event B. Using the computer to track data C. Working with staff nurses to identify work flow problems D. Meeting with the nurse executive to identify nurses who are prone to medication errors E. Participating in a committee who will recommend changes to the policy and procedures regarding medication administration.

A. Participating in the investigation of a sentinel medication event B. Using the computer to track data C. Working with staff nurses to identify work flow problems E. Participating in a committee who will recommend changes to the policy and procedures regarding medication administration.

The nurse is preparing a teaching plan for an older client who is taking multiple medications. Which principles should the nurse keep in mind during the planning​ phase? ​Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. A. The client should have all prescriptions filled at the same pharmacy. B. The client should keep a list of all medications for easy accessibility. C. Older clients often take multiple drugs which is a common cause of medication errors. D. Polypharmacy is unique to older clients and is the most common cause of medication errors. E. The client should be aware of each prescribed​ medication, the​ dose, and possible side effects.

A. The client should have all prescriptions filled at the same pharmacy. B. The client should keep a list of all medications for easy accessibility. C. Older clients often take multiple drugs which is a common cause of medication errors. E. The client should be aware of each prescribed​ medication, the​ dose, and possible side effects.

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? ​Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. A. ​"What kind of errors are​ occurring?" B. ​"What is the current medication administration accuracy​ rate?" C. ​"How do the unit nurses rank in the number of errors​ committed?" 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?"

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?"

The nurse plans to teach a safety class to parents of toddlers about household exposure to medications. What should the nurse include? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. - Keep the toddler awake and observe for side effects of the medication. - Keep all medications locked up and stored out of reach of the toddler. - Use syrup of ipecac immediately if the toddler has ingested medication. - Call the Poison Control Center for guidance with any medication ingested. - Teach the toddler that medications are for adult use only.

Keep all medications locked up and stored out of reach of the toddler. Call the Poison Control Center for guidance with any medication ingested.